Qt dispersion in children with ventricular arrhythmia and a structurally normal heart.

In adults, increased QT dispersion has been shown to predict arrhythmic risk as well as risk of sudden death in several clinical settings. It is not known whether or not QT dispersion is increased in children with idiopathic ventricular arrhythmia. We studied three groups of children: (1) 20 patient...

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Publicado en:Pacing & Clinical Electrophysiology Vol. 22; no. 2; pp. 335 - 339
Autores principales: Waller BR 3rd, Balaji S, Ye X, Gillette PC
Formato: research Journal Article
Publicado: Wiley-Blackwell Feb1999
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb1999
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Qt dispersion in children with ventricular arrhythmia and a structurally normal heart.
      aug:
        au:
          Waller BR 3rd
          Balaji S
          Ye X
          Gillette PC
      sug:
        subj:
          Electrocardiography
          Premature Ventricular Contractions Diagnosis
          Tachycardia, Ventricular Diagnosis
          Case Control Studies
          Child
          Female
          Male
          Premature Ventricular Contractions Epidemiology
          Risk Factors
          Tachycardia, Ventricular Epidemiology
          Human
          Child: 6-12 years
          Female
          Male
      ab: In adults, increased QT dispersion has been shown to predict arrhythmic risk as well as risk of sudden death in several clinical settings. It is not known whether or not QT dispersion is increased in children with idiopathic ventricular arrhythmia. We studied three groups of children: (1) 20 patients with idiopathic VT (aged 3-18 years; mean 11.2 years); (2) 30 patients with benign PVCs (aged 1-20 years; mean 10.5 years); and (3) 30 control subjects (aged 4-17 years; mean 12 years). Standard ECGs were reviewed and the dispersion of both QT and JT intervals was compared. No patient bad structural heart disease or long QT syndrome. The QT and QTc dispersion (QT[Delta], QTc[Delta]) among the three groups did not differ: QTc[Delta] of the VT group was 70 ms ± 30 ms, QTc[Delta] of PVC patients was 60 ms ± 30 ms, and the QTc[Delta] of the control group was 65 ms ± 30 ms. The JTc[Delta] among the three groups did not differ as well; JTc[Delta] of the VT group was 70 ms ± 30 ms, the JTc[Delta] of the PVC group was 60 msec ± 25 msec, and the JTc[Delta] of the control group was 70 ms ± 30 ms. We conclude that QT and JT dispersion are not significantly altered in children with idiopathic VT or benign PVCs when compared to control subjects. QT dispersion is not a reliable marker for arrhythmic risk in children with idiopathic ventricular arrhythmias and structurally normal hearts.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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