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Pediatric ekgs

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https://www.readbyqxmd.com/read/27171324/albuterol-via-metered-dose-inhaler-in-children-lower-doses-are-effective-and-higher-doses-are-safe
#1
Fabio Pereira Muchão, Juliana Miguita E Souza, Hélida Conceição Cavalcante Torres, Isabella Batista De Lalibera, Andréa Vieira de Souza, Joaquim Carlos Rodrigues, Claudio Schvartsman, Luiz Vicente Ribeiro Ferreira da Silva Filho
BACKGROUND: The ideal dosing of albuterol via metered-dose inhalers for acute childhood asthma is not well established. We hypothesized that greater doses of albuterol would result in less time in the hospital and lower admission rates. METHODS: This was a randomized controlled double-blind multicenter study, conducted in emergency rooms (ER). We included patients with 2-17 years old with moderate to severe acute asthma (Pediatric Respiratory Assessment Measure, PRAM, score ≥5)...
May 12, 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/26783971/use-of-electrocardiogram-as-part-of-the-preparticipation-examination
#2
Kelly Chain, Andrew Gregory
A sudden cardiac event or death in a young athlete is a traumatic and memorable event. These tragic events have long-lasting and widespread influences that not only affect the person's immediate family, but also have profound effects on the team, school, and entire community. Over the past several decades there has been a significant research effort in the area of sudden cardiac death (SCD) in athletes in hopes of decreasing preventable deaths. One area of research and discussion that has emerged is the use of electrocardiograms (EKGs) in preparticipation screening examinations as a tool to help identify athletes at risk for SCD...
January 2016: Pediatric Annals
https://www.readbyqxmd.com/read/26553087/comparative-evaluation-of-corrected-qt-and-ionized-calcium-in-children
#3
COMPARATIVE STUDY
Zarrin Keihani Douste, Mohhamad Taghi Haghi Ashtiani, Mamak Shariat, Fatemeh Tehrani
Convulsion is one of the most common problems in children and hypocalcemia is one the most frequent etiological items in children's convulsion. Corrected QT (QTc) in EKG is prolonged in hypocalcemia, so it can be a useful tool for evaluation of serum ionized calcium. In three groups (first seizure, multiple seizures, without seizure or control ) every 25 cases, QTc, serum ionized ca, total ca, ABG, and serum albumin level have been checked in the Department of Pediatrics of Imam Khomeini Hospital and outpatient department of Ahari children's medical center in 2008...
2015: Acta Medica Iranica
https://www.readbyqxmd.com/read/26261920/intraoperative-cardiopulmonary-arrest-in-children-undergoing-spinal-deformity-correction-causes-and-associated-factors
#4
Emmanuel N Menga, Cole Hirschfeld, Amit Jain, Dong-Phuong Tran, Heather D Caine, Dolores B Njoku, Lori A Karol, Paul D Sponseller
STUDY DESIGN: Retrospective review. OBJECTIVE: To report the incidence of and risk factors for intraoperative cardiopulmonary arrest (ICA) in children undergoing spinal deformity surgery. SUMMARY OF BACKGROUND DATA: Spinal deformities in children are associated with comorbidities that can pose substantial risks during surgery. METHODS: We reviewed records of patients who underwent surgery at two pediatric tertiary-care hospitals from 2004 through 2014...
November 2015: Spine
https://www.readbyqxmd.com/read/26220387/autonomic-changes-following-generalized-tonic-clonic-seizures-an-analysis-of-adult-and-pediatric-patients-with-epilepsy
#5
Rani A Sarkis, Sigride Thome-Souza, Ming-Zher Poh, Nichelle Llewellyn, Jacquelyn Klehm, Joseph R Madsen, Rosalind Picard, Page B Pennell, Barbara A Dworetzky, Tobias Loddenkemper, Claus Reinsberger
OBJECTIVE: Sudden unexpected death in epilepsy (SUDEP) is the most common cause of mortality directly related to epilepsy. Its incidence is higher in adult patients and its pathophysiology remains poorly understood, but likely involves autonomic dysregulation following generalized tonic clonic seizures (GTCS). In the current study, we aimed to analyze post-ictal autonomic changes following GTCS in adult and pediatric patients. METHODS: Patients admitted to the epilepsy monitoring unit were prospectively recruited, and wore an electrodermal activity (EDA) wrist sensor that continuously measured sympathetic activity while being monitored with EEG and EKG electrodes...
