Pediatric Arrhythmia Management in Congenital Heart Disease (CHD): A 20-Year Epidemiologic Study and Therapeutic Insights at Imam-Reza Hospital (2001-2020)
نویسندگان
1 Pediatric and Congenital Cardiology Division, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
3 Pediatric and Congenital Cardiology Division, Department of Pediatrics, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
4 Department of Extra-Corporeal Circulation (ECC), Razavi Hospital, Imam Reza International University, Mashhad, Iran.
5 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
6 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
7 Department of Cardiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
8 Pediatric and Congenital Cardiology Division, Department of Pediatrics, Mashhad University of Medical Sciences, Mashhad, Iran
9 Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, Iran.
doi
10.30483/rijm.2025.254625.1406چکیده
Background: Arrhythmia in children with congenital heart disease (CHD) can be due to abnormal anatomy, genetic mutations, hemodynamic abnormalities, primary myocardial disease, hypoxic tissue damage, or postoperative complications.Objectives: This study aimed to investigate the epidemiological findings of children with various arrhythmias and their treatment outcomes.Methods: The study was cross-sectional. The data were derived from 762 patients with arrhythmias, including tachyarrhythmias, bradyarrhythmias, and premature beats. The patient's demographic and clinical information, as well as their electrocardiogram (ECG), Holter monitor, echocardiography, and electrophysiology results, were collected and analyzed using SPSS software.Results: The study found that 44.6% of the patients were female and 55.4% were male. The mean age of patients with tachyarrhythmias was 5.9 years, while those with bradyarrhythmias were 10 years old, and those with premature beats were 6.5 years old. The most common symptoms were palpitations, murmur, and slow pulse. The most common arrhythmias were supraventricular tachycardia (SVT) and premature atrial contractions (PACs).Conclusion: The study revealed that cardiac abnormalities, including septal defects and valve abnormalities, were prevalent in patients with arrhythmias. Cardiomyopathy was associated with a higher risk of mortality. The study's findings emphasize the importance of paying attention to the presence of accompanying anomalies, palpitations, abnormal heart sounds, or bradycardia during the examination, as these are associated with an increased risk of mortality.
