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https://www.readbyqxmd.com/read/30472138/image-quality-of-ecg-triggered-high-pitch-dual-source-computed-tomography-angiography-for-cardiovascular-assessment-in-children
#1
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://www.readbyqxmd.com/read/30447383/attitudes-beliefs-and-practices-of-pediatric-palliative-care-physicians-regarding-the-use-of-methadone-in-children-with-advanced-cancer
#2
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://www.readbyqxmd.com/read/30428270/detection-of-pediatric-pulmonary-arterial-hypertension-by-school-electrocardiography-mass-screening
#3
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://www.readbyqxmd.com/read/30426769/prevalence-and-significance-of-t-wave-inversion-in-arab-and-black-paediatric-athletes-should-anterior-t-wave-inversion-interpretation-be-governed-by-biological-or-chronological-age
#4
Gavin McClean, Nathan R Riding, Guido Pieles, Sanjay Sharma, Victoria Watt, Carmen Adamuz, Amanda Johnson, Antonio Tramullas, Keith P George, David Oxborough, Mathew G Wilson
BACKGROUND: International electrocardiographic (ECG) recommendations regard anterior T-wave inversion (ATWI) in athletes under 16 years to be normal. DESIGN: The aim of this study was to identify the prevalence, distribution and determinants of TWI by ethnicity, chronological and biological age within paediatric athletes. A second aim was to establish the diagnostic accuracy of international ECG recommendations against refinement within athletes who present with ECG variants isolated to ATWI (V1 -V4 ) using receiver operator curve analysis...
November 14, 2018: European Journal of Preventive Cardiology
https://www.readbyqxmd.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
#5
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://www.readbyqxmd.com/read/30371107/lack-of-utility-in-performing-blood-glucose-measurement-and-electrocardiogram-in-the-outpatient-evaluation-of-benign-pediatric-syncope
#6
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://www.readbyqxmd.com/read/30351471/application-of-pediatric-appropriate-use-criteria-for-initial-outpatient-evaluation-of-asymptomatic-patients-with-abnormal-electrocardiograms
#7
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
https://www.readbyqxmd.com/read/30335689/seizures-meds-and-vtach-a-journey-to-a-brugada-diagnosis
#8
David P Fitzgerald, Srikant Das, Matthew P Malone, B Shane Holland, Stephen M Schexnayder
Sudden cardiac arrest of cardiac etiology is rare in children and adolescents and most often occurs with exertion. Conversely, syncope is a common pediatric emergency department complaint but rarely is associated with a serious underlying cardiac disorder. This report describes a case of the channelopathy Brugada syndrome (BrS) as a cause of sudden cardiac arrest in a febrile preadolescent child taking medications known to affect cardiac conduction. The patient received cardiopulmonary resuscitation and was successfully defibrillated...
October 17, 2018: Pediatric Emergency Care
https://www.readbyqxmd.com/read/30327703/age-makes-a-difference-symptoms-in-pediatric-supraventricular-tachycardia
#9
Amanda Quattrocelli, Janet Lang, Andrew Davis, Andreas Pflaumer
Background: Supraventricular tachycardia is a group of rhythm disturbances that affect 1 in 300-1200 Australian children annually. The differentiation of supraventricular tachycardia (SVT) symptoms and age of onset according to their subtype is not well understood in the pediatric population. Most studies rely on ECG criteria only to characterize the subtype of the SVT, which is not applicable to all subtypes. The purpose of this study was to identify the symptoms and ages of onset of SVT subtypes, and to analyze whether ethnicity or severity correlated with the SVT subtype confirmed in an invasive Electrophysiology (EP) study...
October 2018: Journal of Arrhythmia
https://www.readbyqxmd.com/read/30271014/predictors-of-abnormal-electrocardiograms-in-the-pediatric-emergency-department
#10
Shiv Gandhi, Miranda Lin, Sharon R Smith, Jesse J Sturm
Background: Electrocardiograms (ECGs) are ordered in the pediatric emergency room for a wide variety of chief complaints. Objectives: Criteria are lacking as to when physicians should obtain ECGs. This study uses a large retrospective cohort of 880 pediatric emergency department (ED) patients to highlight objective criteria including significant medical history and specific vital sign abnormalities to guide clinicians as to which patients might have an abnormal ECG...