September 2015: Epilepsy Research
https://www.readbyqxmd.com/read/25755903/congenital-oligodendroglioma-clinicopathologic-and-molecular-assessment-with-review-of-the-literature
#6
Hope Richard, Kimberly Stogner-Underwood, Christine Fuller
Oligodendroglioma is an infiltrating glial neoplasm frequently seen in adults. Pediatric oligodendrogliomas are rare, with very few cases presenting in infancy and only rare congenital examples. In contrast to adult oligodendrogliomas, pediatric cases typically lack 1p/19q codeletion. Herein we report a case of WHO grade II oligodendroglioma diagnosed in a 7-month-old male infant. The patient initially presented at 3 months of age with symptoms suspicious for seizure. Initial workup including electroencephalography (EEG), electrocardiogram (EKG), and computed tomography (CT) of the head was negative...
2015: Case Reports in Pathology
https://www.readbyqxmd.com/read/25170217/electrocardiograms-changes-in-children-with-functional-gastrointestinal-disorders-on-low-dose-amitriptyline
#7
MULTICENTER STUDY
Ashish Chogle, Miguel Saps
AIM: To study the effects of low dose amitriptyline on cardiac conduction in children. METHODS: Secondary analysis of data obtained from a double-blind, randomized placebo-controlled trial, evaluating low dose amitriptyline in children with a diagnosis of functional abdominal pain, functional dyspepsia, and irritable bowel syndrome according to the Rome II criteria. Children 8-17 years of age were recruited from the pediatric gastroenterology clinics of 6 tertiary care centers in the United States...
August 28, 2014: World Journal of Gastroenterology: WJG
https://www.readbyqxmd.com/read/24916144/continuous-noninvasive-cardiac-output-in-children-is-this-the-next-generation-of-operating-room-monitors-initial-experience-in-402-pediatric-patients
#8
Charles J Coté, Jinghu Sui, Thomas Anthony Anderson, Somaletha T Bhattacharya, Erik S Shank, Pacifico M Tuason, David A August, Audrius Zibaitis, Paul G Firth, Gennadiy Fuzaylov, Michael R Leeman, Christine L Mai, Jesse D Roberts
BACKGROUND: Electrical Cardiometry(™) (EC) estimates cardiac parameters by measuring changes in thoracic electrical bioimpedance during the cardiac cycle. The ICON(®), using four electrocardiogram electrodes (EKG), estimates the maximum rate of change of impedance to peak aortic blood acceleration (based on the premise that red blood cells change from random orientation during diastole (high impedance) to an aligned state during systole (low impedance)). OBJECTIVE: To determine whether continuous cardiac output (CO) data provide additional information to current anesthesia monitors that is useful to practitioners...
February 2015: Paediatric Anaesthesia
https://www.readbyqxmd.com/read/24487673/p-wave-dispersion-a-possible-warning-sign-of-hypertension-in-children
#9
COMPARATIVE STUDY
Elibet Chávez, Emilio González, María del Carmen Llanes, Merlin Garí, Yosvany García, Julieta García, Elizabet Fernández
INTRODUCTION: Hypertension and obesity in adults have been linked to increased EKG P-wave dispersion; the association has been shown in relation to hypertension, left ventricular hypertrophy and atrial enlargement. Though studies in children have linked P-wave dispersion to left ventricular hypertrophy, scant pediatric literature relates P-wave dispersion to hypertension and obesity. OBJECTIVE: Assess the association of P-wave dispersion with blood pressure and nutritional status in a pediatric population...
