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Routine Electrocardiography Request in Adenoidectomy: Is it necessary?
A J Fasunla1, P A Onakoya, O O Ogunkunle
1Department of ENT, University College Hospital, Ibadan, Nigeria ; Department of Otorhinolaryngology, University College Hospital, PMB 5116 Ibadan, Nigeria.
Summary
Routine electrocardiography in children undergoing adenoidectomy is not always necessary. This study found few abnormal electrocardiographic (ECG) findings, suggesting it should be reserved for high-risk patients.
Area of Science:
- Pediatric Otolaryngology
- Pediatric Cardiology
- Anesthesiology
Background:
- Obstructive adenoid hypertrophy is common in children, potentially leading to airway obstruction and cardiovascular strain.
- Pre-operative assessment aims to identify risks, but the utility of routine electrocardiography (ECG) in this population is debated.
Purpose of the Study:
- To evaluate the clinical relevance of routine electrocardiography (ECG) in the pre-operative work-up for pediatric adenoidectomy.
- To determine the incidence of abnormal ECG findings in children with obstructive adenoids.
Main Methods:
- A prospective study of 74 children (≤12 years) undergoing adenoidectomy for obstructive adenoids.
- Data collected included clinical presentation, ECG, echocardiography, cardiothoracic ratio, and adenoid size.
- Statistical analysis used SPSS version 14 with significance set at P < 0.05.
Main Results:
- Only 9.46% of patients exhibited abnormal ECG findings.
- Echocardiography revealed normal ejection fractions (mean 68.17%) in all patients, even those with ECG abnormalities.
- Common symptoms included mouth breathing, rhinorrhea, and varying degrees of snoring and apnea.
Conclusions:
- Cardiac complications associated with obstructive adenoids appear uncommon in this pediatric cohort.
- Routine pre-operative electrocardiography for adenoidectomy should be limited to children identified as high-risk.
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