Yıl 2015,
Cilt: 42 Sayı: 1, 128 - 135, 09.05.2015
Öz
Pediatric dysrhythmias are rare but important causes of admission to pediatric clinics and emergency departments. Due to the development of successful surgical treatment of congenital heart diseases and improvements in the diagnostic tools, pediatric dysrhythmias are more frequently diagnosed. Although pediatric dysrhythmias are may be asymptomatic, they may manifest with weakness, dizziness, decrease in the effort capacity, easy fatigability, irregularity in heartbeats, palpitations, syncope and cardiac arrest. Since dysrhythmias may give rise to significant hemodynamic outcomes, their recognition by pediatricians and family physicians is vital for the patients. This review aims to contribute to the correct diagnosis and management of the cases with frequently encountered pediatric dysrhythmias
Anahtar Kelimeler
Kaynakça
- Doniger DJ, Sharieff GQ. Pediatric dysrhythmias. Pediatr
- Clin North Am 2006;53:85-105.
- Bostan Ö. Sık karşılaşılan disritmiler. Güncel Pediatri
- ;8:176-178.
- Park MK. Cardiac arrythmias. In Park MK. Pediatric Cardiology
- for Practitioners. 5th edn. Mosby Elsevier. 2008;417-
- -
- Olshansky B, Sullivian RM. Inappropriate sinus tachycardia.
- JACC 2013;61:793-801.
- Egan KR, Ralphe C, Weinhaus L, et al. Just sinus bradycardia
- or something more serious? Case Rep Pediatr Volume
- , Article ID 736164, 5 pages http://dx.doi.
- org/10.1155/2013/736164
- Singh HR. Arrythmias in children and young adults. Adv
- Electr Eng 2014;4:41-69.
- Saleeh F, EA Greene, Mathison D. Evaluation and management
- of atrioventricular block in children. Emergency and
- Critical Care Medicine 2014;26:279-285.
- Antoniadis AP, Fragakis NK, Mligkos GC, et al. Infra-Hisian
- block as cause of Wenkebach’s phenomenon in an asymptomatic
- middle-aged man. Europace 2010;12:898-902. doi:
- 1093/europace/eup450
- Abu-Zeitone A, Peterson DR, Polonsky B. Efficacy of different
- beta-blockers in the treatment of long QT syndrome.
- JACC 2014;64:1352-1358.
- Thakkar B, Shukla A, Singh T, et al. Clinical profile of pediatric
- patients with long QT syndrome masquerading as
- seizures. Indian J Pediatr 2014;81:529-535.
- Knoche JW, Orland KM, January CT, et al. Atrial fibrillation
- and long QT syndrome presenting in a 12-year girl.
- Case Rep Pediatr 2012;20:1-3. http://www.hindawi.com/
- journals/cripe/2012/124838/
- Torres PI, Townsend SN, Flores JG, et al. Association of
- congenital, diffuse eşectrical disease in children with normal
- heart: sick sinus syndrome, intraventricular conduction
- block, and monomorphic ventricular tachycardia. J Cardiovasc
- Electrophysiol 2008;19:550-556.
- Wilde AAM, Ackerman MJ. Beta-Blockers in the treatment
- of congenital long QT Syndrome. JACC 2014;64:1359-
- -
- Koca S, Topaloğlu S, Cay S, et al. Electroanatomic mapping
- guided radiofrequency ablation of adenosine sensitive
- incessant focal atrial tachycardia originating from the noncoronary
- aortic cusp in a child. Indian Pacing Electrophysiol
- J 2014;14:258-262.
- Diaz-Parra S, Sanchez Yanez P, et al. Use of adenosine in
- the supraventricular tachycardia in a pediatric emergency
- department. Pediatr Emerg Care 2014;30:388-393.
- Spearman A, Williams P. Supraventricular tachycardia in
- infancy and childhood. Pediatr Ann 2014;43:456-460.
- Tripathi A, Black GB, Park YMM, et al. Factors associated
- with the occurrence and treatment of supraventricular
- tachycardia in a pediatric congenital heart disease cohort.
- Pediatr Cardiol 2014;35:368-373.
- Akdeniz C, Ergul Y, Kiplapinar N, et al. Catheter ablation of
- drug resistant supraventricular tachycardia in neonates and
- infants. Cardiol J 2013;20:241-246.
