Clinical Profile of Cardiac Arrhythmias  in Children Attending the Out Patient  Department of a Tertiary Paediatric Care  Centre in Chennai

Premkumar, Sarala; Sundararajan, Premkumar; Sangaralingam, Thangavelu

doi:10.7860/jcdr/2016/21751.8992

Cited by 14 publications

(16 citation statements)

References 6 publications

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“…Premkumar et al discovered that 41.67% of echocardiography findings were normal, whereas 55% of the reports indicated abnormalities. 5 There was one instance each of aortic root dilation, coronary fistula to pulmonary artery, mitral valve prolapse, and pulmonary valve abnormality in the research by L'Italien et al 11 With a single dose of adenosine infusion (0.1 mg/kg), 49 percent of the patients in our research attained normal sinus rhythm. It was shown that 33% of the patients needed an additional dosage of adenosine infusion (0.2 to 0.3 mg/kg).…”

Section: Discussionmentioning

confidence: 58%

“…Although the actual prevalence of SVT in children is unclear, it has been found to range from 1 in 25,000 to 1 in 250 children. 5 According to reports, 25% of children with PSVT display wolf-parkinson-white (WPW) syndrome on their resting ECG. According to some authors, SVTs in children or adolescents with normal heart structure are classified into three or four major categories: atrioventricular reentrant or reciprocating tachycardia (AVRT) due to an accessory pathway, atrioventricular nodal reentrant tachycardia (AVNRT), and ectopic atrial tachycardia, including permanent form of junctional reciprocating tachycardia (PJRT).…”

Section: Discussionmentioning

confidence: 99%

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Clinical profile of patients diagnosed with supraventricular tachycardia: a descriptive study at a tertiary care hospital

Harris

Sahay

2022

Int J Adv Med

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Background: Supraventricular tachycardia is a clinical syndrome characterized by a rapid tachycardia with an abrupt onset and termination. The objective of our study was to determine and assess the clinical profile, electrocardiographic and echocardiographic of patients diagnosed with supraventricular tachycardia.Methods: This cross-sectional study was conducted in the department of general medicine, Dr DY Patil medical college and hospital, Navi Mumbai from April 2020 till October 2021, in which we included patients diagnosed with any type of supra-ventricular tachycardia and excluded hemodynamically unstable patients.Results: In the present study, of the 45 cases, atrial fibrillation was the most common mechanism of SVT, diagnosed in 47% of the patients. Next most common was AVNRT (22%) and AVRT (18%). In addition, atrial tachycardia was diagnosed in 9% of the patients and atrial flutter was diagnosed in 4%. Mean age of the patients was 34.5 years, ranging from 13 to 68 years and 56% were males. It was observed that palpitation was the most common symptoms (91%). On ECG, no abnormalities were detected in 64%, while left ventricular hypertrophy (18%) and prolonged corrected QT (18%) were the most common abnormalities. On echocardiography, no abnormality was detected in 78% of the patients. Furthermore, 49% of the patients achieved normal sinus rhythm with a single dose of adenosine infusion and 33% of the patients required another dose of adenosine infusion.Conclusions: Palpitation is common presentation symptom. Most of patients had good response to medication treatment especially adenosine therapy, additional treatment was required in few patients.

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Clinical profile of patients diagnosed with supraventricular tachycardia: a descriptive study at a tertiary care hospital

Harris

Sahay

2022

Int J Adv Med

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“…It has been also reported that 25% of children with PSVT have wolf-parkinson-white (WPW) syndrome on their resting ECG (7). In children or adolescent patients with normal heart structure, SVTs are divided to three or four major categories: Atrioventricular reentrant or reciprocating tachycardia (AVRT) due to an accessory pathway, atrioventricular nodal reentrant tachycardia (AVNRT), and ectopic atrial tachycardia, including permanent form of junctional reciprocating tachycardia (PJRT), according to some authors (1,6,7). Compared to adult patients, AVRT due to an accessory atrioventricular pathway, including WPW syndrome, is the most common type of PSVT in children.…”

Section: Discussionmentioning

confidence: 97%

Abdominal Pain as an Initial Manifestation of Paroxysmal Supraventricular Tachycardia in Children

et al. 2019

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Objectives:The aim of this study was to evaluate the importance of abdominal pain in children with paroxysmal supraventricular tachycardia (PSVT). Methods: The authors reviewed the medical records of patients aged between three and 18 years old, who were diagnosed and treated for PSVT between March, 2011 and February, 2016. According to the presence of abdominal pain, they were grouped and analyzed for the difference of patient's age, gender, interval between symptom onset and diagnosis, response to adenosine infusion, and the relationship with levels of N-terminal fragments of pro-brain natriuretic peptide (NT-proBNP).Results: A total of 43 patients (24 males and 19 females) were registered and the mean age at diagnosis of PSVT was 10.65 ± 4.81 years old. Although palpitation was the most common symptom (n = 29, 67.4 %), abdominal pain was also common (n = 18, 41.9%) with more frequent symptoms under 10 years old (n = 15/16, 93.8% versus n = 3/27, 11.1% in older than 10 years old). The PSVT patients with abdominal pain (group 1) were younger, had more frequent vomiting, less palpitation, and longer time to diagnosis of PSVT than subjects without this complication (group 2). In group 1, the level of NT-proBNP was shown significantly higher than group 2 (776.07 ± 913.57 versus 93.72 ± 51.25 pg/mL, P < 0.001). Conclusions:Abdominal pain may be an initial presentation of PSVT in children, especially under 10 years old.

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“…[4] These diseases can present anytime from birth to 15 years of age and their recognition requires high index of suspicion. [5] Common syndromes with arrhythmic risks can go undiagnosed because of the absence of structural heart disease. These are as follows:…”

mentioning

confidence: 99%

Intraoperative sudden cardiac death in pediatric patients - Calamity yet to overcome?

Annachhatre

2019

Ann Card Anaesth

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Clinical Profile of Cardiac Arrhythmias in Children Attending the Out Patient Department of a Tertiary Paediatric Care Centre in Chennai

Cited by 14 publications

References 6 publications

Clinical profile of patients diagnosed with supraventricular tachycardia: a descriptive study at a tertiary care hospital

Clinical profile of patients diagnosed with supraventricular tachycardia: a descriptive study at a tertiary care hospital

Abdominal Pain as an Initial Manifestation of Paroxysmal Supraventricular Tachycardia in Children

Intraoperative sudden cardiac death in pediatric patients - Calamity yet to overcome?

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