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Arrhythmia in Babies and Children PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Arrhythmia in babies and children".

This medical PowerPoint presentation talks about Arrhythmia in babies and children.

Arrhythmia refers to an abnormal heart rhythm or heartbeat. In babies and children, arrhythmia can occur due to a variety of reasons, including structural heart defects, electrolyte imbalances, infections, and inherited genetic conditions.

Treatment for arrhythmia in babies and children depends on the underlying cause of the condition. Treatment options may include medication, surgery, or implantable devices such as pacemakers or defibrillators. It is important to consult with a pediatric cardiologist for diagnosis and management of arrhythmia in babies and children.

Tags : Arrhythmia in babies and children, Supraventricular Tachycardia, Ventricular Tachycardia, Atrial Fibrillation, Bradycardia, cardiology

Published on : Mar 17, 2023 | Views : 2139 | Downloads : 0

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Slide 1-

Arrhythmia in babies and children
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Bradycardia in infancy Mostly related to complete 3rd degree heart block Mum may have history of Lupus Anti-La or anti-Ro antibodies Incidence: 1:15000-20000 Picked up in antenatal (hydrops) or postnatal period (CCF or well with low heart rate) Heart rate: <70 Regular or Irregular Temporary Pacemaker: HR <45, Pauses: >3 sec Almost always need permanent pacemaker in the long run
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Electrical Heart DiseasesTachyarrhythmia 0-5 years Serious Non- Specific Symptoms Maternal History 5- 10 years Significant Specific Symptoms Maternal and Patient History 10-16 years Significant and Interesting Specific Symptoms Patient History History is the Key
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Supraventricular tachycardia
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Case of J H 5 ½ year old boy Increased appetite  Obesity Temperamental, Arguments Lack of concentration, Hyperactivity Snoring, Nightmares Dietary history confirmed food intake Past history unremarkable No F/H obesity
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Case of J H Wt: 34.9 kg Ht: 121cm BMI - 24 BP: 107/70 mg of Hg Almond shaped eyes Flat nasal bridge Hyper-mobile joints Apprehensive & Anxious
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Hyperphagia, Obesity, ?Genetic obesity Investigations for Obesity Dietary referral Sleep pulse oximetry Review 3 months
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Something bothered me Was he a bit tachycardic?
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Case of J H Pulse: 100/min BP: 107/70 mm of Hg O2 saturation: 99% Rest of the examination normal No signs of cardiac failure
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ECG
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ECHO
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Royal Brompton Hospital Paediatric Cardiology Supraventricular Tachycardia   Cardiomyopathy
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Is something worrying you!Act on it
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WPW Syndrome 1930: Wolf,Parkinson,White Characteristic ECG: Short PR interval Delta wave: Slow upstroke QRS 1944: Accessory pathway Common Pathway: Bundle of Kent Incidence: 0.15 to 0.35% First Degree relatives affected: 0.55%
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WPW Syndrome
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Arrhythmias
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Supraventricular tachycardia Commonest tachyarrhythmia in childhood Majority has a structurally normal heart Short lived SVTs are not life threatening Baseline ECG: May reveal predisposing features 24 hour ECG Event recorder
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SVT in children Common Arrhythmia in children Can be asymptomatic Adenosine mainstay for acute attacks Chronic SVTs can lead to poor LV function
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SVT Diagnosis&Treatment My experience SHO: 2 cases newborn from postnatal ward Asymptomatic Ice packs on the face, Digoxin SHO: 8 week old baby: Pale, poor feeding Dipping the face in ice water Baptism treatment for SVT
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SVT Diagnosis & Treatment My experience Registrar: Adenosine Drug shock! Cardiology registrar: AdenosineDigoxin Flecanide Post Cardiac Op: DC Conversion No experience with AF
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SVTLong term treatment No treatment Vagal manoeuvres Drugs Beta Blockade: Propranolol, Atenolol Flecanide, Amiodarone Radiofrequency Catheter Ablation