- Alp H, Baysal T, Karaarslan S. Supraventricular tachycardia
- due to blunt chest trauma in an adolescent. Ulus Travma
- Acil Cerrahi Derg 2014;20:211-213.
- Çeliker A, Kafalı G, Karagöz T, et al. The results of electrophysiological
- study and radiofrequency catheter ablation
- in pediatric patients with tachyarrhythmia. Turk J Pediatr
- ;45:209-216.
- Singh S, Parihar G, Rao R, et al. Focal left atrial tachycardia
- in a patient with left ventricular noncompaction. Case
- Rep Med. 2013;430862. doi: 10.1155/2013/430862. http://
- www.ncbi.nlm.nih.gov/pmc/articles/PMC3665213/
- Johnsrude C. Cryoablation of focal atrial tachycardia originating
- from the right atrial free wall during upstream phrenic
- pacing to avoid phrenic nevre injury. Pace 2015;38:120-
- -
- Texter MM, Kertesz NJ, Friedman RA, et al. Atrial flutter in
- ınfants. JACC 2006;48:1040-1046.
- Glymour MM, Benjamin EJ, Kosheleva A, et al. Early
- life predictors of atrial fibrillation-related mortality: Evidence
- from the health and retirement study. Health&Place
- ;21:133-139.
- Garg G, Tyagi H, Agrawal G, et al. Intermittent atrial flatter:
- A cause of recurrent syncope in a 3 year old child-A challenging
- case. Indian Heart J 2014;66:714-715.
- Çağdaş D, Çeliker A, Özer S. Premature ventricular contractions
- in normal children. Turk J Pediatr 2008;50:260-
- -
- Kılıç E, Çeliker A, Karagöz T et al. Analysis of idiopathic
- ventricular tachycardia in childhood. Turk J Pediatr
- ;54:269-272.
Yıl 2015,
Cilt: 42 Sayı: 1, 128 - 135, 09.05.2015
Öz
Pediatrik disritmiler, pediatri poliklinik ve acillerine seyrek ancak önemli başvuru nedenleridir. Doğumsal kalp hastalıklarının başarılı cerrahi tedavisi ve tanı araçlarının gelişmesiyle beraber daha sık olarak disritmi tanısı konulmaya başlamıştır. Pediatrik disritmiler; asemptomatik olabileceği gibi, halsizlik, sersemlik hissi, efor kapasitesinde azalma, çabuk yorulma, kalp atımlarında düzensizlik, çarpıntı, bayılma şikayetleri ile kendilerini göstermekte ve bazen kardiyak arrest ilk başvuru bulgusu olabilmektedir. Sebep olabilecekleri önemli hemodinamik etkiler nedeniyle pediatristler ve aile hekimleri tarafından iyi tanınmaları, hastalar için hayatiyet arz etmektedir. Bu derlemede sık karşılaşılan pediatrik disritmilerin pediatristler ve aile hekimlerince doğru tanı ve tedavisine katkıda bulunulması amaçlanmıştır. Anahtar kelimeler: Pediatrik disritmiler, çocukluk çağı, aritmi
Anahtar Kelimeler
Kaynakça
- Doniger DJ, Sharieff GQ. Pediatric dysrhythmias. Pediatr
- Clin North Am 2006;53:85-105.
- Bostan Ö. Sık karşılaşılan disritmiler. Güncel Pediatri
- ;8:176-178.
- Park MK. Cardiac arrythmias. In Park MK. Pediatric Cardiology
- for Practitioners. 5th edn. Mosby Elsevier. 2008;417-
- -
- Olshansky B, Sullivian RM. Inappropriate sinus tachycardia.
- JACC 2013;61:793-801.
- Egan KR, Ralphe C, Weinhaus L, et al. Just sinus bradycardia
- or something more serious? Case Rep Pediatr Volume
- , Article ID 736164, 5 pages http://dx.doi.
- org/10.1155/2013/736164
- Singh HR. Arrythmias in children and young adults. Adv
- Electr Eng 2014;4:41-69.
- Saleeh F, EA Greene, Mathison D. Evaluation and management
- of atrioventricular block in children. Emergency and
- Critical Care Medicine 2014;26:279-285.
