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2014, Number 2

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Acta Pediatr Mex 2014; 35 (2)

Abnormalities of heart rhythm in newborns

Garrido-García LM, Delgado-Onofre MG

Language: Spanish
References: 24
Page: 148-158
PDF size: 505.09 Kb.


ABSTRACT

Arrhythmias are a variety of cardiac rhythm disturbances that may occur in fetuses and neonates considered healthy. Most of these are benign. The reported incidence fluctuates from 1 to 10% in newborns during the first days after birth. The presence of arrhythmias in the neonatal period involves high morbidity and mortality, particularly when associated with congenital heart disease or lack of response to medical treatment. The appropriate pharmacological control of the abnormal rhythm provides good long-term prognosis.
The natural history of arrhythmias in the neonatal period differs importantly from arrhythmias presented in other pediatric age groups. They can be classified as: sinus arrhythmia, tachyarrhythmias, long QT syndrome and bradyarrhythmias. It is important that the physicians responsible for the management of these patients recognize the causes for the development of arrhythmias as well as the diagnostic and therapeutic options available.


REFERENCES

  1. Semizel E, Öztürk B, Bostan OM, Cil E, Ediz B. The Effect of Age and Gender on the Electrocardiogram in Children. Cardiol Young 2008;18:26-40.

  2. Poddar B, Basu S, Parmar VR. Neonatal Arrhtyhmias. Ind J Pediatr 2006;73:131-134.

  3. Dubin AM. Arrhythmias in the Newborn. NeoReviews 2000;1:146-151.

  4. Badrawi N, Hegazi RA, Tokovic E, Lofty W, Mahmoud F, Aly H. Arrhtyhmia in Neonatal Intensive Care Unit. Pediatr Cardiol 2009;30:325-330.

  5. Massin MM, Benatar A, Rondia G. Epidemiology and Outcome of Tachyarrhythmias in Tertiary Pediatric Cardiac Centers. Cardiology 2008,111:191-196.

  6. Fish FA, Benson DW Jr. Disorders of Cardiac Rhythm and Conduction. En Allen HD, Gutgesell HP, Clark EB, Driscoll DJ. Heart Disease in Infants, Children and Adolescents. 6th Edition. Philadelphia: Lippincott, Williams & Wilkins, 2001. pp: 482-533.

  7. Larmay HJ, Strasburger JF. Differential Diagnosis and Management of the Fetus and Newborn with an Irregular or Abnormal Heart Rate. Pediatr Clin N Am 2004;51:1033-1050

  8. Kothari DS, Skinner JR. Neonatal Tachycardias: An Update. Arch Dis Child Fetal Neonatal 2006;91:F136-144.

  9. Watson M. Neonatal Tachyarrhythmias. Neonatal Network 2000;19:45-51.

  10. Scagliotti D, Deal BJ. Arrhythmias in the Tiny, Premature Infant. Clin Perinatol 1986;13:339-350.

  11. Lemler MS, Schaffer MS. Neonatal Supraventricular Tachycardia: Predictors of Successful Treatment Withdrawal. Am Heart J 1997;133.130-131.

  12. Lisowski LA, Verheijen PM, Benatar AA, Soyeur DJ, Stoutenbeek P, Brenner JI, Kleinman CS, Meijboom EJ. Atrial Flutter in the Perinatal Age Group: Diagnosis, Management and Outcome. J Am Coll Cardiol 2000;35:771-777.

  13. Ward RM, Lugo RA. Cardiovascular Drugs for the Newborn. Clin Perinatol 2005;32979-997.

  14. Gilljam T, Jaeggi E, Gow RM. Neonatal Supraventricular Tachycardia: Outcomes Over a 27- year period at a Single Institution. Acta Pediatrica 2008;97:1035-1039.

  15. Iturralde-Torres P, Garrido-García LM. Ablación con Radiofrecuencia en el Tratamiento de las Arritmias Supraventriculares en Pediatría. Experiencia en 203 Pacientes Consecutivos. Arch Inst Cardiol Mex 1998;68:27-36.

  16. Perry JC. Ventricular Tachycardia in Neonates. Pacing Clin Electrophysiol 1997;20:2061-4.

  17. Crotti L, Celano G, Dagradi F, Schwartz PJ. Congenital Long QT Syndrome. Orphanet Journal of Rare Diseases 2008;3:3- 18.

  18. Schwartz PJ, Stramba-Badiales M, Crotti L, Pedrazzzini M, Besana A, Bosi G, et al. Prevalence of the Congenital Long- QT Syndrome. Circulation 2009;120:1761-1767.

  19. Stramba-Badiale M, Goulene K, Schwartz PJ, Effects of Beta-adrenergic Blockade on Dispersion of Ventricular Repolarization in Newborn Infants with Prolonged QT Interval. Am Heart J 1997;134:406-410.

  20. O’Connor M, McDaniel N, Brady WJ. The Pediatric Electrocardiogram Part II: Dysrhythmias. Am J Emerg Med 2008;26:348-358.

  21. Gillete PC, Fyfe DA, Ross BA. Atrioventricular Block. En: Walker A, Long MB. Fetal and Neonatal Cardiology. WB Saunders Co, 1990. pp: 519-524.

  22. Donofrio MT, Gullquist SD, Mehta ID, Moskowitz WB. Congenital Complete Heart Block: Fetal Management Protocol, Review of the Literature, and Report of the Smallest Successful Pacemaker Implantation. J Perinatol 2004;24:112-117.

  23. Eronen M, Siren MK, Ekblad H, Tikanoja T, Julkunen H, Paavilainen T. Short and Long Term Outcome of Children With Congenital Complete Heart Block Diagnosed in Utero or as a Newborn. Pediatrics 2000;106:86-91.

  24. Eronen M. Long-Term Outcome of Children With Complete Heart Block Diagnosed After the Neonatal Period. Pediatr Cardiol 2001;22:133-137.




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