A pacemaker for asystole in breath-holding spells

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Breath-holding spells in infants.

QUESTION I have children in my clinic who experience seizurelike episodes in which they cry and hold their breath to the point of cyanosis and loss of consciousness. Their examination or investigation findings are normal and referral to a pediatric specialist results in no further investigation. Are breath-holding spells common, and what type of investigation is needed? ANSWER A breath-holdin...

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Increased QT dispersion in breath-holding spells.

AIM Breath-holding spells are common in infancy and early childhood, and patients are frequently referred to paediatric cardiology clinics for exclusion of heart disease. Recent data reveal subsequent development of epilepsy and neurocardiogenic syncope. Autonomic dysregulation and increased vagal stimulation leading to cardiac arrest and cerebral ischaemia is considered as the cause. Iron defi...

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Novel Findings in Breath-Holding Spells

The mechanism of breath-holding spells (BHS) is not fully understood and most probably multifactorial; so, this study was designed to clarify the pathophysiology of BHS through assessing some laboratory parameters and electrocardiographic (ECG) changes which might be contributing to the occurrence of the attacks. Another aim of the study was to evaluate the differences in the pathophysiology be...

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Recurrent breath holding spells with infantile colic.

Breath holding spells are stereotypical episodes of brief, involuntary cessations of breathing with cyanosis and hypoxia that may occur in children in response to stimuli such as anger, frustration, fear, or injury. Typically, they occur between 9 months to 3 years with a peak incidence at about 2 years(1). As the child matures and his understanding develops, these episodes decrease in frequenc...

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Pallid Breath-Holding Spells With Glycopyrrolate

Breath-holding spells are a common childhood disorder that typically present before 12 months of age. Whereas most cases are benign, some patients have very severe cases associated with bradycardia that can progress from asystole to syncope and seizures. Treatment studies have implicated the use of several therapies, such as oral iron, fluoxetine, and pacemaker implantation. This is a retrospec...

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ژورنال

عنوان ژورنال: Paediatrics & Child Health

سال: 2002

ISSN: 1205-7088,1918-1485

DOI: 10.1093/pch/7.4.251