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Pediatric ecg

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https://read.qxmd.com/read/30747833/medical-assessment-and-triage-of-pediatric-patients-with-anorexia-nervosa-in-primary-care
#1
Kendra J Homan, Leslie A Sim, Susan L Crowley, Jocelyn R Lebow, Lisa N Kransdorf
OBJECTIVE: To examine the medical assessment and triage of pediatric patients with anorexia nervosa (AN) initially seen in primary care. METHODS: A retrospective cohort study was conducted for all pediatric patients with AN who had eating/weight concerns and initially identified symptoms in primary care in a single health care system between January 1, 2010, and December 31, 2016. Information on presenting concern, medical assessment/laboratory tests, clinical diagnoses, treatment recommendations, and referrals were abstracted from the medical record...
February 2019: Journal of Developmental and Behavioral Pediatrics: JDBP
https://read.qxmd.com/read/30738149/an-imaging-protocol-to-discriminate-specialized-conduction-tissue-during-congenital-heart-surgery
#2
Abhijit Mondal, John Lackey, Mossab Saeed, Fei-Yi Wu, Jordan Johnson, Chao Huang, Frank Sachse, Robert Hitchcock, Aditya Kaza
OBJECTIVES: We performed preclinical validation of intraoperative fiber-optic confocal microscopy (FCM) and assessed its safety and efficacy in an ovine model of the pediatric heart. METHODS: Intraoperative imaging was performed using an FCM system (Cellvizio, Mauna Kea Technology, Paris, France) with specialized imaging miniprobe (GastroFlex UHD, Mauna Kea Technologies). Before imaging, we applied an extracellular fluorophore, sodium fluorescein, to fluorescently label extracellular space...
February 6, 2019: Seminars in Thoracic and Cardiovascular Surgery
https://read.qxmd.com/read/30704282/submillisievert-multiphasic-coronary-computed-tomography-angiography-for-pediatric-patients-with-congenital-heart-diseases
#3
Julien Le Roy, Hélène Vernhet Kovacsik, Hamid Zarqane, Marie Vincenti, Hamouda Abassi, Kathleen Lavastre, Thibault Mura, Alain Lacampagne, Pascal Amedro
BACKGROUND: The use of coronary computed tomography (CT) angiography in children with coronary artery anomalies is increasing. However, it remains technically demanding and the need to adapt acquisition parameters to a patient's cardiac characteristics has not yet been addressed. The aim of the study was to prospectively assess the feasibility of personalized multiphasic coronary CT angiography for pediatric patients. METHODS: Fifty pediatric patients (mean age 6...
February 2019: Circulation. Cardiovascular Imaging
https://read.qxmd.com/read/30695882/-clinical-analysis-of-right-atrial-appendage-aneurysms-complicated-by-atrial-tachyarrhythmias-in-three-children
#4
Y Zhang, X M Li, H Jiang, F Q Zhang, Y Q Jin, H J Liu, H Y Ge
Objective: To investigate the clinical features and results of treatment for right atrial appendage aneurysms complicated by atrial tachyarrhythmias in children. Methods: This retrospective study included three children with right atrial appendage aneurysm complicated by atrial tachyarrhythmias (aged 1.0 to 5.3 years, weight 10 to 17.1 kg) who were hospitalized at the Pediatric Cardiology Department (Heart Center) of the First Hospital of Tsinghua University (Beijing Huaxin Hospital) during the period from January 2016 through April 2018...
February 2, 2019: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://read.qxmd.com/read/30695881/-relationship-between-blood-pressure-variability-and-target-organ-damage-in-children-with-essential-hypertension
#5
Y Liu, L Shi, Y Lin, T Zheng, X H Li, Y Y Liu, J J Liu, D Liu
Objective: To investigate the correlation between blood pressure variability (BPV) and target organ damage in children with essential hypertension. Methods: A retrospective review identified 144 children (104 boys (72.2%) and 40 girls (27.8%), age (11.7±2.5)years) diagnosed with essential hypertension at Children's Hospital Affiliated to Capital Institute of Pediatrics from January 2013 to June 2018. Data on indicators for assessing fundus, cardiac, and renal damages obtained included 24-hour ambulatory blood pressure monitoring, BPV, fundus oculi examination, electrocardiogram, echocardiography, renal function, 24-hour urine protein quantitation, urine microalbumin, serum and urine β(2)-microglobulin...
