Experience with Holter monitoring for evaluation of infant arrhythmia

Simple item page
dc.contributor.authorBaghel, Anitaen_US
dc.contributor.authorKumar, Manojen_US
dc.contributor.authorSoni, J. P.en_US
dc.contributor.authorAgarwal, Muditen_US
dc.contributor.authorKumar, Ravien_US
dc.date.accessioned2020-09-24T07:43:56Z
dc.date.available2020-09-24T07:43:56Z
dc.date.issued2019-05
dc.description.abstractBackground: Arrhythmia is defined as abnormal heart rates. Sometimes they are intermittent and difficult to diagnose on routine ECG. Neonatologist and Pediatrician needs to rapidly establish accurate diagnosis and management for infants suspected to have arrhythmia. Hence Holter monitoring of the infants presenting with symptoms suggestive of arrhythmia is necessary as it provides a continuous record of heart's electrical activity. The aim of this paper is to find out the role of continuous ambulatory electrocardiographic monitoring in daily clinical practice of Pediatrics.Methods: All infants including neonates, either inborn or brought to the paediatric emergency with risk factors, between January 2016 to January 2018, were included in this prospectively study. Evaluation including chest X-ray, standard 12-lead electrocardiography, 24 hours continuous ECG monitoring using Mortara holter, echocardiography, biochemical and haematological analysis.Results: A total of 73 babies were enrolled in present study. In this study arrhythmia was found in 29 (39.72%) new-borns. The most common arrhythmia observed was supraventricular tachycardia (SVT) (41.3%). Other arrhythmia observed were ventricular tachycardia (VT), AV block (34.4%), atria premature beats (3.4%) and ventricular premature beats (6.89%), tachy-bradyarrhythmia (3.4%) and junctional rhythm (3.4%). Of 29 arrhythmia patients four were diagnosed solely by Holter monitoring. None of the babies had long QT syndrome on Holter monitoring.Conclusions: Cardiac arrhythmias are important causes of infant morbidity, and mortality if undiagnosed and untreated. It is important for the neonatologist and paediatrician to be aware of these of arrhythmias and the various diagnostic modalities available for them. A Holter electrocardiogram may be of value in identification of these transient arrhythmic events.en_US
dc.identifier.affiliationsDepartment of Pediatrics, Dr S.N. Medical College, Jodhpur, Rajasthan, Indiaen_US
dc.identifier.citationBaghel Anita, Kumar Manoj, Soni J. P., Agarwal Mudit, Kumar Ravi. Experience with Holter monitoring for evaluation of infant arrhythmia. International Journal of Contemporary Pediatrics. 2019 May; 6(3): 1362-1366en_US
dc.identifier.issn2349-3283
dc.identifier.issn2349-3291
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/204103
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-3291.ijcp20192044en_US
dc.subjectArrhythmiaen_US
dc.subjectInfanten_US
dc.subjectHolteren_US
dc.titleExperience with Holter monitoring for evaluation of infant arrhythmiaen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
ijcp2019v6n3p1362.pdf
Size:
135.13 KB
Format:
Adobe Portable Document Format
Download
Collections
International Journal of Contemporary Pediatrics