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Case of The Month

Year 2003, Volume: 38 Issue: 1, - , 01.03.2003

Abstract

Breath holding spells are common in infancy and such children are frequently referred to physicians for exclusion of heart disease Iron deficiency anemia is commonly associated with these spells However autonomic dysregulation increased vagal stimulation leading to cardiac arrest and cerebral ischemia are considered as causes of the clinical situation Subsequent development of epilepsy and neurocardiogenic syncope are reported in patients with breath holding spells The aim of our study was to investigate QT dispersion for assessment of the risk of lethal dysrythmia and sudden death in this patient group The study group consisted of 9 girls and 6 boys between 8 42 months of age mean±SD=19 1±10 4 months ; and the control group consisted of 9 girls and 10 boys between 10 36 months of age mean±SD=21 9±8 9 months QT interval was measured corrected QT interval QTc QT dispersion QTd and QTc dispersion QTcd were calculated from 12 lead surface electrocardiograms of the patients and the control group There was no statistically significant difference in terms of QT and QTc intervals between the patient and the control groups while QTd and QTcd values were significantly increased in patients with breath holding spells compared to the healthy children QT dispersion value were 65 3±27 7 msn and 44 2±10 7 msn respectively in patients and controls p lt;0 01 QTc dispersion walue were 116 0±38 3 msn and 90 2±29 3 respectively p lt;0 05 In conclusion increased QT dispersion indicates non homogeneous repolarization of the ventricles in patients with breath holding spells and justifies further investigation for the risk of dysrhythmia and sudden death in this patient group Key words: breath holding spells dysrhythmia QT dispersion

Ayın Olgusu

Year 2003, Volume: 38 Issue: 1, - , 01.03.2003

Abstract

Kaynaklar1 Waldhausen JHT Holterman MJ Sawin RS: Surgical implications of necrotizing fasciitis in children with chickenpox J Pediatr Surg 1996; 31: 1138 41 2 Brogan TV Nizet V: A clinical approach to differentiating necrotizing fasciitis from simple cellulitis Infections in Medicine 1997; 14: 734 8 3 Floret D: Virus bacteria co infections Archives de Pediatrie 1997; 4: 1119 24 4 Sawin RS Schaller RT Tapper DT et al: Early recognition of neonatal abdominal wall necrotizing fasciitis Am J Surg 1994; 167: 481 4 5 Kosloske AM Cushing AH Borden TA et al: Cellulitis and necrotizing fasciitis of the abdominal wall in pediatric patients J Pediatr Surg 1981; 16: 246 51 6 Laupland KB Davies HD Low DE et al: Invasive group a streptococcal disease in children and association with varicella zoster virus infection Pediatrics 2000; 105: 601 7 7 Erdmann D Zamboni WA Husman J et al: Hyperbaric oksigen therapy improves outcome of streptococcal myositis in mice Undersea Hyperb Med 1995; 22S: 13 nbsp;

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Details

Primary Language Turkish
Journal Section When the Turkish word exists
Authors

Nizamettin Kılıç This is me

Turgut Türkel This is me

Belgin Yavaşçaoğlu This is me

Hasan Doğruyol This is me

Publication Date March 1, 2003
Published in Issue Year 2003 Volume: 38 Issue: 1

Cite

APA Kılıç, N., Türkel, T., Yavaşçaoğlu, B., Doğruyol, H. (2003). Ayın Olgusu. Türk Pediatri Arşivi, 38(1).
AMA Kılıç N, Türkel T, Yavaşçaoğlu B, Doğruyol H. Ayın Olgusu. Türk Pediatri Arşivi. March 2003;38(1).
Chicago Kılıç, Nizamettin, Turgut Türkel, Belgin Yavaşçaoğlu, and Hasan Doğruyol. “Ayın Olgusu”. Türk Pediatri Arşivi 38, no. 1 (March 2003).
EndNote Kılıç N, Türkel T, Yavaşçaoğlu B, Doğruyol H (March 1, 2003) Ayın Olgusu. Türk Pediatri Arşivi 38 1
IEEE N. Kılıç, T. Türkel, B. Yavaşçaoğlu, and H. Doğruyol, “Ayın Olgusu”, Türk Pediatri Arşivi, vol. 38, no. 1, 2003.
ISNAD Kılıç, Nizamettin et al. “Ayın Olgusu”. Türk Pediatri Arşivi 38/1 (March 2003).
JAMA Kılıç N, Türkel T, Yavaşçaoğlu B, Doğruyol H. Ayın Olgusu. Türk Pediatri Arşivi. 2003;38.
MLA Kılıç, Nizamettin et al. “Ayın Olgusu”. Türk Pediatri Arşivi, vol. 38, no. 1, 2003.
Vancouver Kılıç N, Türkel T, Yavaşçaoğlu B, Doğruyol H. Ayın Olgusu. Türk Pediatri Arşivi. 2003;38(1).