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Is cardiology evaluation necessary in children with electrocardiogram abnormalities noted on polysomnogram?


, : Is cardiology evaluation necessary in children with electrocardiogram abnormalities noted on polysomnogram?. Otolaryngology--Head and Neck Surgery 150(4): 684-688

(1) To determine the prevalence of cardiac disease in children with electrocardiogram (ECG) abnormalities on polysomnogram (PSG). (2) To assess whether factors such as family history of heart disease and severity of sleep apnea are associated with cardiac disease. Case series with chart review from 2002 to 2012. Tertiary children's hospital. Children between 1 and 16 years of age with ECG abnormalities on PSG who were referred to cardiology for evaluation were included. Children with a known history of cardiac disease were excluded. Sixty-one children had ECG abnormalities on PSG and were subsequently referred to cardiology. The mean age was 6.5 years (SD, 4.5), and 64% (n = 39) of subjects were African American. The mean obstructive apnea hypopnea index (AHI) was 8.8 (SD, 13.3), and 26% of the children had severe obstructive sleep apnea (AHI >10). The most common ECG abnormality (n = 52) recorded on PSG was premature ventricular contractions. Thirty percent (n = 18) of children had marked arrhythmias noted on their PSG ECG. Most children referred to cardiology underwent echocardiogram (45/61) and 24-hour arrhythmia monitoring (42/61). Five children (8%) had cardiac pathology, including atrial and ventricular ectopy, tuberous sclerosis, mitral regurgitation, and aortic insufficiency. Factors such as family history of heart disease (P = .40) and severe OSA (P = .74) were not associated with cardiac pathology. Cardiac pathology in children with abnormal ECGs on PSG is common. Cardiology referral in such patients should be considered. Further research is needed to determine the appropriate cardiac workup.

US$19.90

PMID: 24493790

DOI: 10.1177/0194599814521578


Other references

Cunningham, N.K.; Brown, P.M.; Page, A.C., 2016: Does the Edinburgh Postnatal Depression Scale measure the same constructs across time?. The Edinburgh Postnatal Depression Scale is the most widely used measure for screening for depression in perinatal populations. A weakness is that the factor structure of the scale is inconsistent across studies. It is unclear the degree to which...

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Ettenhuber, E.; Lehmann, R., 1986: The collective dose equivalent due to the naturally occurring radionuclides in building materials in the German Democratic Republic. Part 1: External exposure. The 226Ra, 232Th and 40K concentrations of building materials have been investigated by gamma spectrometry. The results demonstrate that 90% of bricks and concrete have 226Ra concentrations less than 85 mBq g-1 or less than 50 mBq g-1, respectivel...

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Falkenburg, P.E.; Kloetzel, P.M., 1989: Identification and characterization of three different subpopulations of the Drosophila multicatalytic proteinase (proteasome). In Drosophila melanogaster the population of proteasome particles consists of three distinct subclasses. By fractionation of a 40,000 .times. g supernatant of Drosophila homogenate on a DEAE-Sephacel column, proteasome particles which elute at sal...

Cooperman B.S.; Weitzmann C.J.; Fernandez C.L., 1990: Antibiotic probes of escherichia coli ribosomal peptidyltransferase. Hill, W E , Et Al (Ed ) The Ribosome: Structure, Function, And Evolution; Meeting, East Glacier Park, Montana, Usa, August 6-11, 1989 Xxiii+678p American Society For Microbiology: Washington, D C , Usa Illus 491-501

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Duncker, S.C.; Philippe, D.; Martin-Paschoud, C.; Moser, M.; Mercenier, A.; Nutten, S., 2012: Nigella sativa (black cumin) seed extract alleviates symptoms of allergic diarrhea in mice, involving opioid receptors. The incidence of food hypersensitivity and food allergies is on the rise and new treatment approaches are needed. We investigated whether N. sativa, one of its components, thymoquinone, or synthetic opioid receptor (OR)-agonists can alleviate food...