February 2, 2019: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
https://read.qxmd.com/read/30684082/image-quality-and-radiation-dose-of-ecg-triggered-high-pitch-dual-source-cardiac-computed-tomography-angiography-in-children-for-the-evaluation-of-central-vascular-stents
#6
Christian A Barrera, Hansel J Otero, Ammie M White, David Saul, David M Biko
Assess image quality and radiation dose of ECG-triggered High-Pitch Dual-Source CTA for the evaluation central vascular stents in children. We included all children ≤ 21 years old with one or more central vascular stents and available prospective ECG-triggered High-Pitch Dual-Source CTA performed at our institution between January 2015 and August 2017. Demographic and scanner information was retrieved. Two board-certified pediatric radiologists blinded to the clinical data, independently reviewed and scored each case using a four-point quality score...
January 25, 2019: International Journal of Cardiovascular Imaging
https://read.qxmd.com/read/30671988/cardiac-disease-in-mucopolysaccharidosis-type-iii
#7
Stephanie C M Nijmeijer, Rianne H A C M de Bruin-Bon, Frits A Wijburg, Irene M Kuipers
Mucopolysaccharidosis type III (MPS III; Sanfilippo disease) is primarily characterized by neurocognitive decline with limited somatic disease. Only few reports addressed cardiac disease (CD) in MPS III. We investigated the prevalence of CD in a relatively large cohort of patients. In this cross-sectional study, extensive echocardiographic studies were performed in 30 MPS III patients (16 patients <18 years), all without clinical symptoms of CD. Results were compared to data from matched controls. The mean global longitudinal strain on speckle-tracking echocardiography (STE) was impaired in both pediatric and adult patients vs controls (resp...
December 27, 2018: Journal of Inherited Metabolic Disease
https://read.qxmd.com/read/30669920/chomping-at-the-bit-a-descriptive-report-on-pediatric-clenbuterol-ingestion
#8
Jordan Woolum, Nicholas Mancuso, Philip W Rutter, Regan A Baum, Peter Akpunonu
INTRODUCTION: Clenbuterol hydrochloride is a selective beta-2 adrenergic agonist with uses in both humans and animals. Ingestions occurring within the United States are generally due to incidental ingestion of a veterinary product, use as a cutting agent for illicit substances, or illegal use for performance-enhancing purposes. CASE REPORT: A four-and-a-half year-old male presented approximately two-and-a-half hours after an accidental ingestion of an unknown quantity of clenbuterol...
January 22, 2019: Journal of Pharmacy Practice
https://read.qxmd.com/read/30640888/catecholaminergic-polymorphic-ventricular-tachycardia-the-cardiac-arrest-where-epinephrine-is-contraindicated
#9
David Bellamy, Gabrielle Nuthall, Stuart Dalziel, Jonathan R Skinner
OBJECTIVES: To raise awareness among pediatric intensive care specialists of catecholaminergic polymorphic ventricular tachycardia; an uncommon cause of polymorphic ventricular tachycardia and ventricular fibrillation arrest in children and young adults where epinephrine (adrenaline), even when given according to international protocols, can be counter-productive and life-threatening. We review three cases of cardiac arrest in children, later proven to be catecholaminergic polymorphic ventricular tachycardia related, where delay in recognition of this condition resulted in significantly longer resuscitation efforts, more interventions, and a longer time to return of spontaneous circulation...
January 11, 2019: Pediatric Critical Care Medicine
https://read.qxmd.com/read/30591737/immediate-and-short-term-effects-of-percutaneous-atrial-septal-defect-device-closure-on-cardiac-electrical-remodeling-in-children
#10
Alaa Mahmoud Roushdy, Hebatalla Attia, Heba Nossir
Background: The beneficial effects of atrial septal defect (ASD) device closure on electrical cardiac remodeling are well established. The timing at which these effects starts to take place has yet to be determined. Objectives: To determine the immediate and short term effects of ASD device closure on cardiac electric remodeling in children. Methods: 30 pediatric patients were subjected to 12 lead Electrocardiogram immediately before ASD device closure, 24 h post procedure, 1 and 6 months after...
