2,583 results match your criteria Pediatrics Tachycardia

Junctional Tachycardia as a Diagnostic Criterion in Acute Rheumatic Fever.

Pediatrics 2021 May 5. Epub 2021 May 5.

Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii; and.

Acute rheumatic fever (ARF) is an acute inflammatory process resulting in rheumatic carditis, one of the most common acquired heart diseases in youth. Among the clinical manifestations of carditis, pathologic valve regurgitation and atrioventricular block are included in the criteria for the diagnosis of ARF. Besides atrioventricular block, ARF may often present with other arrhythmias, such as junctional tachycardia (JT). Read More

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Deconditioning does not explain orthostatic intolerance in ME/CFS (myalgic encephalomyelitis/chronic fatigue syndrome).

J Transl Med 2021 May 4;19(1):193. Epub 2021 May 4.

Stichting CardioZorg, Planetenweg 5, 2132 HN, Hoofddorp, Netherlands.

Background: Orthostatic intolerance (OI) is a frequent finding in individuals with myalgic encephalomyelitis /chronic fatigue syndrome (ME/CFS). Published studies have proposed that deconditioning is an important pathophysiological mechanism in various forms of OI, including postural orthostatic tachycardia syndrome (POTS), however conflicting opinions exist. Deconditioning can be classified objectively using the predicted peak oxygen consumption (VO) values from cardiopulmonary exercise testing (CPET). Read More

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Aberrated supraventricular tachycardia associated with neonatal fever and COVID-19 infection.

BMJ Case Rep 2021 Apr 30;14(4). Epub 2021 Apr 30.

Division of Cardiology, Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.

A 9-day-old girl presented during the 2020 SARS-CoV-2 pandemic in wide-complex tachycardia with acute, symptomatic COVID-19 infection. Because the potential cardiac complications of COVID-19 were unknown at the time of her presentation, we chose to avoid the potential risks of haemodynamic collapse associated with afterload reduction from adenosine. Instead, a transoesophageal pacing catheter was placed. Read More

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Implementing capnography to help improve patient safety during procedural sedation: quality improvement in a high-volume gastroenterology department.

Eur J Gastroenterol Hepatol 2021 Apr 19. Epub 2021 Apr 19.

aDepartment of Gastroenterology and Hepatology, UZ Leuven, Belgium bCoreva Scientific, Königswinter, Germany cDepartment of Pneumology dDepartment of Pediatrics, UZ Leuven, Belgium eMedasense Biometrics, Raman Gat fAt the time of writing at Medtronic, Jerusalem, Israel.

Objective: Respiratory compromise is a major cause of adverse events during procedural sedation; continuous monitoring is vital for identifying and halting decompensation. We performed a quality improvement investigation to assess patient safety during procedural sedation in gastroenterology and the impact of implementing capnography monitoring.

Patients And Methods: Sedation-related adverse events and interventions were prospectively recorded during the endoscopic procedure and in recovery. Read More

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Burst Exercise Testing Can Unmask Arrhythmias in Patients With Incompletely Penetrant Catecholaminergic Polymorphic Ventricular Tachycardia.

JACC Clin Electrophysiol 2021 Apr;7(4):437-441

Centre for Cardiovascular Innovation, Division of Cardiology, University of British Columbia, Vancouver, British Columbia, Canada. Electronic address:

Catecholaminergic polymorphic ventricular tachycardia (CPVT) is characterized by cardiac arrest during sudden exertion. However, standard exercise stress testing (EST) lacks sensitivity, leading to misdiagnosis and undertreatment. After a nondiagnostic standard gradual EST, we report 6 patients who underwent a novel burst exercise test characterized by sudden high workload at the outset of testing. Read More

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Non-aortic cardiovascular disease in Marfan syndrome: a nationwide epidemiological study.

Clin Res Cardiol 2021 Apr 22. Epub 2021 Apr 22.

Department of Endocrinology, Aarhus University Hospital, Palle Juul-Jensens Boulevard, 8200, Aarhus, Denmark.

