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Related Experiment Videos

Normal values for corrected sinus node recovery time in adolescents.

R A Samson1, C D Jolma, R Zamora

  • 1Department of Pediatrics, College of Medicine, the University of Arizona, 1501 N. Campbell Avenue, Post Office Box 245073, Tucson, AZ 85724-5073, USA.

Pediatric Cardiology
|November 11, 1999
PubMed
Summary
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Normal sinus node recovery times (CSNRT) were established for adolescents aged 12-17 years. The upper limit of normal CSNRT in adolescents is approximately 445 msec, aiding in diagnosing sinus node dysfunction.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Pediatric Medicine

Background:

  • Sinus node recovery time (CSNRT) assesses sinus node function in children and adults.
  • Established normal CSNRT values exist for young children and adults, but not for adolescents.
  • Sinus node dysfunction is a known complication after congenital heart disease repair.

Purpose of the Study:

  • To determine normal corrected sinus node recovery time (CSNRT) values for adolescent patients.
  • To establish reference ranges for CSNRT in individuals aged 12-17 years.

Main Methods:

  • CSNRT was measured in 29 adolescent patients (ages 12-17) undergoing electrophysiology testing.
  • Method involved rapid atrial pacing with decreasing pacing cycle lengths.
  • CSNRT calculated by subtracting resting sinus cycle length from maximal sinus node recovery time.

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Main Results:

  • The mean CSNRT in adolescents was 323 ± 61 msec (range 186-422 msec).
  • A significant positive correlation was observed between CSNRT and patient age.
  • The upper limit of normal CSNRT for adolescents was determined to be approximately 445 msec (mean + 2 SD).

Conclusions:

  • Normal CSNRT values for adolescents fall between those of children and adults.
  • An approximate upper limit of normal CSNRT of 445 msec is proposed for adolescents.
  • This finding is clinically relevant for managing adolescents with congenital heart disease and potential sinus node dysfunction.