新生儿及小儿心律失常：临床与心电图方面

Neonatal and Pediatric Arrhythmias: Clinical and Electrocardiographic Aspects.

作者信息

Drago Fabrizio, Battipaglia Irma, Di Mambro Corrado

机构信息

Paediatric Cardiology and Cardiac Arrhythmias Unit, Department of Paediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital and Research Institute, Piazza Sant'Onofrio 4, Rome 00165, Italy.

出版信息

Card Electrophysiol Clin. 2018 Jun;10(2):397-412. doi: 10.1016/j.ccep.2018.02.008.

DOI:10.1016/j.ccep.2018.02.008

PMID:29784491

Abstract

Arrhythmias have acquired a specific identity in pediatric cardiology, but for pediatric cardiologists it has always been difficult to recognize and treat them. Changes in anatomy and physiology result in electrocardiogram features that differ from the normal adult pattern and vary according to the age of the child. Sinus arrhythmia, ectopic atrial rhythm, "wandering pacemaker," and junctional rhythm can be normal characteristics in children (15%-25% of healthy children can have these rhythms on the electrocardiogram). Tachyarrhythmias and bradyarrhythmias must be treated according to the severity of symptoms, and the patient's age and weight.

摘要

心律失常在小儿心脏病学中已具有特定的特征，但对于小儿心脏病专家来说，识别和治疗它们一直都很困难。解剖结构和生理功能的变化导致心电图特征不同于正常成人模式，并随儿童年龄而变化。窦性心律失常、异位房性心律、“游走心律”和交界性心律在儿童中可能是正常特征（15%-25%的健康儿童心电图上可能出现这些心律）。快速性心律失常和缓慢性心律失常必须根据症状的严重程度、患者的年龄和体重进行治疗。