January 2014: MEDICC Review
https://www.readbyqxmd.com/read/24011708/age-specific-periictal-electroclinical-features-of-generalized-tonic-clonic-seizures-and-potential-risk-of-sudden-unexpected-death-in-epilepsy-sudep
#10
Joel Freitas, Gurmeen Kaur, Guadalupe Baca-Vaca Fernandez, Curtis Tatsuoka, Farhad Kaffashi, Kenneth A Loparo, Shyam Rao, Jakrin Loplumlert, Kitti Kaiboriboon, Shahram Amina, Ingrid Tuxhorn, Samden D Lhatoo
Generalized tonic-clonic seizure (GTCS) is the commonest seizure type associated with sudden unexpected death in epilepsy (SUDEP). This study examined the semiological and electroencephalographic differences (EEG) in the GTCSs of adults as compared with those of children. The rationale lies on epidemiological observations that have noted a tenfold higher incidence of SUDEP in adults. We analyzed the video-EEG data of 105 GTCS events in 61 consecutive patients (12 children, 23 seizure events and 49 adults, 82 seizure events) recruited from the Epilepsy Monitoring Unit...
November 2013: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/23489468/impact-of-basal-heart-rate-on-long-term-prognosis-of-heart-transplant-patients
#11
Josep L Melero-Ferrer, Ignacio J Sánchez-Lázaro, Luis Almenar-Bonet, Luis Martínez-Dolz, Francisco Buendía-Fuentes, Manuel Portolés-Sanz, Miguel Rivera-Otero, Antonio Salvador-Sanz
Previous studies in patients with heart failure have shown that an elevated basal heart rate (HR) is associated with a poor outcome. Our aim with this study was to investigate if this relationship is also present in heart transplantation (HTx) recipients. From 2003 until 2010, 256 HTx performed in our center were recruited. Patients who required pacemaker, heart-lung transplants, pediatrics, retransplants, and those patients with a survival of less than 1 year were excluded. The final number included in the analysis was 191...
May 2013: Transplant International: Official Journal of the European Society for Organ Transplantation
https://www.readbyqxmd.com/read/22619399/significance-of-screening-electrocardiogram-before-the-initiation-of-amitriptyline-therapy-in-children-with-functional-abdominal-pain
#12
Kamakshya P Patra, Senthilkumar Sankararaman, Robert Jackson, Sunny Z Hussain
Amitriptyline (AMT) is commonly used in the management of children with irritable bowel syndrome. AMT is pro-arrhythmogenic and increases the risk of sudden cardiac death. However, there is not enough data regarding the cardiac toxicity in therapeutic doses of AMT in children and the need for screening electrocardiogram (EKG). Errors in computer EKG interpretation are not uncommon. In a risk-prevention study, the authors sought to identify the true incidence of prolonged corrected QT (QTc) interval and other arrhythmias in children with irritable bowel syndrome before the initiation of AMT...
September 2012: Clinical Pediatrics
https://www.readbyqxmd.com/read/21395672/adult-definitions-for-dyssynchrony-are-inappropriate-for-pediatric-patients
#13
Nilanjana Misra, Steven A Webber, Curt G DeGroff
BACKGROUND: Cardiac resynchronization therapy (CRT) is a promising approach to improve cardiac function in children in heart failure with cardiomyopathy. Cardiac timing measures in pediatrics are typically based on age and heart rate. However, pediatric CRT studies to date have used adult based timing cutoff values. We investigated the applicability of using these adult standards in pediatric patients with normal hearts. METHODS: We studied 88 outpatients referred for cardiac evaluation who had a normal cardiac evaluation...
April 2011: Echocardiography
https://www.readbyqxmd.com/read/20437929/duchenne-muscular-dystrophy-canadian-paediatric-neuromuscular-physicians-survey
#14
Hugh J McMillan, Craig Campbell, Jean K Mah
BACKGROUND: Duchenne muscular dystrophy (DMD) is the most common form of muscular dystrophy in childhood. METHOD: To assess the current care of paediatric DMD patients in Canada, a questionnaire was mailed to 17 physicians who were members of the Canadian paediatric neuromuscular group. Areas of enquiry included; 1) multidisciplinary team composition; 2) means of DMD diagnosis; 3) corticosteroid use; surveillance and management for: 4) orthopaedic, 5) respiratory and 6) cardiac complications and 7) health maintenance (nutrition & immunizations)...