- Antoniadis AP, Fragakis NK, Mligkos GC, et al. Infra-Hisian
- block as cause of Wenkebach’s phenomenon in an asymptomatic
- middle-aged man. Europace 2010;12:898-902. doi:
- 1093/europace/eup450
- Abu-Zeitone A, Peterson DR, Polonsky B. Efficacy of different
- beta-blockers in the treatment of long QT syndrome.
- JACC 2014;64:1352-1358.
- Thakkar B, Shukla A, Singh T, et al. Clinical profile of pediatric
- patients with long QT syndrome masquerading as
- seizures. Indian J Pediatr 2014;81:529-535.
- Knoche JW, Orland KM, January CT, et al. Atrial fibrillation
- and long QT syndrome presenting in a 12-year girl.
- Case Rep Pediatr 2012;20:1-3. http://www.hindawi.com/
- journals/cripe/2012/124838/
- Torres PI, Townsend SN, Flores JG, et al. Association of
- congenital, diffuse eşectrical disease in children with normal
- heart: sick sinus syndrome, intraventricular conduction
- block, and monomorphic ventricular tachycardia. J Cardiovasc
- Electrophysiol 2008;19:550-556.
- Wilde AAM, Ackerman MJ. Beta-Blockers in the treatment
- of congenital long QT Syndrome. JACC 2014;64:1359-
- -
- Koca S, Topaloğlu S, Cay S, et al. Electroanatomic mapping
- guided radiofrequency ablation of adenosine sensitive
- incessant focal atrial tachycardia originating from the noncoronary
- aortic cusp in a child. Indian Pacing Electrophysiol
- J 2014;14:258-262.
- Diaz-Parra S, Sanchez Yanez P, et al. Use of adenosine in
- the supraventricular tachycardia in a pediatric emergency
- department. Pediatr Emerg Care 2014;30:388-393.
- Spearman A, Williams P. Supraventricular tachycardia in
- infancy and childhood. Pediatr Ann 2014;43:456-460.
- Tripathi A, Black GB, Park YMM, et al. Factors associated
- with the occurrence and treatment of supraventricular
- tachycardia in a pediatric congenital heart disease cohort.
- Pediatr Cardiol 2014;35:368-373.
- Akdeniz C, Ergul Y, Kiplapinar N, et al. Catheter ablation of
- drug resistant supraventricular tachycardia in neonates and
- infants. Cardiol J 2013;20:241-246.
- Alp H, Baysal T, Karaarslan S. Supraventricular tachycardia
- due to blunt chest trauma in an adolescent. Ulus Travma
- Acil Cerrahi Derg 2014;20:211-213.
- Çeliker A, Kafalı G, Karagöz T, et al. The results of electrophysiological
- study and radiofrequency catheter ablation
- in pediatric patients with tachyarrhythmia. Turk J Pediatr
- ;45:209-216.
- Singh S, Parihar G, Rao R, et al. Focal left atrial tachycardia
- in a patient with left ventricular noncompaction. Case
- Rep Med. 2013;430862. doi: 10.1155/2013/430862. http://
- www.ncbi.nlm.nih.gov/pmc/articles/PMC3665213/
- Johnsrude C. Cryoablation of focal atrial tachycardia originating
- from the right atrial free wall during upstream phrenic
- pacing to avoid phrenic nevre injury. Pace 2015;38:120-
- -
- Texter MM, Kertesz NJ, Friedman RA, et al. Atrial flutter in
- ınfants. JACC 2006;48:1040-1046.
- Glymour MM, Benjamin EJ, Kosheleva A, et al. Early
- life predictors of atrial fibrillation-related mortality: Evidence
- from the health and retirement study. Health&Place
- ;21:133-139.
- Garg G, Tyagi H, Agrawal G, et al. Intermittent atrial flatter:
- A cause of recurrent syncope in a 3 year old child-A challenging
- case. Indian Heart J 2014;66:714-715.
- Çağdaş D, Çeliker A, Özer S. Premature ventricular contractions
- in normal children. Turk J Pediatr 2008;50:260-
- -
- Kılıç E, Çeliker A, Karagöz T et al. Analysis of idiopathic
- ventricular tachycardia in childhood. Turk J Pediatr
- ;54:269-272.
Toplam 87 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Derlemeler |
| Yazarlar | |
| Yayımlanma Tarihi | 9 Mayıs 2015 |
| Gönderilme Tarihi | 9 Mayıs 2015 |
| Yayımlandığı Sayı | Yıl 2015 Cilt: 42 Sayı: 1 |