617 Electrocardiogram Abnormalities in Children Undergoing Polysomnography
| Autor: | Ankit Amin, Raffaele Ferri, Lourdes M. DelRosso, Maria Paola Mogavero |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry Cardiac arrhythmia Polysomnography medicine.disease Sleep medicine Abnormal cardiac conduction Patient referral symbols.namesake Physiology (medical) Internal medicine medicine Cardiology symbols Neurology (clinical) Sleep (system call) business Second-degree atrioventricular block Fisher's exact test |
| Zdroj: | Sleep. 44:A242-A243 |
| ISSN: | 1550-9109 0161-8105 |
| DOI: | 10.1093/sleep/zsab072.615 |
| Popis: | Introduction Monitoring electrocardiogram (EKG) is an integral component of pediatric polysomnography (PSG). There is limited data regarding arrhythmia and conduction disturbances in the pediatric population undergoing a PSG. In this work we will present abnormal EKG findings during PSG in our sleep center. Methods A retrospective chart review from children at Seattle Children’s Hospital who underwent PSG read by a single Sleep Medicine physician (LD) in the last year was carried out. Data included age, sex, type of EKG abnormality, sleep diagnosis from PSG. Data from children with 1st or 2nd degree atrioventricular block (AVB) were compared to those from children with premature ventricular contractions (PVC). Results A total of 1,235 PSG were included. Twenty-four children (9 girls and 15 boys) aged 2–17 years (median 9 years) were identified with arrhythmias or conduction disturbances (1.9%). Nineteen out of 24 of these children (79.2%) had oAHI >1/hour; this frequency was not significantly different from that found in the whole group of 1,235 children (Chi-square test p=0.16). When comparing PSG parameters from children with AVB with those with PVC, we found no statistically significant difference. Seven out of nine children with AVB and seven out of ten with PVC had oAHI >1/hour (Fisher exact test p=0.56) while eight children with AVB out of nine and four out of ten with PVC were males, and this difference was the only statistically significant difference found (Fisher exact test p=0.04). None of the children were found to have a structural or conduction abnormality when referred to cardiology. Conclusion Our study found ECG abnormalities in 1.9 % of children undergoing PSG. None of the children were found to have abnormal findings after cardiology referral. Our study supports that EKG abnormalities are rare in PSGs of children and not associated with cardiac disease or sleep disorders, but appear more commonly in males. Support (if any) |
| Databáze: | OpenAIRE |
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