Objectives: Studies indicate that other cardiovascular problems than aortic disease are a burden for patients with Marfan syndrome (MFS). The aim of the study was to assess the extent of this issue.

Methods: A registry-based population study of patients with a Ghent II verified MFS diagnosis. Read More

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Cytokine Profiles Before and After Exchange Transfusions in Severe Late-Onset Neonatal Group B Streptococcus Meningitis: A Case Report.

Tohoku J Exp Med 2021 ;253(4):269-273

Department of Pediatrics, Ohta Nishinouchi Hospital.

Streptococcus agalactiae or group B streptococcus (GBS) is a pathogen that causes severe neonatal infections, resulting in sepsis, pneumonia, and meningitis. Neonatal GBS meningitis has a poor neurological prognosis and a high mortality rate. GBS disease is classified as early- and late-onset if the onset age is 0-6 and 7-89 days after birth, respectively. Read More

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January 2021

Clinical Manifestations and Outcome of Scrub Typhus in Infants From Odisha.

Indian Pediatr 2021 Apr;58(4):367-369

Department of Medicine, Division of Pulmonary and Critical Care Medicine, Mayo Clinic Rochester, MN, USA.

Objective: To study manifestations and outcome of scrub typhus in infants.

Methods: Case record analysis of infants with scrub typhus admitted to a tertiary care hospital, diagnosed by IgM ELISA from January 1, 2016 to December 31, 2019.

Results: Out of 374 children diagnosed with scrub typhus, 34 (9%) were infants. Read More

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Anthracycline Induced Cardiac Disorders in Childhood Acute Lymphoblastic Leukemia: A Single-Centre, Retrospective, Observational Study.

Front Pharmacol 2021 29;12:598708. Epub 2021 Mar 29.

Department of Pediatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Anthracycline-associated cardiotoxicity is frequently seen in cancer survivors years after treatment, but it is rare in patients on chemotherapy. This study aimed to investigate the clinical characteristics of cardiac disorders in children with acute lymphoblastic leukemia (ALL) during chemotherapy. A retrospective case study was conducted in children with ALL, for whom electrocardiogram (ECG) and echocardiography (Echo) were regularly assessed before each course of chemotherapy. Read More

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A Previously Healthy 18-Year-Old Male With Fever, Arrhythmia, and Shock.

Pediatrics 2021 May 13;147(5). Epub 2021 Apr 13.

Department of Pediatrics, Rush Medical College, Rush University Medical Center, Chicago, Illinois.

A male individual aged 18 years with no significant past medical history presented with fever, headache, dry cough, and chest pain. On clinical examination, he had tachycardia and hypotension needing intravenous fluid resuscitation and inotropic support. A chest radiograph revealed streaky lung opacities, and he was treated with antibiotics for suspected community-acquired pneumonia complicated by septic shock. Read More

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The treatment challenges and limitation in high-voltage pediatric electrical burn at rural area: A case report.

Int J Surg Case Rep 2021 Apr 1;82:105857. Epub 2021 Apr 1.

S. K. Lerik Public General Hospital, Kupang City, East Nusa Tenggara, Indonesia. Electronic address:

Introduction: Although rare, electrical injury in pediatrics is potentially life threatening and has significant and long-term impact in life. It is challenging to manage such cases in rural areas.

Presentation Of Case: A fully conscious 13-year-old boy was admitted to the emergency room after being electrocuted by high-voltage power cable, with superficial partial thickness burn over right arm, trunk, and left leg (26 % of total body surface area). Read More

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Impact of augmented-reality improvement in ablation catheter navigation as assessed by virtual-heart simulations of ventricular tachycardia ablation.

Comput Biol Med 2021 Apr 2;133:104366. Epub 2021 Apr 2.

Alliance for Cardiovascular Diagnostic and Treatment Innovation, Johns Hopkins University, Baltimore, MD, USA; Department of Biomedical Engineering, Johns Hopkins University, Baltimore, MD, USA.

