Follow-Up of Electrocardiographic Findings and Arrhythmias in Patients With Anomalously Arising Left Coronary Artery from the Pulmonary Trunk

Moore, Judson A.; Cabrera, Antonio G.; Kim, Jeffrey; Valdés, Santiago O.; Uz, Caridad de la; Miyake, Christina Y.

doi:10.1016/j.amjcard.2016.08.022

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…ECG results are of great reference value for these patients. Once characteristic changes such as pathological Q‐wave and ST‐T segment changes in V 4 ‐V 6 leads are noted, ALCAPA should be highly suspected.…”

Section: Discussionmentioning

confidence: 99%

Misdiagnosis of anomalous origin of the left coronary artery from the pulmonary artery by echocardiography: Single‐center experience from China

Lin

Xie

et al. 2020

Echocardiography

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Objectives To identify the risk factors causing misdiagnosis by echocardiography and missed diagnosis of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA). Materials and Methods Echocardiographic results of 16 patients with ALCAPA confirmed by surgery in Union Hospital, Wuhan, were analyzed retrospectively. The influencing factors leading to echocardiographic misdiagnosis were analyzed from the aspects of confusing image characteristics, special pathological anatomy of the left coronary artery (LCA), and operators' working years. Results Echocardiography diagnosed 11 cases with an accuracy rate of 68.8%. Five cases were misdiagnosed, three cases as endocardial fibroelastosis, one case as mitral prolapse with severe insufficiency, and one case as coronary‐pulmonary artery fistula. Display rate of the specific echocardiographic features for confirmed group and misdiagnosed group was statistically significantly different（P = .014）. But the working years of the operator for confirmed group and misdiagnosed group were not statistically significantly different（P = .267）. Some special pathological anatomy and pathophysiological features could be also the cause of misdiagnosis. Conclusions Echocardiography is the first diagnostic choice of the ALCAPA in China. It is essential for the operator to have the knowledge, diagnostic awareness, and proficiency in manipulation in the accurate interpretation of echocardiography results.

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Section: Discussionmentioning

confidence: 99%

Misdiagnosis of anomalous origin of the left coronary artery from the pulmonary artery by echocardiography: Single‐center experience from China

Lin

Xie

et al. 2020

Echocardiography

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“…Echocardiography is a fundamental non-invasive imaging modality that provides information on cardiac structure and function, which is vital for ruling out structural heart disease as a cause of PVCs. The presence of ventricular dilation, dysfunction, or other abnormalities may guide further investigation and management ( 18 , 38 ).…”

Section: Diagnosismentioning

confidence: 99%

Advancements in the diagnosis and management of premature ventricular contractions in pediatric patients

Zhu,

Yuan,

2024

Front. Pediatr.

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BackgroundPremature ventricular contractions (PVCs) are relatively common arrhythmias in the pediatric population, with implications that range from benign to potentially life-threatening. The management of PVCs in children poses unique challenges, and recent advancements in diagnostic and therapeutic options call for a comprehensive review of current practices.MethodsThis review synthesizes the latest literature on pediatric PVCs, focusing on publications from the past decade. We evaluate studies addressing the epidemiology, pathophysiology, diagnosis, and treatment of PVCs in children, including pharmacological, non-pharmacological, and invasive strategies.ResultsThe review identifies key advancements in the non-invasive detection of PVCs, the growing understanding of their genetic underpinnings, and the evolving landscape of management options. We discuss the clinical decision-making process, considering the variable significance of PVCs in different pediatric patient subgroups, and highlight the importance of individualized care. Current guidelines and consensus statements are examined, and areas of controversy or limited evidence are identified.ConclusionsOur review underscores the need for a nuanced approach to PVCs in children, integrating the latest diagnostic techniques with a tailored therapeutic strategy. We call for further research into long-term outcomes and the development of risk stratification tools to guide treatment. The potential of emerging technologies and the importance of multidisciplinary care are also emphasized to improve prognoses for pediatric patients with PVCs.

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“…The purpose of the findings, presented by Dr. Moore, was to review the long‐term follow‐up and correlation of arrhythmias ECGs and cardiac function in patients with an anomalous left coronary artery from pulmonary artery (ALCAPA).…”

Section: Long‐term Follow‐up Of Ecg Findings and Arrhythmias In Anomamentioning

confidence: 99%

The Heart Rhythm Society-Section on Pediatric Electrophysiology

D'Souza¹,

Moodie

Snyder³

2016

Congenital Heart Disease

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Follow-Up of Electrocardiographic Findings and Arrhythmias in Patients With Anomalously Arising Left Coronary Artery from the Pulmonary Trunk

Cited by 4 publications

References 9 publications

Misdiagnosis of anomalous origin of the left coronary artery from the pulmonary artery by echocardiography: Single‐center experience from China

Misdiagnosis of anomalous origin of the left coronary artery from the pulmonary artery by echocardiography: Single‐center experience from China

Advancements in the diagnosis and management of premature ventricular contractions in pediatric patients

The Heart Rhythm Society-Section on Pediatric Electrophysiology

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