The zeta sedimentation ratio in children
| Autor: | Marc O. Beem, Michael L. Bennish, James Vardiman |
|---|---|
| Rok vydání: | 1984 |
| Předmět: |
Tachycardia
Holter monitor medicine.medical_specialty Adolescent Accelerated idioventricular rhythm Lidocaine Infarction Blood Sedimentation Ventricular tachycardia Reference Values Internal medicine Methods medicine Humans cardiovascular diseases Myocardial infarction Child medicine.diagnostic_test business.industry Infant medicine.disease Child Preschool Pediatrics Perinatology and Child Health Ventricular fibrillation cardiovascular system Cardiology medicine.symptom business medicine.drug |
| Zdroj: | The Journal of Pediatrics. 104:249-251 |
| ISSN: | 0022-3476 |
| Popis: | is typically noted in individuals with ischemic heart disease) A related problem in the adult group is the increased incidence of more malignant Ventricular tachycardia or ventricular fibrillation, particularly in the acute phase of myocardial infarction? ,9 These arrhythmias were not detected on multiple Holter monitor records'in two of the neonates or in the older children previously reported? Although patient 1 was given lidocaine, and subsequently propranolol, the course was remarkably similar to that in patients 2 and 3, who received no treatment. By 2 to 3 months of age, all were free of the arrhythmia. On longer follow-up, none has shown signs of a recurrence. Because accelerated ventricular rhythm appears to be well tolerated in the newborn infant and most likely is self-limited, we believe that specific therapy is not indicated. A cautious approach in these children is recommended; however, because the long-term prognosis is still unknown, careful observation and occasional Holter electrocardiographic monitoring should be used to ascertain whether the child truly remains free of arrhythmia. REFERENCES I. Schamroth L: ldiovcntricular tachycardia. J Electrocardiol 1:205, 1968. 2. Killip T: The current status of intensive coronary care. New York, 1966, Charles Press, p 88. 3. Rothfeld EL, Zucker IR, Alinsonorin C: Nonparoxysmal ventricular taehycardia. Circulation 35(Suppl 2):227, 1967. 4. Massumi RA, Nayab A: Accelerated isorhythmie ventricular rhythms. Am J Cardiol 26:170, 1970. 5. Gaum WE, Biancaniello T, Kaplan S: Accelerated ventricular rhythm in childhood. Am J Cardiol 43:162, 1979. 6. Zipes DP, Fisch C: Accelerated ventricular rhythm. Arch Intern Med 129:650, 1972. 7. Wit AL, Bigger JT Jr: Possible electrophysiological mechanisms for lethal arrhythmias accompanying myocardial ischemia and infarction. Circulation 52(111):96, 1975. 8. Bigger JT Jr, Drcsdale R J, Heissenbuttcl Rtt, Weld FM, Wit AL: Vcntricular arrhythmias in ischemic heart disease: Mechanism, prevalence, significance, and management. Progr Cardiovasc Dis 19:255, 1977. 9. DeSoyza N, Bissett JK, Kane J J, Murphy ML, Doherty JE: Association of accelerated idioventricular rhythm and paroxysmal ventricular tachycardia in acute myocardial infarction. Am J CardioI 34:667, 1974. |
| Databáze: | OpenAIRE |
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