Background: Recently, an augmented reality (AR) solution allows the physician to place the ablation catheter at the designated lesion site more accurately during cardiac electrophysiology studies. The improvement in navigation accuracy may positively affect ventricular tachycardia (VT) ablation termination, however assessment of this in the clinic would be difficult. Novel personalized virtual heart technology enables non-invasive identification of optimal lesion targets for infarct-related VT. Read More

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Abnormal movements and diaphragmatic flutter in a case of suspected induced illness.

BMJ Case Rep 2021 Apr 7;14(4). Epub 2021 Apr 7.

Paediatric Intensive Care Medicine, Queensland Children's Hospital, South Brisbane, Queensland, Australia.

A 6-month-old girl presented to hospital via ambulance with a decreased conscious level (initial Glasgow Coma Scale of 3) and an abnormal breathing pattern described as diaphragmatic flutter. She then developed abnormal movements and continued to have episodes of fluctuating conscious levels so was transferred to a tertiary hospital paediatric intensive care unit for further investigation. During her 16-day stay in hospital, she continued to experience discrete episodes of drowsiness, bradycardia, unusual breathing patterns and abnormal movements which were associated with agitation, tachycardia, hypertension and insomnia. Read More

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SCN8A-related developmental and epileptic encephalopathy with ictal asystole requiring cardiac pacemaker implantation.

Brain Dev 2021 Apr 4. Epub 2021 Apr 4.

Department of Pediatrics and Neonatology, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.

Introduction: SCN8A-related epilepsy has various phenotypes. In particular, patients with developmental and epileptic encephalopathy (DEE) are resistant to antiepileptic drugs and may present with autonomic symptoms, such as marked bradycardia and apnea during seizures, and thus have an increased risk of sudden death. Herein, we report a case of very severe SCN8A-related epilepsy necessitating cardiac pacemaker implantation because of repetitive ictal asystole. Read More

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The Role of Cardiac Magnetic Resonance in Evaluation of Idiopathic Ventricular Arrhythmia in Children.

J Clin Med 2021 Mar 24;10(7). Epub 2021 Mar 24.

Department of Pediatric Cardiology and General Pediatrics, Medical University of Warsaw, 02-091 Warsaw, Poland.

The aim of the study was to assess the role of cardiovascular magnetic resonance (CMR) in the diagnosis of idiopathic VA in children. This retrospective single-centre study included a total of 80 patients with idiopathic ventricular arrhythmia that underwent routine CMR imaging between 2016 and 2020 at our institution. All patients underwent a 3. Read More

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Increased ROS-Mediated CaMKII Activation Contributes to Calcium Handling Abnormalities and Impaired Contraction in Barth Syndrome.

Circulation 2021 Apr 1. Epub 2021 Apr 1.

Department of Cardiology, Boston Children's Hospital, Boston, MA; Harvard Stem Cell Institute, Cambridge, MA.

Mutations in tafazzin (), a gene required for biogenesis of cardiolipin, the signature phospholipid of the inner mitochondrial membrane, causes Barth syndrome (BTHS). Cardiomyopathy and risk of sudden cardiac death are prominent features of BTHS, but the mechanisms by which impaired cardiolipin biogenesis causes cardiac muscle weakness and arrhythmia are poorly understood. We performed in vivo electrophysiology to define arrhythmia vulnerability in cardiac specific knockout mice. Read More

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Incessant ventricular tachycardia treated with cardiac radioablation in an 11-year-old boy with dilated cardiomyopathy.

HeartRhythm Case Rep 2021 Mar 5;7(3):186-190. Epub 2021 Jan 5.

Division of Cardiology, Severance Cardiovascular Hospital, College of Medicine, Yonsei University, Seoul, Republic of Korea.

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Acute Upper Gastrointestinal Bleeding in Hexagenerians or Older (≥60 Years) Versus Younger (<60 Years) Patients: Clinico-Endoscopic Profile and Outcome.

Cureus 2021 Feb 23;13(2):e13521. Epub 2021 Feb 23.

Internal Medicine, Dr. Sampurnanand Medical College, Jodhpur, IND.

