Outcome of newborns with asymptomatic monomorphic ventricular arrhythmia

Rosa, Gabriella De; Butera, Gianfranco; Chessa, Massimo; Pardeo, Manuela; Bria, Serena; Buonuomo, PS; Zecca, Enrico; Romagnoli, C

doi:10.1136/adc.2005.092932

Cited by 20 publications

(10 citation statements)

References 18 publications

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“…1 VPCs in newborns with structurally normal hearts are typically benign and usually resolve over the first few months without complications and require no intervention. 7 In healthy children with ventricular ectopy, uniform VPCs occur more frequently (75%) compared with multiform VPCs. 3 In pediatric patients with ventricular ectopy, ventricular couplets can be seen in 47% of children with structurally normal hearts, and ventricular triplets occur in 20%.…”

Section: Discussionmentioning

confidence: 99%

“…2 To date, studies of long-term sequelae of VPCs in pediatric patients with structurally normal hearts involve small cohorts and are few in number. 5,7 In adults, correlations between VPC burden and decreased left ventricular (LV) systolic function, as well as VPC characteristics and cardiomyopathy have been reported. 8e11 Baman et al 11 demonstrated that a VPC burden >24% was associated with decreased LV systolic function and that the LV systolic dysfunction was reversible in most of these patients after catheter ablation of the VPCs.…”

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confidence: 99%

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Usefulness of Ventricular Premature Complexes in Asymptomatic Patients ≤21 Years as Predictors of Poor Left Ventricular Function

Guerrier

Anderson

Czosek

et al. 2015

The American Journal of Cardiology

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Usefulness of Ventricular Premature Complexes in Asymptomatic Patients ≤21 Years as Predictors of Poor Left Ventricular Function

Guerrier

Anderson

Czosek

et al. 2015

The American Journal of Cardiology

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“…Ventricular arrhythmia may occur in CHD, cardiomyopathy, inflammatory myocardial disease, metabolic disease, electrolyte disturbance and LQTS 7 8) . However, the immaturity of cardiac conduction tissue and the autonomic nerve system may be the main causes of frequent premature beats in newborns 5) .…”

Section: Premature Contraction or Extrasystolesmentioning

confidence: 99%

“…In the quantitative assessment of PVCs, frequent PVCs are defined as >60 beats/hr in a child 8) . Although PVC burden is significantly associated with ventricular dysfunction in adults, asymptomatic frequent PVCs in newborns have a good long-term prognosis 8) .…”

Section: Premature Contraction or Extrasystolesmentioning

confidence: 99%

Neonatal arrhythmias: diagnosis, treatment, and clinical outcome

Ban

2017

Korean J Pediatr

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Arrhythmias in the neonatal period are not uncommon, and may occur in neonates with a normal heart or in those with structural heart disease. Neonatal arrhythmias are classified as either benign or nonbenign. Benign arrhythmias include sinus arrhythmia, premature atrial contraction, premature ventricular contraction, and junctional rhythm; these arrhythmias have no clinical significance and do not need therapy. Supraventricular tachycardia, ventricular tachycardia, atrioventricular conduction abnormalities, and genetic arrhythmia such as congenital long-QT syndrome are classified as nonbenign arrhythmias. Although most neonatal arrhythmias are asymptomatic and rarely life-threatening, the prognosis depends on the early recognition and proper management of the condition in some serious cases. Precise diagnosis with risk stratification of patients with nonbenign neonatal arrhythmia is needed to reduce morbidity and mortality. In this article, I review the current understanding of the common clinical presentation, etiology, natural history, and management of neonatal arrhythmias in the absence of an underlying congenital heart disease.

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“…In some cases, therapy may not be needed for short episodes of a relatively slow-rate tachycardia [ 13•• ], especially in young patients with normal cardiac anatomy [ 14 ]. Yet in the setting of disease states known to be associated with sudden cardiac death, such as cardiomyopathies and some postoperative states, treatment is almost always needed.…”

Section: Introduction Treatmentmentioning

confidence: 99%

Ventricular arrhythmia in children: Diagnosis and management

Serwer

2008

Curr Treat Options Cardio Med

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With increasing awareness of genetic abnormalities and the aging of patients with structural cardiac disease, particularly those who have had cardiac surgery, primary ventricular tachycardia is being recognized more frequently in children and adolescents and is becoming a larger management issue. The distinction of primary versus secondary is based on whether ventricular tachycardia is the inciting arrhythmia or the end result of a prolonged ischemic event, such as prolonged bradycardia with resultant ventricular tachycardia. This article discusses only primary ventricular tachycardia. The incidence clearly increases with age after cardiac surgery, particularly in specific cardiac abnormalities, such as tetralogy of Fallot post repair, transposition of the great arteries, post atrial switch operation, and hypertrophic obstructive cardiomyopathy. In addition, as genetic abnormalities are becoming better appreciated, conditions such as long QT syndrome, arrhythmogenic right ventricular cardiomyopathy, and Brugada syndrome, with their risk for ventricular tachycardia and fibrillation, are being seen increasingly in the pediatric population. Long-term treatment of ventricular tachycardia includes drug therapy, implantable device therapy, invasive ablation therapy, and combinations of these modalities. To choose the appropriate therapy, the clinician must consider the arrhythmia's effect on the patient's hemodynamic status and the potential for sudden cardiac death.

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Outcome of newborns with asymptomatic monomorphic ventricular arrhythmia

Cited by 20 publications

References 18 publications

Usefulness of Ventricular Premature Complexes in Asymptomatic Patients ≤21 Years as Predictors of Poor Left Ventricular Function

Usefulness of Ventricular Premature Complexes in Asymptomatic Patients ≤21 Years as Predictors of Poor Left Ventricular Function

Neonatal arrhythmias: diagnosis, treatment, and clinical outcome

Ventricular arrhythmia in children: Diagnosis and management

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