Benign Arrhythmias in Infants and Children

소아에서 치료가 필요 없는 부정맥

  • Ko, Jae Kon (Division of Pediatric Cardiolgy, Asan Medical Center, University of Ulsan College of Medicine)
  • 고재곤 (울산대학교 의과대학 서울아산병원 소아심장과)
  • Received : 2004.12.17
  • Accepted : 2004.12.21
  • Published : 2005.01.15

Abstract

Pediatricians often encounter some electrocardiographic abnormalities in infants and children. However, treatment or referral to pediatric cardiologist is not indicated for all arrhythmias. Many of them are benign in nature. Benign arrhythmias can be defined as the arrhythmias that no serious problem currently exists and no treatment is needed. The prognosis of benign arrhythmias is so good that the condition will never be associated with future health problem. However, some of them are benign now, but have potential for variable degrees of change to a nonbenign condition and some form of follow-up is required. For the appropriate management of electrocardiographic abnormalities, not infrequently seen in infants and children, correct diagnosis of abnormal electrocardiogram and understanding of characteristics of arrhythmias are required.

References

  1. Southall DP, Richards J, Mitchell P, Brown DJ, Johnston PG, Shinebourne EA. Study of cardiac rhythm in healhy newborn infants. Br Heart J 1980;43:14-20 https://doi.org/10.1136/hrt.43.1.14
  2. Southall DP, Johnston F, Shinebourne EA, Johnston PG. 24-hour electrocardiographic study of heart rate and rhythm patterns in population of healthy children. Br Heart J 1981;45:281-91 https://doi.org/10.1136/hrt.45.1.1
  3. Scott O, Williams GJ, Fiddler GI, Ohsuga A, Kaneko T, Yazaki T, et al. Results of 24 hour ambulatory monitoring electrocradiogram in 131 healthy boys aged 10 to 13 years. Br Heart J 1980;44:304-8 https://doi.org/10.1136/hrt.44.1.1
  4. Dickinson DF, Scott O. Ambulatory electrocardiographic monitoring in 100 healthy teenage boys. Br Heart J 1984; 51:179-83 https://doi.org/10.1136/hrt.51.2.179
  5. Nagashima M, Matsushima M, Ogawa A, et al. Cardiac arrhythmias in healthy children revealed by 24-hour ambulatory ECG monitoring. Pediatr Cardiol 1987;8:103-8 https://doi.org/10.1007/BF02079464
  6. Gillette PC, Rose AP. Prdiatric cardiac dysrhythmias. New York NY : Grune and Stratton : 1981:145-51
  7. Gaum WE, Biancaniello T, Kaplan S. Accelerated ventricular rhythm in childhood. Am J Cardiol 1979;43:162-4 https://doi.org/10.1016/0002-9149(79)90059-6
  8. Bisset GS III, Janos GG, Gaum WE. Accelerated ventricular rhythm in the newborn infant. J Pediatr 1984;104:247-9 https://doi.org/10.1016/S0022-3476(84)81004-5
  9. Van Hare GF, Stanger P. Ventricular tachycardia and accelerated ventricular rhythm presenting in the first month of life. Am J Cardiol 1991;67:42-5 https://doi.org/10.1016/0002-9149(91)90089-4
  10. McLellan-Tobert SG, Porter Co-burn J. Accelerated idoventricular rhythm : A benign arrhythmia in childhood. Pediatrics 1995;96:122-5
  11. Zipes DP, Fisch C. Accelerated ventricular rhythm. Arch Intern Med 1972;129:650-2 https://doi.org/10.1001/archinte.129.4.650
  12. Attina DA, Mori F, Falorni PL, Musante R, Cupelli V. Long-term follow-up in children without heart disease with ventricular premature beats. Eur Heart J 1987;8:21-3
  13. Ross BD. Pediatric arrhythmias, electrophysiology and pacing. Philadelphia : WB Saunders Co; 1990:301-5
  14. Kugler JD. Current concepts in diagnosis and management of arrhythmias in infants and children. Armonk NY : Futura publishing Co., Inc., 1998;65-87