Vagal bradycardia at term
| Autor: | Riccardo Pfister, Maurice Beghetti, Cristina Delcò |
|---|---|
| Předmět: |
Atropine
Male Bradycardia Heart disease Sinus bradycardia Infant Premature Diseases Infant Premature Diseases/drug therapy/*etiology Humans Medicine Atropine/therapeutic use Asystole Vagal tone Sinus (anatomy) ddc:618 business.industry Bradycardia/drug therapy/*etiology Infant Newborn Parasympatholytics General Medicine medicine.disease medicine.anatomical_structure Anesthesia Parasympatholytics/therapeutic use Pediatrics Perinatology and Child Health Vagal bradycardia medicine.symptom business Infant Premature medicine.drug |
| Zdroj: | ResearcherID Acta Paediatrica, Vol. 98, No 5 (2009) pp. 901-903 |
| ISSN: | 0803-5253 |
| Popis: | We discuss the case of a newborn boy presenting well into term with severe bradycardic events and sinus pauses up to 5.4 sec. Sinus bradycardia below 80 bpm and sinus pauses or asystole of more than 2 sec are considered pathologic at term. After exclusion of specific causes, the diagnosis of vagal hyper-reflectivity (VHR) was retained, a state caused by unbalance between sympathetic and parasympathetic activity, the latter overriding the former. It is thought to be a functional and transitional anomaly of the sympathetic and vagal tone during the first months of life and may lead to prolonged monitoring and delayed hospital discharge. This form of rare bradycardia can be treated with atropine and allowed in our case immediate resolution of events and safe discharge from hospital. CONCLUSION: When VHR is diagnosed, atropine is the treatment permitting resolution of symptomatic episodes of bradycardia and early and safe discharge from hospital. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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