Background and aims Acute upper gastrointestinal (UGI) bleeding is one of the serious and potentially life-threatening medical emergencies, causing significant mortality and morbidity. This study aimed to evaluate the clinico-endoscopic profile and outcome among patients aged <60 years who presented for UGI bleeding compared to those aged ≥60 years. Methods This prospective observational study was conducted among 194 patients who presented with symptoms or signs of UGI bleed. Read More

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February 2021

Risk factors for death in suspected severe bacterial infection in infants aged <90 days in Luanda, Angola.

Int J Infect Dis 2021 Mar 26;106:223-227. Epub 2021 Mar 26.

New Children's Hospital, Pediatric Research Center, Helsinki, Finland; Pediatrics, University of Helsinki and Helsinki University Hospital, Helsinki, Finland. Electronic address:

Background: Yearly, about two million infants die during the first 28 days of life. Most of these deaths occur in sub-Saharan Africa and a third of those are caused by severe infections. The early identification of infants at risk of death is important when trying to prevent poor outcomes. Read More

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Acute outcomes of three-dimensional mapping for fluoroscopy reduction in paediatric catheter ablation for supraventricular tachycardia.

Cardiol Young 2021 Mar 26:1-6. Epub 2021 Mar 26.

The Heart Center, Akron Children's Hospital, Akron, OH, USA.

Background: Catheter ablation is a safe and effective therapy for the treatment of supraventricular tachycardia in children. Current improvements in technology have allowed progressive reduction in radiation exposure associated with the procedure. To assess the impact of three-dimensional mapping, we compared acute procedural results collected from the Catheter Ablation with Reduction or Elimination of Fluoroscopy registry to published results from the Prospective Assessment after Pediatric Cardiac Ablation study. Read More

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Results of catheter ablation with zero or near zero fluoroscopy in pediatric patients with supraventricular tachyarrhythmias.

Rev Esp Cardiol (Engl Ed) 2021 Mar 16. Epub 2021 Mar 16.

Unidad de Arritmias, Servicio de Cardiología, Hospital Universitario Virgen de las Nieves, Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain.

Introduction And Objectives: Ionizing radiation exposure in catheter ablation procedures carries health risks, especially in pediatric patients. Our aim was to compare the safety and efficacy of catheter ablation guided by a nonfluoroscopic intracardiac navigation system (NFINS) with those of an exclusively fluoroscopy-guided approach in pediatric patients.

Methods: We analyzed catheter ablation results in pediatric patients with high-risk accessory pathways or supraventricular tachycardia referred to our center during a 6-year period. Read More

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Long-COVID postural tachycardia syndrome: an American Autonomic Society statement.

Clin Auton Res 2021 Mar 19. Epub 2021 Mar 19.

Department of Neurology, UT Southwestern Medical Center, Dallas, TX, USA.

COVID-19 is a global pandemic that has had a devastating effect on the health and economy of much of human civilization. While the acute impacts of COVID-19 were the initial focus of concern, it is becoming clear that in the wake of COVID-19, many patients are developing chronic symptoms that have been called Long-COVID. Some of the symptoms and signs include those of postural tachycardia syndrome (POTS). Read More

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Fasciculoventricular and atrioventricular accessory pathways in patients with Danon disease and preexcitation: A multicenter experience.

Heart Rhythm 2021 Mar 16. Epub 2021 Mar 16.

Division of Cardiology, Department of Medicine, University of California, San Diego, La Jolla, California.

Background: Studies have suggested that a fasciculoventricular pathway (FVP) may be the cause of preexcitation in patients with Danon disease, a rare X-linked dominant genetic disorder of hypertrophic cardiomyopathy.

Objective: The purpose of this study was to describe the prevalence of ventricular preexcitation on resting 12-lead electrocardiogram (ECG) in patients with Danon disease and the electrophysiological study (EPS) results of those with preexcitation.

Methods: Patients with confirmed Danon disease diagnosed with preexcitation (PR ≤120 ms, delta wave, QRS >110 ms) on ECG were included from a multicenter registry. Read More

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Decreased Stroke Volume and Venous Return in School Children with Postural Tachycardia Syndrome.