September 2018: Annals of Pediatric Cardiology
https://www.readbyqxmd.com/read/30262463/heart-rate-assessment-using-neotapadvancedsupport-a-simulation-study
#11
Marco Binotti, Francesco Cavallin, Pier Luigi Ingrassia, Nicolas J Pejovic, Alice Monzani, Giulia Genoni, Daniele Trevisanuto
BACKGROUND: NeoTapAdvancedSupport (NeoTapAS) is a mobile application, based on a screen tapping method that calculates the heart rate (HR). We aimed to evaluate the accuracy of NeoTapAS in reliably determining HR from auscultation in a high-fidelity simulated newborn resuscitation scenario. METHODS: Paediatric residents assessed HR by auscultation plus NeoTapAS in an asphyxiated term infant scenario and orally communicated the estimated HR. An external observer simultaneously documented the actual HR set in the manikin and the communicated HR...
September 27, 2018: Archives of Disease in Childhood. Fetal and Neonatal Edition
https://www.readbyqxmd.com/read/30260996/can-smartphone-wireless-ecgs-be-used-to-accurately-assess-ecg-intervals-in-pediatrics-a-comparison-of-mobile-health-monitoring-to-standard-12-lead-ecg
#12
Melanie R F Gropler, Aarti S Dalal, George F Van Hare, Jennifer N Avari Silva
BACKGROUND: Arrhythmias in children are often paroxysmal, complicating the ability to capture the abnormal rhythm on routine ECG during an outpatient visit. The Alivecor Kardia Mobile (KM) device is a wireless mobile health (mHealth) device that generates a single lead ECG tracing with a FDA-approved algorithm for detection of atrial fibrillation in adults. OBJECTIVE: The goal of this study is to assess the accuracy of interval measurements on KM tracings by directly comparing to standard 12-lead ECGs in pediatric patients...
2018: PloS One
https://www.readbyqxmd.com/read/30228247/diagnostic-accuracy-and-bayesian-analysis-of-new-international-ecg-recommendations-in-paediatric-athletes
#13
Gavin McClean, Nathan R Riding, Guido Pieles, Victoria Watt, Carmen Adamuz, Sanjay Sharma, Keith P George, David Oxborough, Mathew G Wilson
OBJECTIVE: Historically, electrocardiographic (ECG) interpretation criteria for athletes were only applicable to adults. New international recommendations now account for athletes ≤16 years, but their clinical appropriateness is unknown. We sought to establish the diagnostic accuracy of new international ECG recommendations against the Seattle criteria and 2010 European Society of Cardiology (ESC) recommendations in paediatric athletes using receiver operator curve analysis. Clinical context was calculated using Bayesian analysis...
September 18, 2018: Heart: Official Journal of the British Cardiac Society
https://www.readbyqxmd.com/read/30227792/cochlear-implantation-in-children-with-congenital-long-qt-syndrome-introduction-of-an-evidence-based-pathway-of-care
#14
Victoria Scott-Warren, Anju Bendon, Iain A Bruce, Lise Henderson, Jacques Diacono
Congenital long QT syndrome (cLQTS) is an inherited cardiac ion channelopathy characterized by a long corrected-QT interval on the ECG, associated with a risk of syncope and sudden death as a result of arrhythmias. The archetypal arrhythmia associated with cLQTS is torsade de pointes which may degenerate into ventricular fibrillation. Children with Jervell and Lange-Neilsen syndrome have the combination of cLQTS and congenital sensorineural deafness and may present for cochlear implantation (CI). Sympathetic stimulation and administration of QT-prolonging medications may trigger arrhythmias in children with cLQTS and thus the perioperative period is a time of increased risk of adverse events, with deaths reported in the CI literature...
November 2018: Cochlear Implants International
https://www.readbyqxmd.com/read/30152133/pediatric-noncompaction-patients-with-high-spatial-qrs-t-angles-are-at-increased-risk-for-ventricular-tachycardia
#15
Daniel Cortez, Nandita Sharma, Jason R Imundo
INTRODUCTION: Noncompaction cardiomyopathy (NCCM) patients may develop sustained ventricular arrhythmias (VA). Currently no known electrocardiogram (ECG) parameter has demonstrated predictive value for VA development. The spatial QRS-T angle has demonstrated ability to identify VA in other cardiomyopathy populations. METHODS: A total of 39 patients with NCCM, defined by compact to non-compact ratio of >2.3 by magnetic resonance imaging, were assessed. The first ECG taken at time of MRI was assessed utilizing the heart rate, the QRS duration (QRSd), the corrected QT interval (QTc), and the spatial QRS-T angle (SPQRS-T angle, three-dimensional angle between the QRS and T-wave vectors) were assessed...
