Journal of Health and Medical Sciences

ISSN 2622-7258

Published: 10 February 2021

Review of Arrhythmias in Children with Congenital Heart Disease in Albaha Area, Saudi Arabia

Abdulmajid Almawazini, Sinan Alnashi, Ali Alsharkawy, Sami Ahmed Taha, Abdullah Ismail Saeed Alghamdi, Omair Mohammed Saad Alghamdi, Ahmed Ibrahim Ahmed Alzahrani, Abdulmalik Ahmed Abdullah Alghamdi, Hazem Almawazini, Mohammad Almawazini, Khalid Mohammad Shumrani

King Fahad Hospital Albaha (KSA), Cairo University (Egypt), Bradford University (UK), Albaha University (KSA)

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10.31014/aior.1994.04.01.151

Pages: 18-22

Keywords: Children, Congenital Heart Disease, Arrhythmia

Abstract

Background: Arrhythmias are common in children with congenital heart disease (CHD) and contribute to morbidity and mortality. The prevalence, type, and presentation vary depending age and other factors. Objectives: This study aimed to determine the prevalence of arrhythmias and associated factors in children with CHD in King Fahad Hospital, Al Baha, Saudi Arabia. Methods: This was a hospital-based retrospective cross-sectional study conducted from January 2010 to December 2020. In total, 185 patients, aged 1 day to 14 years, were included. Children with arrhythmias and CHD were included, while those without CHD were excluded. Data were analyzed using SPSS version 16.0. Results: Arrhythmias were confirmed in 46 patients (24.86%), while 139 patients (75.14%) had no electrocardiographic abnormalities, 95 % CI (14.12–21.22). Among the arrhythmias, we found that first-degree atrio-ventricular block was the most common and reported in 30 patients (16.21%); atrial tachyarrhythmias in 5 patients (2.7 %); premature ventricular contractions in 4 patients (2.16%); premature atrial contractions in 3 patients (1.62%); sinus bradycardia in 2 patients (1.1%); complete heart block in 1 patient and a prolonged QT interval with severe hypokalemia, ((0.54%) for each. Conclusion: Arrhythmias are common in children with CHD, and early diagnosis and regular follow-up have significant benefits in management. Cardiac surgery, heart failure, digoxin, and electrolyte disturbances were confirmed as risk factors.
Article

References

  1. Ronald Wells M.D. Paul Khairy MD. Christian Anderson MD. Louise Hassis M.D. Seshadri Balaji M.B.B.S., M.R.C.P. (U.K.), Ph.D.Dofetilide for Atrial Arrhythmias in Congenital Heart Disease: A Multicenter Study. First published: 25 September 2009. https://doi.org/10.1111/j.1540-8159.2009.02479.

  2. Reena M Ghosh, Gregory J Gates, Christine A Walsh, Myles S Schiller, Robert H Pass, Scott R Ceresnak, DOI: 10.1007/s00246-014-1053-9 The prevalence of arrhythmias, predictors for arrhythmias, and safety of exercise stress testing in children, Pediatr Cardiol. 2015 Mar;36(3):584-90. doi: 10.1007/s00246-014-1053-9. Epub 2014 Nov 11.

  3. Antonio Herna´ndez-Madrid, Thomas Pau, Dominic Abrams, Peter F. Aziz4, Nico A. Blom, Jian Chen, Massimo Chessa, Nicolas Combes, Nikolaos Dagres, Gerhard Diller, Sabine Ernst, Alessandro Giamberti, Joachim Hebe, Jan Janousek, Thomas Kriebel, Jose Moltedo, Javier Moreno, Rafael Peinado,Laur ent Pison, Eric Rosenthal, Jonathan R. Skinner, and Katja Zeppenfeld. Arrhythmias in congenital heart disease: a position paper of the European Heart Rhythm Association (EHRA), Association for European Paediatric and Congenital Cardiology (AEPC), and the European Society of cardiology (ESC) Working Group on Grown-up Congenital heart disease, endorsed by HRS, PACES, APHRS, and SOLAECE. Europace (2018) 0, 1–35. doi:10.1093/europace/eux380. Published on behalf of the European Society of Cardiology, on 21 March 2018.

