Prevalence of Arrhythmic Events in Paediatric Patients with Congenital Heart Disease-A Retrospective Study
Introduction: Various types of arrhythmias occur in patients with Congenital Heart Disease (CHD) and are the leading cause of morbidity and mortality. Knowledge regarding arrhythmias in CHD is important for safe and effective management of arrhythmia and in reduction of sudden cardiac deaths. Aim:...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2022-06-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/16444/53670_CE_[Nik]_F(KR)_PF1(AG_SS)_PN_(KM).pdf |
| _version_ | 1797924653164920832 |
|---|---|
| author | Asish Banerjee Meenakshi Mitra |
| author_facet | Asish Banerjee Meenakshi Mitra |
| author_sort | Asish Banerjee |
| collection | DOAJ |
| description | Introduction: Various types of arrhythmias occur in patients with Congenital Heart Disease (CHD) and are the leading cause of morbidity and mortality. Knowledge regarding arrhythmias in CHD is important for safe and effective management of arrhythmia and in reduction of sudden cardiac deaths.
Aim: To assess the profile of various arrhythmic events in children with CHD.
Materials and Methods: A retrospective study was conducted from January 2018 to December 2020. Data were collected from the Department of Paediatrics of a tertiary care hospital in Durgapur, West Bengal, India. A total of 232 children of the age group 0-18 years, diagnosed with CHD were included in this study. Children who underwent cardiac intervention were excluded from the study. Age, sex, age at diagnosis, nature of CHD, clinical findings, Electrocardiogram (ECG) findings were recorded. Data analysis was performed using Fisher’s-Exact test on Statistical Package for the Social Sciences (SPSS), version 27.0. A p-value <0.05 was considered as statistically significant.
Results: A 20.3% children of 0-18 years of age with CHD had conduction abnormalities. Statistically significant association was found between atrial septal defect with Atrial Fibrillation (AF) (p-value <0.001) and atrial flutter (p-value=0.008), Ventricular Septal Defect (VSD) with Premature Ventricular Contractions (PVC) (p-value=0.0001), Atrioventricular (AV) canal defect with first degree AV block with (p-value=0.0004), Tetralogy Of Fallot (TOF) with Ventricular Tachycardia (VT) (p-value=0.021), L-Transposition of Great Vessels (L-TGA) with complete AV block (p-value=0.012), Ebstein’s anomaly with Supraventricular Tachycardia (SVT) (p-value <0.001).
Conclusion: Specific conduction abnormalities are significantly associated with specific CHD. These results demand attention for effective management of arrhythmia and reduction of sudden cardiac death in children with CHD. |
| first_indexed | 2024-04-10T15:04:16Z |
| format | Article |
| id | doaj.art-80b2cec2b7d14e158c8d6939ecbe46ff |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-10T15:04:16Z |
| publishDate | 2022-06-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-80b2cec2b7d14e158c8d6939ecbe46ff2023-02-15T05:35:16ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-06-01166SC06SC0910.7860/JCDR/2022/53670.16444Prevalence of Arrhythmic Events in Paediatric Patients with Congenital Heart Disease-A Retrospective StudyAsish Banerjee0Meenakshi Mitra1Associate Professor, Department of Paediatrics, IQ City Medical College, Durgapur, West Bengal, India.Assistant Professor, Department of Paediatrics, IQ City Medical College, Durgapur, West Bengal, India.Introduction: Various types of arrhythmias occur in patients with Congenital Heart Disease (CHD) and are the leading cause of morbidity and mortality. Knowledge regarding arrhythmias in CHD is important for safe and effective management of arrhythmia and in reduction of sudden cardiac deaths. Aim: To assess the profile of various arrhythmic events in children with CHD. Materials and Methods: A retrospective study was conducted from January 2018 to December 2020. Data were collected from the Department of Paediatrics of a tertiary care hospital in Durgapur, West Bengal, India. A total of 232 children of the age group 0-18 years, diagnosed with CHD were included in this study. Children who underwent cardiac intervention were excluded from the study. Age, sex, age at diagnosis, nature of CHD, clinical findings, Electrocardiogram (ECG) findings were recorded. Data analysis was performed using Fisher’s-Exact test on Statistical Package for the Social Sciences (SPSS), version 27.0. A p-value <0.05 was considered as statistically significant. Results: A 20.3% children of 0-18 years of age with CHD had conduction abnormalities. Statistically significant association was found between atrial septal defect with Atrial Fibrillation (AF) (p-value <0.001) and atrial flutter (p-value=0.008), Ventricular Septal Defect (VSD) with Premature Ventricular Contractions (PVC) (p-value=0.0001), Atrioventricular (AV) canal defect with first degree AV block with (p-value=0.0004), Tetralogy Of Fallot (TOF) with Ventricular Tachycardia (VT) (p-value=0.021), L-Transposition of Great Vessels (L-TGA) with complete AV block (p-value=0.012), Ebstein’s anomaly with Supraventricular Tachycardia (SVT) (p-value <0.001). Conclusion: Specific conduction abnormalities are significantly associated with specific CHD. These results demand attention for effective management of arrhythmia and reduction of sudden cardiac death in children with CHD.https://www.jcdr.net/articles/PDF/16444/53670_CE_[Nik]_F(KR)_PF1(AG_SS)_PN_(KM).pdfconduction abnormalitiescongenital cardiac defectsudden cardiac death |
| spellingShingle | Asish Banerjee Meenakshi Mitra Prevalence of Arrhythmic Events in Paediatric Patients with Congenital Heart Disease-A Retrospective Study Journal of Clinical and Diagnostic Research conduction abnormalities congenital cardiac defect sudden cardiac death |
| title | Prevalence of Arrhythmic Events in Paediatric Patients with Congenital Heart Disease-A Retrospective Study |
| title_full | Prevalence of Arrhythmic Events in Paediatric Patients with Congenital Heart Disease-A Retrospective Study |
| title_fullStr | Prevalence of Arrhythmic Events in Paediatric Patients with Congenital Heart Disease-A Retrospective Study |
| title_full_unstemmed | Prevalence of Arrhythmic Events in Paediatric Patients with Congenital Heart Disease-A Retrospective Study |
| title_short | Prevalence of Arrhythmic Events in Paediatric Patients with Congenital Heart Disease-A Retrospective Study |
| title_sort | prevalence of arrhythmic events in paediatric patients with congenital heart disease a retrospective study |
| topic | conduction abnormalities congenital cardiac defect sudden cardiac death |
| url | https://www.jcdr.net/articles/PDF/16444/53670_CE_[Nik]_F(KR)_PF1(AG_SS)_PN_(KM).pdf |
| work_keys_str_mv | AT asishbanerjee prevalenceofarrhythmiceventsinpaediatricpatientswithcongenitalheartdiseasearetrospectivestudy AT meenakshimitra prevalenceofarrhythmiceventsinpaediatricpatientswithcongenitalheartdiseasearetrospectivestudy |