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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
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[Cardiac rhythm disturbances in the children with hearing pathology]

E R Tsygankova1, S N Chuprova2, V V Volodkina1

  • 1National Research Centre for Audiology and Hearing Rehabilitation, Russian Medico-Biological Agency, Moscow, Russia, 117513.

Vestnik Otorinolaringologii
|January 17, 2017
PubMed

Insights

This study found that 10% of children with hearing impairments had cardiac arrhythmias. Early detection of these arrhythmias is crucial for managing treatment and reducing sudden cardiac death risk in this population.

Area of Science:

  • Pediatric Cardiology
  • Otolaryngology
  • Clinical Diagnostics

Background:

  • Hearing impairment in children can be associated with underlying cardiac rhythm disturbances.
  • Concurrent cardiac pathologies may impact diagnostic and rehabilitation strategies, including surgical interventions.
  • Understanding the prevalence of cardiac arrhythmias in this population is essential for comprehensive patient care.

Purpose of the Study:

  • To investigate the incidence of cardiac arrhythmias in pediatric patients with hearing impairments.
  • To assess the importance of early cardiac arrhythmia detection in the diagnostic and surgical management of children with hearing loss.
  • To evaluate the potential association between hearing impairment and cardiac rhythm disturbances.

Main Methods:

  • Retrospective analysis of 100 pediatric patients (mean age 4.8 years) who underwent surgery in 2013.
  • Electrocardiograms (ECGs) were utilized to record cardiac arrhythmias and conduction abnormalities.
  • Patients were categorized by gender and age for analysis.

Main Results:

  • Cardiac arrhythmias were detected in 10% (10 out of 100) of the examined children.
  • The prevalence was slightly higher in girls (6) than boys (4) within the affected subgroup.
  • Hereditary long QT syndrome, including Jervell-Lange-Nielsen syndrome, was not identified in any patient.

Conclusions:

  • Timely diagnosis of congenital arrhythmias in children with hearing impairment is vital.
  • Early detection can significantly reduce the risk of sudden cardiac death, particularly in syndromes like Jervell-Lange-Nielsen.
  • Identifying cardiac rhythm disturbances aids in selecting appropriate anesthesiological support for surgical procedures, such as cochlear implantation.

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