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First author: Sendrea Octavian-Laurentiu Coordinator: Senior Lecturer Gozar Liliana, MD, PhD
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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.
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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
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Supraventricular tachycardias Rapid heart rhythms originating from the cardiac structures above or in the atrioventricular node.
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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.
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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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The only case was treated with a Beta-blocker PJRT
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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
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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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