Primary cardiac arrhythmias in children

Sacchetti, Alfred; Moyer, Valerie; Baricella, R.; Cameron, James; Moakes, Mary Ellen

doi:10.1097/00006565-199904000-00004

Cited by 42 publications

(26 citation statements)

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“…In those studies, only isolated cases of paroxysmal supraventricular tachycardia and ventricular tachycardia were observed. Finally, an American study [6] identified the characteristics of primary arrhythmias in pediatric patients in a general emergency department. Forty-two cases of supraventricular tachycardia, 15 cases of atrial fibrillation, 7 of ventricular tachycardia, 7 of atrial flutter and 4 of ventricular fibrillation were identified in 0.58 million visits of patients under 18 years of age.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and Outcome of Tachyarrhythmias in Tertiary Pediatric Cardiac Centers

Massin

Benatar²,

Rondia³

2008

Cardiology

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Introduction: Little is known about the real importance of pediatric arrhythmias. Methods: We analyzed the epidemiology, presentation and outcome of all clinically relevant tachyarrhythmias followed up in our pediatric institutions from 1995 to 2006. Results: A total of 250 cases were identified. The mean age ± SD at diagnosis was 4.7 ± 5.3 years, 45 cases were neonatal (18%). Supraventricular arrhythmias were noted in 210 children (84%), ventricular arrhythmias in 40 (16%). The most frequent symptoms were palpitations (n = 71) and syncope (n = 48) in older children, as well as monitoring of diseases (n = 62) and heart failure (n = 49) in younger patients. Recurrence was noted under or after therapy in 75 cases, mostly in cases diagnosed beyond infancy. At long-term follow-up, 169 patients have no recurrence without treatment (of whom 34 had required catheter ablation), 71 are under therapy and 10 died. Conclusion: Supraventricular arrhythmias in younger children are often an incidental diagnosis, respond to antiarrhythmic therapy and have a high incidence of resolution. In older children with supraventricular arrhythmias and in those with ventricular arrhythmias, delayed diagnosis or misdiagnosis is not rare, the arrhythmias are unlikely to resolve spontaneously and long-term antiarrhythmic treatment or catheter ablation is necessary.

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Section: Discussionmentioning

confidence: 99%

Epidemiology and Outcome of Tachyarrhythmias in Tertiary Pediatric Cardiac Centers

Massin

Benatar²,

Rondia³

2008

Cardiology

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“…There are only few reports on the prevalence among adolescents of the following conditions: cardiac arrhythmias, rheumatic heart disease, inflammatory heart diseases, cardiomyopathies and coronary heart disease [19,20,21,22,23,24]. It was impossible to compare these reports to the current study, because of the different clinical definitions and the size of the populations examined.…”

Section: Discussionmentioning

confidence: 92%

The Prevalence of Common Cardiovascular Diseases among 17-Year-Old Israeli Conscripts

et al. 2005

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Background: There are only few reports on the prevalence of common cardiovascular disorders among adolescents. The previous studies focused on specific diseases, and screened relatively small samples. Objective: The aim of this study was to define the prevalence of different common cardiovascular disorders among 17-year-old Israeli conscripts. A comparison between the morbidity patterns of female and male adolescents was also performed. Design:All 17-years-old Israeli nationals are obliged by law to appear at the Israel Defense Forces Recruiting Office for medical examination except for orthodox religious and Arabic adolescents. Cardiology specialists evaluated and classified nominees with suspected cardiovascular disorders. Results: The most prevalent diagnoses were valvular heart disease (590/ 100,000), syncope (440/100,000), and mitral valve prolapse (340/100,000). The most prominent differences between female and male adolescents were noted in the prevalence of: congenital valvular heart disease, syncope, history of hypertension, supraventricular tachycardia with pre-excitation, myocarditis and pericarditis, and bradycardia and conduction disorders. Conclusions: The most prevalent cardiac disorders among 17-year-old Israelis were congenital valvular heart disease, syncope and mitral valve prolapse. Some significant differences were noted between the morbidity patterns among male and female adolescents. The higher prevalence of congenital valvular heart disease compared to non-valvular heart disease is surprising. The prevalence of hypertension among Israeli adolescents in the last 15 years remained stable.

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“…A prevalência de arritmias cardíacas significativas é de 22,5 para cada 100.000 consultas de pacientes com idade <18 anos, em Emergência e, dentre esses, a FA representa menos de 5% 75 . A presença de taquiarritmias atriais é mais comum, apenas, entre crianças com cardiopatia congênita, em seguimento tardio de cirurgia de Fontan.…”

Section: Fa Em Situações Específicasunclassified