March 2010: Canadian Journal of Neurological Sciences. le Journal Canadien des Sciences Neurologiques
https://www.readbyqxmd.com/read/20189784/-risk-of-arrhythmia-and-domestic-low-voltage-electrical-injury
#15
I Claudet, C Maréchal, C Debuisson, S Salanne
AIM: Analysis of domestic low-voltage (220-240 V) electrical injury in children admitted to a pediatric emergency department to illustrate the low risk of initial or delayed risk of arrhythmia. MATERIAL AND METHODS: Retrospective study between 2001 and 2008 analyzing all children aged less than 15 years admitted for a low-voltage electrical injury. The data collected were age, sex, time and circumstances of the accident, time and day of admission, transport modalities, presence of risk factors for arrhythmia (transthoracic current, wet skin, tetany, loss of consciousness or neurological symptoms, and initial EKG abnormalities), injuries, EKG, muscular and/or cardiac enzyme values, progression and complications...
April 2010: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/20118092/simplified-pediatric-electrocardiogram-interpretation
#16
REVIEW
William N Evans, Ruben J Acherman, Gary A Mayman, Robert C Rollins, Katrinka T Kip
We describe a simplified method for interpreting a pediatric electrocardiogram (EKG). The method uses 4 steps and requires only a few memorized rules, and it can aid health care providers who do not have immediate access to pediatric cardiology services. Most pediatric EKGs are normal. However, both abnormal and normal EKGs should be sent to a pediatric cardiologist for later, confirmatory interpretation.
April 2010: Clinical Pediatrics
https://www.readbyqxmd.com/read/19586356/risk-assessment-of-isolated-aripiprazole-exposures-and-toxicities-a-retrospective-study
#17
M C Young, N Shah, F L Cantrell, R F Clark
STUDY OBJECTIVE: To characterize the clinical effects of acute isolated aripiprazole poisonings and to assess the toxic dose of this drug. METHODS: All isolated acute aripiprazole exposures reported to a poison control system from January 2002 through September 2006 were retrospectively reviewed. Patients with incomplete information or those lost to follow-up were excluded. RESULTS: A total of 286 cases were identified. Mean age was 18.9 years (SD 15...
July 2009: Clinical Toxicology
https://www.readbyqxmd.com/read/18684252/markers-of-coronary-sinus-accessory-pathways-in-pediatrics
#18
Jennifer N Avari, Edward K Rhee
INTRODUCTION: Coronary sinus accessory pathways (CSAPs), atrioventricular connections formed by the coronary sinus myocardial coat, have been described in adult patients, but not systematically described in pediatric patients. METHODS: Patients who underwent CSAP ablation were compared to patients with right posteroseptal (RPS) pathway ablation (control group) from November 2004 to June 2007. Retrospective reviews of preablation 12-lead electrocardiogram (EKG), fluoroscopic, and intracardiac electrogram data were then performed to identify electrophysiologic markers of CSAP...
August 2008: Pacing and Clinical Electrophysiology: PACE
https://www.readbyqxmd.com/read/18053520/-severe-thoracic-trauma-review-of-39-cases
#19
E Carreras González, G Carreras González, R Alvarez Pérez
OBJECTIVE: To study the incidence and types of severe thoracic trauma in a cohort of pediatric polytrauma patients, compare cardiac contractility between patients with elevated troponin T levels and those with abnormal electrocardiogram (EKG) findings, and to analyze the value of thoracic computed tomography (CT) scan as a first investigation in patients with suspected thoracic trauma. MATERIAL AND METHODS: We performed a 5-year retrospective study in a cohort of trauma patients with an injury severity score of >or=25...
December 2007: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/17931839/-severe-hypercalcemia-due-to-vitamin-d-intoxication
#20
C Chambellan-Tison, B Horen, G Plat-Wilson, P Moulin, I Claudet
UNLABELLED: We report on a case of severe hypercalcemia due to vitamin D intoxication in a 4-month-old infant, CASE REPORT: A 4-month-old boy was admitted for anorexia, weakness, hypotonia, constipation and lethargy. Initial physical examination evidenced a severe axial hypotonia, signs of moderate intracellular dehydration, polyuria and leucocyturia. Hemodynamic parameters were normal. The infant's origin was Turkish. Basic blood chemistry showed a high serum calcium concentration of 4...
November 2007: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
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