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First author: Sendrea Octavian-Laurentiu Coordinator: Senior Lecturer Gozar Liliana, MD, PhD.

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Presentation on theme: "First author: Sendrea Octavian-Laurentiu Coordinator: Senior Lecturer Gozar Liliana, MD, PhD."— Presentation transcript:

1 First author: Sendrea Octavian-Laurentiu Coordinator: Senior Lecturer Gozar Liliana, MD, PhD

2 Cardiac arrhythmias: origin, rate, rhythm, conduction velocity and sequence of heart activation are abnormally. Palpitations Dyspnea Fatigue Angina Headache Cardiac tachyarrhythmias may cause a large variety of signs and symptoms of which the most frequent are: While some could remain asymptomatic, others may evolve to cardiomyopathy with congestive heart failure, syncope and sudden death.

3 Supraventricular Tachycardia, Etienne Delacretaz, M.D. The New England Journal of Medicine 2006; 354:1039-1051 The most frequent tachyarrhythmias in the pediatric patient are Supraventricular tachycardias the majority of them are with structurally normal hearts Despite being more frequent there`s a high incidence of tachycardia resolution especially in the younger children and life-threatening events are less likely to occur than in those with congenital or acquired structural heart disease

4 Supraventricular tachycardias Rapid heart rhythms originating from the cardiac structures above or in the atrioventricular node.

5 the incidence of each type of arrhythmia the presence of tachycardia induced cardiomyopathy treatment required evolution by age groups To evaluate: This presentation focuses on supraventricular tachycardia in children with structurally normal hearts.

6 Study assessment  patient`s medical papers  ECG strips  treatment protocols Study: Retrospective Period: January 2005 – December 2013 Subjects: 67 pediatric patients Statistical analysis  GraphPad  Chi-Squared Test for Trend  Treated in the Pediatric Cardiology Department of Tirgu Mures

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10 The only case was treated with a Beta-blocker PJRT

11  Cured patients were statistically correlated with the onset in the younger age.  To obtain this correlation an extended contingency table was created in GraphPad.  Result: Chi-Squared Test for Trend p<0.0001

12  The PSVT was the most frequently observed tachyarrhythmia.  From the permanent tachycardias cases there was a large group who developed tachycardia induced cardiomyopathy.  In the paroxysmal tachycardia group the pharmacologic therapy most used was based on beta-blockers while in those with permanent tachycardia the most used was Amiodarone.  A statistically significant group of pediatric patients had complete resolution of the tachycardia that was associated with the onset in the younger age.

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