可插入式心脏监测仪在患有苍白屏气发作儿童中的应用
The Utilization of an Insertable Cardiac Monitor in a Child With Pallid Breath-Holding Spells.
作者信息
Tejman-Yarden Shai, Ben-Zeev Bruria, Goldshmit Yuval, Sarquella-Brugada Georgia, Cicurel Assi, Katz Uriel, Mishali David, Glikson Michael
机构信息
The Edmond J. Safra International Congenital Heart Center, Sheba Medical Center, Ramat Gan, Israel.
The Edmond J. Safra International Congenital Heart Center, Sheba Medical Center, Ramat Gan, Israel.
出版信息
Pediatr Neurol. 2016 Nov;64:80-82. doi: 10.1016/j.pediatrneurol.2016.06.011. Epub 2016 Jun 25.
BACKGROUND
Pacing can be a successful treatment for pallid breath-holding spells, primarily in individuals with severe bradycardia.
PATIENT DESCRIPTION
We describe an 18-month-old girl experiencing severe pallid breath-holding spells in whom repeated electrocardiographic, Holter, and electroencephalographic monitoring tests were all normal.
RESULTS
Using a subcutaneous insertable cardiac monitor, severe bradycardia was detected during one of this girl's episodes. This finding led to a pacemaker implantation. Subsequently, her breath-holding spells completely resolved.
CONCLUSION
This child illustrates the ability of the insertable cardiac monitor to help and diagnose arrhythmias in children with unresolved clinical findings. The ability to implant it with a minimal scar makes it ideal for uncooperative individuals with relative few and unexpected episodes that are hard to diagnose.
背景
起搏治疗可能是治疗苍白屏气发作的成功方法，主要适用于严重心动过缓的个体。
患者描述
我们描述了一名18个月大的女童，她经历了严重的苍白屏气发作，其重复的心电图、动态心电图和脑电图监测检查均正常。
结果
使用皮下植入式心脏监测仪，在该女童的一次发作期间检测到严重心动过缓。这一发现导致了起搏器植入。随后，她的屏气发作完全消失。
结论
该患儿说明了植入式心脏监测仪有助于诊断临床检查结果未明确的儿童心律失常。以最小的疤痕植入该监测仪的能力使其成为不合作个体的理想选择，这些个体发作次数相对较少且难以诊断。
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