December 2018: The Egyptian heart journal: (EHJ): official bulletin of the Egyptian Society of Cardiology
https://read.qxmd.com/read/30585509/loperamide-misuse-to-avoid-opioid-withdrawal-and-to-achieve-a-euphoric-effect-high-doses-and-high-risk
#11
Vincent R Lee, Ariel Vera, Andreia Alexander, Bruce Ruck, Lewis S Nelson, Paul Wax, Sharan Campleman, Jeffrey Brent, Diane P Calello
INTRODUCTION: Loperamide is a readily accessible nonprescription medication that is increasingly being used surreptitiously as an opioid substitute to alleviate the symptoms of acute opioid withdrawal. The objective of this study was to determine the clinical characteristics of patients with loperamide misuse and toxicity. METHODS: The ToxIC registry, a nationwide, prospectively collected cohort of patients evaluated by medical toxicologists was searched from November 2011-December 2016 for patients with loperamide exposure...
December 26, 2018: Clinical Toxicology
https://read.qxmd.com/read/30573213/can-pediatric-practitioners-correctly-interpret-electrocardiograms
#12
Sahil Khanna, V Ramesh Iyer, Victoria L Vetter
OBJECTIVES: To assess the impact of participation in an educational presentation on electrocardiogram (ECG) interpretation in children on pediatric practitioners' ability to accurately interpret ECGs. STUDY DESIGN: Pediatric healthcare providers at a pediatric clinic with >65 000 visits/year were eligible to participate. A 1-hour ECG educational module that provided a systematic approach to ECG interpretation was presented to 8 providers who consented (6 pediatricians, 2 pediatric nurse practitioners)...
December 17, 2018: Journal of Pediatrics
https://read.qxmd.com/read/30536181/correction-to-an-open-label-single-dose-study-to-evaluate-the-safety-tolerability-pharmacokinetics-and-pharmacodynamics-of-cinacalcet-in-pediatric-subjects-aged-28-days-to-6-years-with-chronic-kidney-disease-receiving-dialysis
#13
Winnie Y Sohn, Anthony A Portale, Isidro B Salusky, Hao Zhang, Lucy L Yan, Bella Ertik, Shahnaz Shahinfar, Edward Lee, Bastian Dehmel, Bradley A Warady
The original version of this article unfortunately contained three mistakes. In Table 1, the last line under "Key Inclusion Criteria" should read "Normal or clinically acceptable ECGs at screening and at day - 1." In addition, the abbreviation "IP" in the legend to Table 1 stands for "investigational product."
December 7, 2018: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://read.qxmd.com/read/30516532/can-flecainide-totally-eliminate-bidirectional-ventricular-tachycardia-in-pediatric-patients-with-andersen-tawil-syndrome
#14
Yakup Ergül, Senem Özgür, Sertaç Hanedan Onan, Volkan Tuzcu
Andersen-Tawil syndrome (ATS) is a disorder that causes episodes of muscle weakness (periodic paralysis), changes in heart rhythm, and developmental abnormalities. QT prolongation and ventricular arrhythmias, including bidirectional ventricular tachycardia (VT) and polymorphic VT, may occur. About 60% of all cases of the disorder arecaused by mutations in the KCNJ2 gene. A 13-year-old female patient was referred for frequent premature ventricular contractions. Suspicion of ATS due to dysmorphic findings, electrocardiogram changes, and periodic muscle weakness was genetically confirmed...
December 2018: Türk Kardiyoloji Derneği Arşivi: Türk Kardiyoloji Derneğinin Yayın Organıdır
https://read.qxmd.com/read/30472138/image-quality-of-ecg-triggered-high-pitch-dual-source-computed-tomography-angiography-for-cardiovascular-assessment-in-children
#15
Christian A Barrera, Hansel J Otero, Ammie M White, David Saul, David M Biko
PURPOSE: Evaluate the feasibility and determinants of image quality of ECG-triggered High-Pitch Dual-Source Computed Tomography Angiography (CTA) for cardiovascular assessment in Children. MATERIAL AND METHODS: All children that underwent ECG-triggered High-Pitch Dual-Source CTA between August 2014 and September 2017 were identified. Scanner parameters and patients' information were retrieved. Objective image quality was evaluated measuring the Hounsfield units (HU) and standard deviation of regions of interests in the left ventricle, ascending and descending aorta...