August 27, 2018: Annals of Noninvasive Electrocardiology
https://www.readbyqxmd.com/read/30142610/depiction-of-the-native-coronary-arteries-during-ecg-triggered-high-pitch-dual-source-coronary-computed-tomography-angiography-in-children-determinants-of-image-quality
#16
Christian A Barrera, Hansel J Otero, Ammie M White, David Saul, David M Biko
OBJECTIVE: Assess the image quality of ECG-triggered High-Pitch Dual-Source CTA for the evaluation of native coronaries in children. MATERIALS AND METHODS: Between August 2014 and September 2017, 45 children with morphologically normal cardiac chambers had cardiac prospective ECG-triggered High-Pitch Dual-Source CTA. Two pediatric radiologists blinded to clinical data, independently reviewed each case. The coronary arteries were evaluated using a four-point scale quality score according to the coronary segment...
August 18, 2018: Clinical Imaging
https://www.readbyqxmd.com/read/30131047/-key-points-of-the-2017-acc-aha-hrs-guideline-for-the-evaluation-and-management-of-patients-with-syncope
#17
G A Golovina, D V Duplyakov
The article presents key points of published in March 2017, Guideline for the Evaluation and Management of Patients With Syncope (A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines, and the Heart Rhythm Society). This document contains summary and analysis of evidence base and accumulated experience in this field and reflect further development of the problem of the management of adult and pediatric patients with suspected syncope. Traditionally, the basis of diagnostic algorithm of these patients has been primary examination, and in the present guideline one can find strengthening of the importance of anamnestic criteria, and supplementation of ECG criteria of arrhythmic syncope...
August 2018: Kardiologiia
https://www.readbyqxmd.com/read/30080938/echocardiographic-diagnosis-of-atrial-flutter-in-a-neonate
#18
Samantha Low, Carmen Kiper, Aimee Armstrong, Clifford L Cua
A pregnant female presented at 37 weeks of gestation in labor. The fetus was noted to be tachycardic on fetal monitor. Postnatally, the male neonate was still noted to be tachycardic with heart rates in the low 200 bpm range. EKG was consistent with tachycardia, but rhythm diagnosis was not definitively made. Echocardiogram with M-mode analysis clearly demonstrated 2:1 atrial to ventricular contraction pattern consistent with atrial flutter. The neonate was subsequently transferred to a tertiary pediatric hospital where the diagnosis of atrial flutter was confirmed...
September 2018: Echocardiography
https://www.readbyqxmd.com/read/30056397/clinical-course-and-treatment-of-children-and-adolescents-with-the-preexcitation-syndrome-own-studies
#19
Aleksandra Stasiak, Katarzyna Niewiadomska-Jarosik, Piotr Kędziora
INTRODUCTION: Essentially, preexcitation syndrome is the presence of an accessory pathway in the heart, which can lead to serious consequences, ranging from atrioventricular reentrant tachycardia to sudden cardiac death. Wolff-Parkinson-White syndrome is the most common preexcitation syndrome. AIM OF THE STUDY: The aim of the study was to evaluate the clinical course of the disease, as well as the treatment of children and adolescents hospitalized in the Department of Pediatric Cardiology in the years 2008-2015...
2018: Developmental Period Medicine
https://www.readbyqxmd.com/read/30054453/r-wave-modified-tissue-doppler-imaging-myocardial-performance-index-for-the-assessment-of-cardiac-function-in-children-with-congestive-heart-failure-a-feasibility-study
#20
Ying Tang, Shanliang Zhu, Jun Chen, Lichun Hua
BACKGROUND The aim of this study was to evaluate the feasibility of an R-wave modified tissue Doppler imaging (TDI) myocardial performance index (MPI), or MPI TDI-R, for the assessment of cardiac function in children with congestive heart failure (CHF). MATERIAL AND METHODS Forty children with CHF and 40 normal children were evaluated using the modified pediatric Ross heart failure grading system. TDI recorded the spectrum of diastolic function at the mitral valve annulus to measure the MPI. Twelve-lead electrocardiogram (ECG) measured the R-wave in the QRS complex, resulting in the modified MPI TDI-R...
July 28, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
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