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Related Experiment Videos

Atrial fibrillation in children

D J Radford, T Izukawa

    Pediatrics
    |February 1, 1977
    PubMed
    Summary

    Pediatric atrial fibrillation, though rare, is linked to various cardiac conditions and requires thorough investigation. Early diagnosis and treatment tailored to the underlying cause are crucial for managing this arrhythmia in children.

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    Area of Science:

    • Pediatric Cardiology
    • Cardiac Electrophysiology
    • Pediatric Critical Care Medicine

    Background:

    • Atrial fibrillation (AF) is uncommon in pediatric populations.
    • Historically associated with severe rheumatic heart disease and poor outcomes.
    • This review examines a unique cohort of pediatric AF cases over 22 years.

    Purpose of the Study:

    • To review the clinical characteristics, associated conditions, and outcomes of atrial fibrillation in children.
    • To understand the etiological factors and management strategies for pediatric AF.
    • To highlight the importance of comprehensive evaluation for childhood AF.

    Main Methods:

    • Retrospective review of 35 pediatric cases of atrial fibrillation over 22 years.
    • Analysis of patient demographics, age of onset, and associated cardiac conditions.
    • Evaluation of treatment modalities and patient outcomes, including mortality and morbidity.

    Main Results:

    • The study included 35 children (23 boys), with onset from 1 day to 19 years (average 8 years).
    • Common associated conditions included structural congenital heart malformations (17), cardiomyopathy (5), and paroxysmal atrial tachycardia of infants (4).
    • Surgical correction of congenital heart lesions was linked to AF development in 14 patients; 21 had paroxysmal/transient AF, 14 persistent. Three children experienced cerebral emboli. 18 patients are alive, 13 deceased, 4 lost to follow-up.

    Conclusions:

    • Pediatric atrial fibrillation necessitates a complete diagnostic workup to identify underlying cardiac pathologies.
    • Treatment should be individualized based on the specific etiology and clinical presentation.
    • Early and appropriate management is vital for improving prognosis in children with atrial fibrillation.

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