  4. Arsha Karbassi, Krishnakumar Nair, Louise Harris, Rachel M Wald , S Lucy Roche. DOI: 10.4330/wjc.v9.i6.496, Atrial tachyarrhythmia in adult congenital heart disease. World J Cardiol. 2017 Jun 26;9(6):496-507. doi: 10.4330/wjc.v9.i6.496.

  5. Cheng S, Keyes MJ, Larson MG, McCabe EL, Newton-Cheh C, Levy D, Benjamin EJ, Vasan RS, Wang TJ. Long-term outcomes in individuals with prolonged PR interval or first-degree atrioventricular block. Jama. 2009;301(24):2571–7.

  6. Schlechte EA, Boramanand N, Funk M. Supraventricular tachycardia in the pediatric primary care setting: Age-related presentation, diagnosis, and management. J Pediatr Health Care. 2008;22(5):289–99.

  7. World Health Organization: Haemoglobin concentrations for the diagnosis of anaemia and assessment of severity. Vitamin and Mineral Nutrition Information System. Geneva 2011.

  8. Charlotte A Houck, Stephanie F Chandler, Ad J J C Bogers, John K Triedman, Edward P Walsh, Natasja M S de Groot 1, Dominic J Abrams. Arrhythmia Mechanisms and Outcomes of Ablation in Pediatric Patients with Congenital Heart Disease. Circ Arrhythm Electrophysio. https://pubmed.ncbi.nlm.nih.gov/31722541/. Epub 2019 Nov;12(11): e007663.  doi: 10.1161/CIRCEP. 119.007663.

  9. Anthony Batte, Peter Lwabi, Sulaiman Lubega, Sarah Kiguli, Violette Nabatte , Charles Karamagi. Prevalence of arrhythmias among children below 15 years of age with congenital heart diseases attending Mulago National Referral Hospital, Uganda. BMC Cardiovasc Disord. 2016 Apr 13; 16:67. doi: 10.1186/s12872-016-0243-1.

  10. Tabitha G Moe, Victor A Abrich, Edward K Rhee. Atrial Fibrillation in Patients with Congenital Heart Disease. J Atr Fibrillation Pubmed ecollection, 2017 Jun 30; 10(1):1612.  Doi: 10.4022/jafib, 1612. e collection Jun-Jul 2017.

  11. Tarek Ahmed Abdel Gawad, Waleed Mohamed Elguindy, Omneya Ibrahim Youssef, Tamer Ashraf Abosalem. The Prevalence and Risk Factors of Early Arrhythmias Following Pediatric Open Heart Surgery in Egyptian Children, Open Access Maced J Med Sci.2017 Dec 5;5(7):940-944.  doi: 10.3889/oamjms.2017.177. eCollection 2017 Dec 15.

  12. Lars Grosse-Wortmann, Suzanna Kreitz, Ralph G Grabitz, Jaime F Vazquez-Jimenez, Bruno J Messmer, Goetz von Bernuth, Marie-Christine Seghaye. Prevalence of and risk factors for perioperative arrhythmias in neonates and children after cardiopulmonary bypass: continuous holter monitoring before and for three days after surgery. J Cardiothorac Surg. 2010 Oct 18;5:85.  doi: 10.1186/1749-8090-5-85.

  13. Sahu MK, Das A, Siddharth B, Talwar S, Singh SP, Abraham A, Choudhury A.Arrhythmias in Children in Early Postoperative Period After Cardiac Surgery. World J Pediatr Congenit Heart Surg. 2018 Jan;9(1):38-46. doi: 10.1177/2150135117737687.

  14. Grosse-Wortmann L, Kreitz S, Grabitz RG, Vazquez-Jimenez JF, Messmer BJ, von Bernuth G, Seghaye M-C. Prevalence of and risk factors for perioperative arrhythmias in neonates and children after cardiopulmonary bypass: continuous holter monitoring before and for three days after surgery. J Cardiothoracic Surg. 2010; 5(1):85.

  15. Mocumbi AO, Lameira E, Yaksh A, Paul L, Ferreira MB, Sidi D. Challenges on the management of congenital heart disease in developing countries. Int J Cardiol. 2011; 148(3):285–8.

  16. Jon Wiley and Sons INC publication; Leslie Kish, University of Michigan; Wiley classics library edition published 2004; Statistical design for research; N=t2PQ/D2.

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