Diagnosis,evaluation and treatment of cardiac arrhythmias |
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| Authors: | Edmund J. Ladusans |
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| Affiliation: | 1. Faculty of Mechanical Engineering, K.N. Toosi University of Technology, Tehran 19991-43344, Iran;2. Center of Excellence in Smart Structures and Dynamical Systems, Iran;2. Biochemistry and Molecular Biology Laboratory, Faculty of Pharmacy, University of Monastir, Monastir, Tunisia,;3. Department of Pharmacology, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain;1. Department of Cardiology, Shanghai Tenth People''s Hospital, Tongji University School of Medicine, Shanghai, China;2. Paris Descartes University, AP-HP, Diagnosis and Therapeutic Center, Hôtel-Dieu, Paris, France;1. Organic Chemistry Division-II (CPC), CSIR-Indian Institute of Chemical Technology, Tarnaka, Hyderabad 500007, India;2. Centre for Chemical Biology, CSIR-Indian Institute of Chemical Technology, Tarnaka, Hyderabad 500007, India;3. Centre for X-ray Crystallography, CSIR-Indian Institute of Chemical Technology, Tarnaka, Hyderabad 500007, India;1. Department of Biology, College of Natural Sciences, Chosun University, GwangJu 501-759, Republic of Korea;2. Department of Cellular & Molecular Medicine, College of Medicine, Chosun University, GwangJu, Republic of Korea;3. Department of Neurology, College of Medicine, Hanyang University, Seoul, Republic of Korea |
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| Abstract: | Paediatric cardiac arrythmias commonly occur in the absence of structural heart disease, and are classified according to their cardiac site of origin. Although a detailed history and examination are invaluable, a correct diagnosis cannot be made unless the ECG is analysed, taking into account features specific to this age group. A 24-hour ECG recording may also be helpful. As many of these conditions have a genetic basis, a careful family history should be taken. For patients presenting acutely with haemodynamic collapse, paediatric life support measures should be instigated. For others, there is more time to undertake investigations prior to treatment. A relatively small number of agents, described here, are used in therapy, and in older children, radiofrequency ablation or fitting of a pacemaker offers a more permanent treatment. Advances in genetics suggest the chance of improved screening and treatment for those conditions which are inherited. |
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