Key result
Pediatric arrhythmias positively correlate with CHD on routine ECG evaluation.
Why the study?
Heart diseases are leading causes of mortality and congenital heart disease is the most common birth defect worldwide, prompting evaluation of arrhythmias, CHD, and their association.
What is the incidence of arrhythmias and congenital heart disease, and their association, in infants and children referred for cardiological consulting?
Cross-Sectional (n=200)
No
What is the incidence of arrhythmias and congenital heart disease, and their association, in infants and children referred for cardiological consulting?
This study demonstrates a positive correlation between arrhythmias and congenital heart disease in a pediatric cohort referred for cardiological evaluation.
Correlation in referred children supports combined evaluation; leaves open causality and need for prospective studies.
BACKGROUND: Heart diseases are the leading causes of mortality and Congenital Heart Disease (CHD) is the most common birth defect reported worldwide. OBJECTIVE: The aim of this study was to evaluate the incidence of arrhythmias and CHD and the association between the two, among infants and children reported to our center. METHODS: This cross-sectional study included infants and children who were referred to Shahid Madani Hospital, Khorramabad. Electrocardiogram (ECG) was performed in these children to determine the type of arrhythmia and records were used to obtain demographic data and the data regarding CHD. RESULTS: Of 200 children enrolled in the study, 10 children had arrhythmias, 12 had tachycardia, 5 had bradycardia, and 31 had congenital disease. Among children with arrhythmias, 1 had atrial fibrillation, 4 patients had paroxysmal supraventricular tachycardia, 1 person had right bundle branch block, 1 had ventricular tachycardia, 2 had premature ventricular contractions and 1 had junctional ectopic tachycardia. Of the 31 children with CHD, 9 patients were presented with small ventricular septal defect, 4 children had patent foramen ovale, 2 had pulmonary stenosis and 1 of the children had tetralogy of fallout, arterial and ventricular septal defects and transposition of greater arteries, respectively. CONCLUSION: We reported a positive correlation between the arrhythmias and CHD. A larger number of studies collecting focusing on different age groups are therefore required to verify our findings.
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Nezami et al. (2021) conducted a cross-sectional in Cardiac Arrhythmias and Congenital Heart Disease (n=200). Electrocardiogram (ECG) was evaluated on Incidence of arrhythmias and congenital heart disease and the association between the two. Electrocardiogram evaluation in 200 infants and children identified arrhythmias in 5% and congenital heart disease in 15.5%, demonstrating a positive correlation between the two conditions.
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