Key result
Cardiac arrhythmias and conduction disturbances were detected in 10% of children with hearing impairments, with no cases of hereditary long QT syndrome identified.
Observational (n=100)
Preoperative ECG screening in children with hearing impairments reveals a 10% prevalence of cardiac arrhythmias, which is important for anesthetic management and preventing sudden cardiac death.
May warrant ECG consideration perioperatively in children with hearing impairment; leaves open the value of routine screening.
The aim of the study was to identify cardiac arrhythmias in children presenting with hearing impairments. Hearing loss in the children can occur concurrently with the disturbances of the cardiac rhythms. The detection of this pathology at the diagnostic stage is as important as it is at the stage of rehabilitation including surgical one. PATIENTS AND METHODS: A retrospective analysis of 100 patients (55 boys and 45 girls of the mean age of 4.8 years) operated in 2013 was made. RESULTS: Cardiac arrhythmias and conduction were recorded on the electrocardiograms obtained from 10 patients (4 boys and 6 girls) of the 100 examined ones, which amounted to 10%. The hereditary long QT syndrome (including Jervell-Lange-Nielsen syndrome) has not been identified. CONCLUSION: The timely diagnostics of congenital arrhythmias in the children with hearing impairment makes it possible to significantly reduce the risk of the sudden cardiac death (for example, in the patients presenting with the Jervell-Lange-Nielsen syndrome) and facilitates the choice of the anesthesiological support for the surgical treatment (including cochlear implantation) taking into consideration possible cardiac rhythm disturbances.
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Tsygankova et al. (2016) conducted an observational in Hearing impairments (n=100). Hearing impairment was evaluated on Cardiac arrhythmias and conduction disturbances. Cardiac arrhythmias and conduction disturbances were detected in 10% of children with hearing impairments, with no cases of hereditary long QT syndrome identified.
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