TWO YEARS EXPERIENCE OF
24-HOUR HOLTER �CECG IN CHILDHOOD
Parlar A, G��ven H, Levent E, B��y��kinan M, Ozy��rek A.R
Ege University Medical Faculty,
Department of Pediatric Cardiology, Izmir/Turkey
In recent
years, cardiac rhythm disturbances in childhood become to be frequently
encountered problem, with the increased postoperative population size.
Electrocardiyography (ECG), at rest gives an idea for only short period of
cardiac rhythm and lots of this disturbances are overlooked. In this study,
24-hour holter ECG recordings of 490 patients. In this retrospective study,
we have revised our patients with dysrhytmia and we want to emphasize the
importance of holter ECG in pediatric cardiology. Age range was between 6
days and 28 years and average was 11��5 years. Indications of
24-hour holter ECG were in order: Dysrhythmia found on ECG or cardiac
auscultation without symptom (42 %), palpitation (9 %), palpitation and
chest pain (10 %), syncope (7 %), SA and AV node dysfunction (6 %),
palpitation and dysrhythmia (5 %), control of pacemaker (4 %), control of
intracardiac defibrillator (3 %), palpitation and syncope (2 %), and long
QT syndrome (2 %). In addition, holter ECG results of 30 patients with
asymptomatic isolated false tendon were evaluated. Results of 246 of
patients (53.4 %) were found to be normal. In 214 of patients, different
spectrum of rhythm disturbances were detected. These findings in order were
ventricular dysrhytmia 112 patients (52.3 %), supraventricular dysrhytmia
45 patients (21 %), supraventricular in combination with ventricular
dysrhytmia 17 patients (9 %), complete AV block 19 patients (8.8 %), first
and second degree AV block 10 patients (4.6 %), WPW syndrome 7 patients
(3.2 %), long QT syndrome 4 patients (1.8 %).
24-hour
holter ECG is a reliable tool in diagnosis, choice of treatment and follow
up of patients with dysrhytmia.