Journal of Health and Medical Sciences
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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Keywords: Children, Congenital Heart Disease, Arrhythmia
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.
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