Neonatal arrhythmias: diagnosis, treatment, and clinical outcome

Arrhythmias in the neonatal period are not uncommon, and may occur in neonates with a normal heart or in those with structural heart disease. Neonatal arrhythmias are classified as either benign or nonbenign. Benign arrhythmias include sinus arrhythmia, premature atrial contraction, premature ventri...

Full description

Bibliographic Details
Main Author: Ji-Eun Ban
Format: Article
Language:English
Published: Korean Pediatric Society 2017-11-01
Series:Korean Journal of Pediatrics
Subjects:
Online Access:http://kjp.or.kr/upload/pdf/kjped-60-344.pdf
_version_ 1819139942657294336
author Ji-Eun Ban
author_facet Ji-Eun Ban
author_sort Ji-Eun Ban
collection DOAJ
description Arrhythmias in the neonatal period are not uncommon, and may occur in neonates with a normal heart or in those with structural heart disease. Neonatal arrhythmias are classified as either benign or nonbenign. Benign arrhythmias include sinus arrhythmia, premature atrial contraction, premature ventricular contraction, and junctional rhythm; these arrhythmias have no clinical significance and do not need therapy. Supraventricular tachycardia, ventricular tachycardia, atrioventricular conduction abnormalities, and genetic arrhythmia such as congenital long-QT syndrome are classified as nonbenign arrhythmias. Although most neonatal arrhythmias are asymptomatic and rarely life-threatening, the prognosis depends on the early recognition and proper management of the condition in some serious cases. Precise diagnosis with risk stratification of patients with nonbenign neonatal arrhythmia is needed to reduce morbidity and mortality. In this article, I review the current understanding of the common clinical presentation, etiology, natural history, and management of neonatal arrhythmias in the absence of an underlying congenital heart disease.
first_indexed 2024-12-22T11:30:41Z
format Article
id doaj.art-ace23e5a6fbc41219d41f29c5fe9ec9b
institution Directory Open Access Journal
issn 1738-1061
2092-7258
language English
last_indexed 2024-12-22T11:30:41Z
publishDate 2017-11-01
publisher Korean Pediatric Society
record_format Article
series Korean Journal of Pediatrics
spelling doaj.art-ace23e5a6fbc41219d41f29c5fe9ec9b2022-12-21T18:27:37ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582017-11-01601134435210.3345/kjp.2017.60.11.34420125550682Neonatal arrhythmias: diagnosis, treatment, and clinical outcomeJi-Eun Ban0Division of Cardiology, Department of Pediatrics, School of Medicine, Ewha Womans University, Seoul, Korea.Arrhythmias in the neonatal period are not uncommon, and may occur in neonates with a normal heart or in those with structural heart disease. Neonatal arrhythmias are classified as either benign or nonbenign. Benign arrhythmias include sinus arrhythmia, premature atrial contraction, premature ventricular contraction, and junctional rhythm; these arrhythmias have no clinical significance and do not need therapy. Supraventricular tachycardia, ventricular tachycardia, atrioventricular conduction abnormalities, and genetic arrhythmia such as congenital long-QT syndrome are classified as nonbenign arrhythmias. Although most neonatal arrhythmias are asymptomatic and rarely life-threatening, the prognosis depends on the early recognition and proper management of the condition in some serious cases. Precise diagnosis with risk stratification of patients with nonbenign neonatal arrhythmia is needed to reduce morbidity and mortality. In this article, I review the current understanding of the common clinical presentation, etiology, natural history, and management of neonatal arrhythmias in the absence of an underlying congenital heart disease.http://kjp.or.kr/upload/pdf/kjped-60-344.pdfArrhythmiasNeonate
spellingShingle Ji-Eun Ban
Neonatal arrhythmias: diagnosis, treatment, and clinical outcome
Korean Journal of Pediatrics
Arrhythmias
Neonate
title Neonatal arrhythmias: diagnosis, treatment, and clinical outcome
title_full Neonatal arrhythmias: diagnosis, treatment, and clinical outcome
title_fullStr Neonatal arrhythmias: diagnosis, treatment, and clinical outcome
title_full_unstemmed Neonatal arrhythmias: diagnosis, treatment, and clinical outcome
title_short Neonatal arrhythmias: diagnosis, treatment, and clinical outcome
title_sort neonatal arrhythmias diagnosis treatment and clinical outcome
topic Arrhythmias
Neonate
url http://kjp.or.kr/upload/pdf/kjped-60-344.pdf
work_keys_str_mv AT jieunban neonatalarrhythmiasdiagnosistreatmentandclinicaloutcome