Clinical Profile of Cardiac Arrhythmias in Children Attending the Out Patient Department of a Tertiary Paediatric Care Centre in Chennai
Introduction: The presentation of symptoms of paediatric arrhythmias vary depending on the age and underlying heart disease. Physical examination of children with important arrhythmias may be entirely normal. Aim: Aim is to study the characteristics of cardiac arrhythmias in paediatric patients...
Main Authors: | , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2016-12-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/8992/21751_CE(Ra1)_F(Sh)_%20PF1(RO_VJ)_PFA(AK)_PF2(PAG).pdf |
Summary: | Introduction: The presentation of symptoms of paediatric
arrhythmias vary depending on the age and underlying heart
disease. Physical examination of children with important
arrhythmias may be entirely normal.
Aim: Aim is to study the characteristics of cardiac arrhythmias
in paediatric patients in a tertiary paediatric care centre in
Chennai, India.
Materials and Methods: The participants (n=60) were from
birth to 12 years of age. Patients with sinus arrhythmias, sinus
tachycardia and sinus bradycardia were excluded. Proportions
of various parameters of interest like clinical features, age
and sex distribution and underlying heart disease of children
presenting with cardiac arrhythmias were arrived. Statistical
analysis was performed using SPSS version 16.0.
Results: Ventricular ectopics were the most common type of
arrhythmias observed in the present study followed by Sinus
Node Dysfunction (SND). The most common type of SND was
sino atrial arrest. Supra ventricular tachycardia was the most
frequently sustained tachyarrhythmia in the present study. An
increased association of WPW (Wolf Parkinson White Syndrome)
with specific congenital cardiac defects was noted.
Conclusion: Cardiac arrhythmias in children can present at
anytime from fetal life to adolescence and their recognition
requires high index of suspicion. While majority of children with
arrhythmias have structurally normal heart, they are frequently
encountered in children with underlying heart disease. Treatment
of paediatric arrhythmias should be guided by the severity of
the patient, the structure and function of the heart. |
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ISSN: | 2249-782X 0973-709X |