Tohoku J Exp Med 2021 03;253(3):181-190

Department of Pediatrics and Child Health, Nihon University School of Medicine.

In postural tachycardia syndrome (POTS), a subtype of orthostatic intolerance, the changes in hemodynamics due to postural changes are poorly understood. We speculated that inappropriate venous return, which may occur in the upright position in patients with school-aged POTS, could be detected by echocardiography. Our prospective study was conducted with 100 POTS patients (45 boys and 55 girls), aged 13. Read More

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The efficacy of catheter ablation versus ICD for prevention of ventricular tachycardia in patients with ischemic heart disease: a systematic review and meta-analysis.

J Interv Card Electrophysiol 2021 Mar 15. Epub 2021 Mar 15.

Department of Cardiology; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation base of Child development and Critical Disorders, Children's Hospital of Chongqing Medical University, Chongqing, 400014, China.

Purpose: Although implantable cardioverter defibrillator (ICD) could prevent the sudden death of ventricular tachycardia (VT) in patients with ischemic heart disease, it could not effectively prevent the recurrence of ventricular tachycardia. Several studies have suggested that catheter ablation may effectively decrease the incidence of ICD events, but relevant dates from randomized controlled trials were limited.

Methods: A systematic review and meta-analysis of randomized controlled trials were performed to evaluate the effect of catheter ablation for the prevention of VT in patients with ischemic heart disease. Read More

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Supraventricular tachycardias in the first year of life: what is the best pharmacological treatment? 24 years of experience in a single centre.

BMC Cardiovasc Disord 2021 Mar 15;21(1):137. Epub 2021 Mar 15.

Cardiology Unit, Anna Meyer Children's University Hospital, Viale Gaetano Pieraccini 24, 50139, Florence, Italy.

Background: Supraventricular tachycardias (SVTs) are common in the first year of life and may be life-threatening. Acute cardioversion is usually effective, with both pharmacological and non-pharmacological procedures. However, as yet no international consensus exists concerning the best drug required for a stable conversion to sinus rhythm (maintenance treatment). Read More

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A Fatal Case of Opioid Intoxication After Raw Poppy Plant Ingestion.

Cureus 2021 Feb 6;13(2):e13176. Epub 2021 Feb 6.

Pediatric Intensive Care Unit, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, TUR.

contains many opioids and is frequently used in agriculture. Both the intoxication and the withdrawal of opioids have a wide range of symptoms such as coma, depressed respiration and agitation. Here, a fatal case of opioid intoxication will be presented. Read More

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February 2021

Sustained ventricular tachycardia in a paediatric patient with acute COVID-19 myocarditis.

Cardiol Young 2021 Mar 8:1-3. Epub 2021 Mar 8.

Department of Pediatrics, Division of Critical Care, Children's Hospital of Michigan, Detroit, MI, USA.

Although rare, children with active coronavirus disease 2019 are at risk of developing malignant arrhythmia. Herein, we present the first paediatric case of refractory ventricular tachycardia from acute fulminant myocarditis secondary to acute COVID-19 infection. This 5-year-old boy required venoarterial extracorporeal membrane oxygenation support, but made a complete recovery without significant morbidity. Read More

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Thoracoscopic resection of left atrial appendage aneurysm in a 16-year-old boy.

Ann Thorac Surg 2021 Mar 4. Epub 2021 Mar 4.

Division of Cardiothoracic Surgery, Wake Forest Baptist Health, Winston-Salem, North Carolina. Electronic address:

We report a case of a left atrial appendage aneurysm (LAAA) in a 16-year-old boy presenting with supraventricular tachycardia (SVT). The aneurysm was detected incidentally on a routine echocardiogram performed prior to electrophysiology (EP) study for evaluation and management of the SVT. The aneurysm was successfully resected under cardiopulmonary bypass (CPB) via video-assisted thoracoscopic surgery (VATS). Read More

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