Children's Heartbeat: A Web-Based Program to Spread Knowledge on Arrhythmias in Children

Lindsey Gakenheimer-Smith1, Susan P Etheridge2,3, Anjan S Batra4

  • 1Division of Pediatric Cardiology, Department of Pediatrics, University of Utah, Salt Lake, UT, USA.

Pediatric Cardiology
|October 5, 2024
PubMed

Insights

Children's Heartbeat improves pediatric arrhythmia management in underserved regions. This virtual program enhances clinician confidence and knowledge in pediatric electrophysiology, addressing a critical global health need.

Area of Science:

  • Cardiology
  • Medical Education
  • Global Health

Background:

  • Limited expertise in pediatric arrhythmia management exists in low- and middle-income countries (LMIC).
  • A significant need for accessible pediatric electrophysiology education and consultation in medically under-resourced regions worldwide.

Purpose of the Study:

  • To describe the establishment and impact of Children's Heartbeat, a virtual program disseminating pediatric electrophysiology knowledge.
  • To address the gap in pediatric arrhythmia management expertise in LMIC through a knowledge-sharing platform.

Main Methods:

  • Implementation of Children's Heartbeat, a virtual video-conferencing program utilizing the Extension for Community Healthcare Outcomes (ECHO) model.
  • Monthly virtual case-based sessions connecting pediatric electrophysiologists with clinicians in under-resourced areas.
  • Dissemination of pediatric arrhythmia management knowledge globally.

Main Results:

  • Exponential growth in viewership, with 181 total registrants and an average of 64 monthly participants.
  • An additional 121 average viewers of recorded sessions, indicating broad reach.
  • Reported increase in attendees' confidence in managing pediatric arrhythmias.

Conclusions:

  • Children's Heartbeat successfully provides pediatric electrophysiology consultation to medically under-resourced regions.
  • The program enhances clinicians' confidence and competence in caring for children with arrhythmias.
  • Future expansion to high-income countries and direct impact evaluation are planned.

Related Concept Videos

Dysrhythmias V: Evaluating Dysrhythmias01:30

Dysrhythmias V: Evaluating Dysrhythmias

Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.1. Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
22
Disturbances in Heart Rhythm01:28

Disturbances in Heart Rhythm

Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
916
Dysrhythmias I: Introduction01:15

Dysrhythmias I: Introduction

Dysrhythmias refers to abnormalities in the heart's rhythm. They result from disruptions in the heart's electrical conduction system, which includes the sinoatrial(SA)node, atrioventricular(AV) node, the bundle of His, bundle branches, and Purkinje fibers.Definition and PathophysiologyDysrhythmias result from disorders of impulse formation, impulse conduction, or both. The heart contains specialized cells in the sinoatrial node, atrioventricular node, and the bundle of His and Purkinje fibers...
4
Dysrhythmias VI: Management of Dysrhythmias01:25

Dysrhythmias VI: Management of Dysrhythmias

Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
3
Pulse rhythm01:30

Pulse rhythm

Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
769
Dysrhythmias VII: Nursing Management of Dysrhythmias01:25

Dysrhythmias VII: Nursing Management of Dysrhythmias

Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
3