Management and Outcomes of Paediatric Patients with Palpitations Examined in Our Clinic
Journal Title: Bezmiâlem Science - Year 2020, Vol 8, Issue 3
Abstract
Objective: We retrospectively reviewed the data of patients who presented to the paediatric cardiology clinic with complaints of palpitations. We aimed to describe the characteristics of these patients, the rhythm disorders that were detected, and the treatment methods with a particular attention on rare and vital diseases. Methods: In total, 1,680 patients aged 5-18 years who presented with palpitations at the paediatric cardiology clinic between January 2016 and June 2019 were enrolled. Of these, 714 (42.5%) were male and 966 (57.5%) were female. All the hospital records including electrocardiography, echocardiography, cardiovascular stress test, 24-h Holter monitoring, event recorder and genetic analysis results were reviewed. Results: The mean age of the patients was 13.5±3.2 years (range: 5-17.8 years). Palpitation was accompanied with chest pain in 218 patients, shortness of breath in 152 patients and weakness in 67 patients. Also, 726 Holter monitoring, 165 event recorder and 104 cardiovascular stress test results were evaluated. Dysrhythmia was detected in 306 patients (18.2%). The most common dysrhythmias were supraventricular extrasystoles (n=171, 55.8%) and ventricular extrasystoles (n=82, 26.8%). Five patients were diagnosed with non-sustained ventricular tachycardia (VT) episodes, one with long QTc syndrome and one with catecholaminergic polymorphic VT. Two patients were followed-up for arrhythmogenic right ventricular dysplasia (ARVD), 12 patients had mitral valve prolapsed (MVP), 8 had valvular heart disease caused by acute rheumatic fever (ARF) and 7 had bicuspid aortic valve (BAV). Conclusion: Palpitation is one of the common causes of outpatient clinic visits in children and it may be the first symptom of serious arrhythmias, although it is frequently associated with benign pathologies. Most life-threatening dysrhythmias can be detected by a thorough analysis of the patient using basic cardiological examination methods.
Authors and Affiliations
Kahraman YAKUT
Keywords
Related Articles
- EP ID EP685043
- DOI 10.14235/bas.galenos.2019.3594
- Views 161
- Downloads 0
Measurement of Impedance Values of Different Erythrocyte Suspensions
Objective: The study was aimed to determine whether the impedance measurements of erythrocyte suspensions can be used with a different calculation method in determining the degree of erythrocyte aggregation. Methods: Im...
Investigation of Foot Pressure Distribution in Asymptomatic İndividuals with Mild Hallux Valgus
Objective: The purpose of the present study was to investigate plantar pressure distribution during static standing in asymptomatic individuals with mild hallux valgus and to compare the results with healthy controls gro...
The Efficacy of Eltrombopag Treatment in Patients who developed Platelet Engraftment Failure after Allogeneic Stem Cell Transplantation: A Single Center Experience
Objective: Persistent thrombocytopenia is a common complication of allogeneic stem cell transplantation (ASCT). Treatment of platelet engraftment failure after ASCT remains controversial. Drugs, such as eltrombopag, are...
Diabetes, Oxidative Stress and Endothelial Dysfunction
Cardiovascular diseases are the most common causes of morbidity and mortality in diabetic patients. Oxidative stress plays an important role in diabetic endothelial dysfunction. Under conditions of oxidative stress, free...
Effect of Flavopiridol on Cell Cycle, Apoptosis and Biomolecule Structure Changes in Breast Cancer Stem Cells
Objective: Cancer stem cells (CSCs) are a small population in cancer, which are responsible for therapeutic resistance, relapse and metastasis. Flavopiridol has antitumor activity against various types of cancer cells. T...