The follow-up evaluation of electrocardiogram and arrhythmias in children with fulminant myocarditis.
Circ J
; 75(4): 932-8, 2011.
Article
em En
| MEDLINE
| ID: mdl-21343655
ABSTRACT
BACKGROUND:
Fulminant myocarditis involves various serious arrhythmias that sometimes have lethal consequences. The purpose of the present study was to investigate the electrocardiogram findings, arrhythmogenicity and abnormalities of the cardiac conduction system in children with fulminant myocarditis. METHODS ANDRESULTS:
Between 1999 and 2008, 7 consecutive patients (mean age 7 years) who suffered from fulminant myocarditis were included in the study. A 12-lead electrocardiogram, Holter monitoring and signal-averaged electrocardiograms were performed and compared between the acute, convalescent, and recovery phases in the 4 surviving patients. Also, electrophysiologic assessment was carried out during the convalescent phase. Five out of 7 patients developed complete atrioventricular block, 3 developed ventricular tachycardia, 2 had cardiac arrest, 2 developed sinus tachycardia, 1 developed ventricular fibrillation, 1 had advanced atrioventricular block, and 1 developed sick sinus syndrome. Among the surviving patients, all arrhythmias resolved during the convalescent and remote phases. No atrial or ventricular arrhythmias were induced in any patients during the programmed stimulation study. In the convalescent phase, no arrhythmias could be induced and there were no signs of any conduction abnormalities on electrophysiological assessment.CONCLUSIONS:
Close follow-up should be performed to observe for the occurrence of any new arrhythmias and/or a decrease in cardiac function in children with fulminant myocarditis.
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Coleções:
01-internacional
Contexto em Saúde:
2_ODS3
/
6_ODS3_enfermedades_notrasmisibles
/
7_ODS3_muertes_prevenibles_nacidos_ninos
Base de dados:
MEDLINE
Assunto principal:
Arritmias Cardíacas
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Eletrocardiografia
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Sistema de Condução Cardíaco
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Miocardite
Tipo de estudo:
Observational_studies
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Prognostic_studies
Limite:
Adolescent
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Revista:
Circ J
Ano de publicação:
2011
Tipo de documento:
Article