Pediatric Arrhythmia Management in Congenital Heart Disease (CHD): A ۲۰-Year Epidemiologic Study and Therapeutic Insights at Imam-Reza Hospital (۲۰۰۱-۲۰۲۰)

Background: Arrhythmia in children with congenital heart disease (CHD) can be due to abnormal anatomy, genetic mutations, hemodynamic abnormalities, primary myocardial disease, hypoxic tissue damage, or postoperative complications.Objectives: This study aimed to investigate the epidemiological findings of children with various arrhythmias and their treatment outcomes.Methods: The study was cross-sectional. The data were derived from ۷۶۲ patients with arrhythmias, including tachyarrhythmias, bradyarrhythmias, and premature beats. The patient's demographic and clinical information, as well as their electrocardiogram (ECG), Holter monitor, echocardiography, and electrophysiology results, were collected and analyzed using SPSS software.Results: The study found that ۴۴.۶% of the patients were female and ۵۵.۴% were male. The mean age of patients with tachyarrhythmias was ۵.۹ years, while those with bradyarrhythmias were ۱۰ years old, and those with premature beats were ۶.۵ years old. The most common symptoms were palpitations, murmur, and slow pulse. The most common arrhythmias were supraventricular tachycardia (SVT) and premature atrial contractions (PACs).Conclusion: The study revealed that cardiac abnormalities, including septal defects and valve abnormalities, were prevalent in patients with arrhythmias. Cardiomyopathy was associated with a higher risk of mortality. The study's findings emphasize the importance of paying attention to the presence of accompanying anomalies, palpitations, abnormal heart sounds, or bradycardia during the examination, as these are associated with an increased risk of mortality.

کلیدواژه ها:

Cardiac Arrhythmia ، Congenital Heart Disease ، Electrocardiography ، Tachycardia ، Bradycardia