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Using a Cardiac Event Recorder in Children with Potentially Arrhythmia-Related Symptoms

Murat Saygi1, Yakup Ergul1, Isa Ozyilmaz1

  • 1Department of Pediatric Cardiology, Mehmet Akif Ersoy Cardiovascular Research and Training Hospital, Istanbul, Turkey.

Annals of Noninvasive Electrocardiology : the Official Journal of the International Society for Holter and Noninvasive Electrocardiology, Inc
|January 22, 2016
PubMed

Insights

Cardiac event recorders are useful for diagnosing pediatric arrhythmia symptoms like palpitations and syncope. This study found a 39% symptom-rhythm correlation, supporting their use as a primary diagnostic tool in children.

Area of Science:

  • Pediatric Cardiology
  • Cardiac Electrophysiology
  • Diagnostic Tools

Background:

  • Cardiac event recorders are increasingly utilized in pediatric care.
  • Assessing the efficacy of these recorders in diagnosing pediatric cardiac conditions is crucial.

Purpose of the Study:

  • To evaluate the experience and diagnostic utility of cardiac event recorders in pediatric patients.
  • To determine the symptom-rhythm correlation in children experiencing potential arrhythmia-related symptoms.

Main Methods:

  • A cohort of 460 pediatric patients (mean age 12.8 years) fitted with cardiac event recorders for 15-30 days was analyzed.
  • Patients underwent electrocardiograms, Holter monitoring, and echocardiography prior to event recording.
  • Exclusion criteria included no recorded events or artifact-contaminated records.

Main Results:

  • Palpitations were the most common indication (73%), followed by chest pain and palpitations (21%), and syncope (6%).
  • Sinus tachycardia (25%) and supraventricular tachycardia (8%) were the most frequent recorded events.
  • A symptom-rhythm correlation of 39% was observed, leading to electrophysiology study/ablation in 46 patients.

Conclusions:

  • Cardiac event recorders serve as a valuable primary diagnostic method for children with possible arrhythmia-related symptoms.
  • Further research is warranted to fully elucidate the role of event recorders in pediatric cardiac diagnostics.
Abstract

Keywords:
arrhythmiacardiac event recorderchildrenpalpitationsyncope

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