October 29, 2018: Current Problems in Diagnostic Radiology
https://read.qxmd.com/read/30447383/attitudes-beliefs-and-practices-of-pediatric-palliative-care-physicians-regarding-the-use-of-methadone-in-children-with-advanced-cancer
#16
Kevin Madden, Diane Liu, Eduardo Bruera
CONTEXT: Methadone is a long-acting opioid known for its unique pharmacokinetic and pharmacodynamic properties. Most research on methadone in children is limited to its effect on the prolongation of the corrected QT (QTc) interval. OBJECTIVES: To better understand the attitudes, beliefs, and practices of pediatric palliative care physicians regarding the use of methadone in children with advanced cancer. METHODS: A survey was sent to The American Academy of Pediatrics Section of Hospice and Palliative Medicine LISTSERV®...
November 14, 2018: Journal of Pain and Symptom Management
https://read.qxmd.com/read/30428270/detection-of-pediatric-pulmonary-arterial-hypertension-by-school-electrocardiography-mass-screening
#17
Hirofumi Sawada, Yoshihide Mitani, Tomotaka Nakayama, Hiroyuki Fukushima, Shigetoyo Kogaki, Takehiro Igarashi, Fukiko Ichida, Yasuo Ono, Toshio Nakanishi, Shozaburo Doi, Shiro Ishikawa, Masaki Matsushima, Osamu Yamada, Tsutomu Saji
RATIONALE: To detect pulmonary arterial hypertension (PAH) at any early stages is a promising approach to optimize the outcome. OBJECTIVES: To investigate the impact of school electrocardiography(ECG)-based screening on detecting idiopathic or heritable (I/H)-PAH in general pediatric population. METHODS: A nationwide survey of I/H-PAH patients newly diagnosed at 3 months-18years of age in Japan during 2005-12. MEASUREMENTS AND MAIN RESULTS: Eighty-seven eligible patients (age range: 1-16 years) were recruited...
November 14, 2018: American Journal of Respiratory and Critical Care Medicine
https://read.qxmd.com/read/30386135/image-quality-and-radiation-dose-of-high-pitch-dual-source-spiral-cardiothoracic-computed-tomography-in-young-children-with-congenital-heart-disease-comparison-of-non-electrocardiography-synchronization-and-prospective-electrocardiography-triggering
#18
Hyun Woo Goo
Objective: To compare image quality and radiation dose of high-pitch dual-source spiral cardiothoracic computed tomography (CT) between non-electrocardiography (ECG)-synchronized and prospectively ECG-triggered data acquisitions in young children with congenital heart disease. Materials and Methods: Eighty-six children (≤ 3 years) with congenital heart disease who underwent high-pitch dual-source spiral cardiothoracic CT were included in this retrospective study...
November 2018: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
https://read.qxmd.com/read/30371107/lack-of-utility-in-performing-blood-glucose-measurement-and-electrocardiogram-in-the-outpatient-evaluation-of-benign-pediatric-syncope
#19
Ayush Gupta, William Bonadio
We aimed to determine the frequency of blood glucose and electrocardiogram (EKG) abnormalities in previously healthy children who present to an emergency department (ED) with a diagnosis of benign syncope. Chart review of consecutive children aged 5 to 18 years presenting to the pediatric ED from 2004 to 2014 with a discharge diagnosis of benign syncope was done. Of 969 patients, hypoglycemia (serum glucose <60 mg/dL) was present in only 3 cases (0.3%). Of 754 patients with EKG performed, only 4 cases (0...
October 29, 2018: Clinical Pediatrics
https://read.qxmd.com/read/30351471/application-of-pediatric-appropriate-use-criteria-for-initial-outpatient-evaluation-of-asymptomatic-patients-with-abnormal-electrocardiograms
#20
Soham Dasgupta, Shae Anderson, Michael Kelleman, Ritu Sachdeva
INTRODUCTION: In the pediatric Appropriate Use Criteria (AUC), abnormal electrocardiogram (ECG) in an asymptomatic patient has been rated as an "Appropriate" indication for transthoracic echocardiogram (TTE). We hypothesized that the yield of abnormal findings on TTE for this indication will be low. METHODS: All asymptomatic patients (≤ 18 years) from January 1, 2015 to December 31, 2017 who underwent initial outpatient evaluation at our center and had a TTE ordered for an abnormal ECG, were included...
October 23, 2018: Congenital Heart Disease
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