CARDIAC ARRHYTHMIA AS A CAUSE OF SYNCOPE IN CHILDREN. CLINICAL OBSERVATION

The article is devoted to problem of syncope with cardiac arrhythmias in children. In pediatric patients, arrhythmogenic syncope represent the greatest threat to life and health. Arrhythmogenic syncope may be associated with weakness of sinus node, impaired atrioventricular conduction, paroxysmal ta...

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Autores principales:	T. V. Tolstikova, T. P. Marchuk, G. V. Gvak
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2017
Materias:	syncope cardiac arrhythmia children Science Q
Acceso en línea:	https://doaj.org/article/78416318abed48b5ab32d189692bbe76
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spelling	oai:doaj.org-article:78416318abed48b5ab32d189692bbe762021-11-23T06:14:37ZCARDIAC ARRHYTHMIA AS A CAUSE OF SYNCOPE IN CHILDREN. CLINICAL OBSERVATION2541-94202587-959610.12737/article_59a614fec49497.21583351https://doaj.org/article/78416318abed48b5ab32d189692bbe762017-04-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/633https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The article is devoted to problem of syncope with cardiac arrhythmias in children. In pediatric patients, arrhythmogenic syncope represent the greatest threat to life and health. Arrhythmogenic syncope may be associated with weakness of sinus node, impaired atrioventricular conduction, paroxysmal tachycardia, syndrome of Wolff - Parkinson - White, long QT syndrome, Brugad's syndrome. Arrhythmogenic syncope are divided into 2 groups - bradiarrhythmical and tahiarrhythmical. The most common cause of arrhythmogenic syncope are ventricular tachyarrhythmia. Ventricular tachyarrhythmias occur in severe organic disease of the myocardium. Ventricular tachycardia with the transition to ventricular fibrillation is often the cause of sudden cardiac death. Syncope associated with bradycardia often occur in children with complete atrioventricular block, atrioventricular block of 2nd degree (2:1, 3:1 etc.). Weakness of sinus node causes syncope much less frequently. During sharp slowing of sinus rhythm the underlying atrium sinus nodes switch on which can provide a rate of 30-40 per minute. Syncope with weakness of sinus node occurs more often with bradycardia less than 30 per minute, and the presence of asystole periods of up to 2 seconds or more. The article presents clinical case of our own observation of a child with syncope. The cause of syncope was the syndrome of sinus node weakness with rhythm pauses to 9-14 seconds. It is not always possible to register syncope during daily Holter ECG monitoring. In this case, it is impossible to identify arrhythmogenic causes of syncope.T. V. TolstikovaT. P. MarchukG. V. GvakScientific Сentre for Family Health and Human Reproduction Problemsarticlesyncopecardiac arrhythmiachildrenScienceQRUActa Biomedica Scientifica, Vol 2, Iss 2, Pp 128-131 (2017)
institution	DOAJ
collection	DOAJ
language	RU
topic	syncope cardiac arrhythmia children Science Q
spellingShingle	syncope cardiac arrhythmia children Science Q T. V. Tolstikova T. P. Marchuk G. V. Gvak CARDIAC ARRHYTHMIA AS A CAUSE OF SYNCOPE IN CHILDREN. CLINICAL OBSERVATION
description	The article is devoted to problem of syncope with cardiac arrhythmias in children. In pediatric patients, arrhythmogenic syncope represent the greatest threat to life and health. Arrhythmogenic syncope may be associated with weakness of sinus node, impaired atrioventricular conduction, paroxysmal tachycardia, syndrome of Wolff - Parkinson - White, long QT syndrome, Brugad's syndrome. Arrhythmogenic syncope are divided into 2 groups - bradiarrhythmical and tahiarrhythmical. The most common cause of arrhythmogenic syncope are ventricular tachyarrhythmia. Ventricular tachyarrhythmias occur in severe organic disease of the myocardium. Ventricular tachycardia with the transition to ventricular fibrillation is often the cause of sudden cardiac death. Syncope associated with bradycardia often occur in children with complete atrioventricular block, atrioventricular block of 2nd degree (2:1, 3:1 etc.). Weakness of sinus node causes syncope much less frequently. During sharp slowing of sinus rhythm the underlying atrium sinus nodes switch on which can provide a rate of 30-40 per minute. Syncope with weakness of sinus node occurs more often with bradycardia less than 30 per minute, and the presence of asystole periods of up to 2 seconds or more. The article presents clinical case of our own observation of a child with syncope. The cause of syncope was the syndrome of sinus node weakness with rhythm pauses to 9-14 seconds. It is not always possible to register syncope during daily Holter ECG monitoring. In this case, it is impossible to identify arrhythmogenic causes of syncope.
format	article
author	T. V. Tolstikova T. P. Marchuk G. V. Gvak
author_facet	T. V. Tolstikova T. P. Marchuk G. V. Gvak
author_sort	T. V. Tolstikova
title	CARDIAC ARRHYTHMIA AS A CAUSE OF SYNCOPE IN CHILDREN. CLINICAL OBSERVATION
title_short	CARDIAC ARRHYTHMIA AS A CAUSE OF SYNCOPE IN CHILDREN. CLINICAL OBSERVATION
title_full	CARDIAC ARRHYTHMIA AS A CAUSE OF SYNCOPE IN CHILDREN. CLINICAL OBSERVATION
title_fullStr	CARDIAC ARRHYTHMIA AS A CAUSE OF SYNCOPE IN CHILDREN. CLINICAL OBSERVATION
title_full_unstemmed	CARDIAC ARRHYTHMIA AS A CAUSE OF SYNCOPE IN CHILDREN. CLINICAL OBSERVATION
title_sort	cardiac arrhythmia as a cause of syncope in children. clinical observation
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2017
url	https://doaj.org/article/78416318abed48b5ab32d189692bbe76
work_keys_str_mv	AT tvtolstikova cardiacarrhythmiaasacauseofsyncopeinchildrenclinicalobservation AT tpmarchuk cardiacarrhythmiaasacauseofsyncopeinchildrenclinicalobservation AT gvgvak cardiacarrhythmiaasacauseofsyncopeinchildrenclinicalobservation
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CARDIAC ARRHYTHMIA AS A CAUSE OF SYNCOPE IN CHILDREN. CLINICAL OBSERVATION

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