Improved quality of life after treatment of prolonged asystole during breath holding spells with a cardiac pacemaker

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Permanent cardiac pacing in a 2.5 month-old infant with severe cyanotic breath-holding spells and prolonged asystole.

We report the case of a 2.5 month-old infant with cyanotic breath-holding spells, loss of consciousness and seizures. Prolonged asystole up to 70 s despite cardiopulmonary resuscitation was documented by 24 hour Holter monitoring. An epicardial pacemaker was implanted followed by no further loss of consciousness and seizures during spells in a six month follow-up period.

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Breath-holding spells associated with significant bradycardia: successful treatment with permanent pacemaker implantation.

OBJECTIVE To determine whether children with pallid breath-holding spells associated with bradycardia can be treated safely and successfully with permanent pacemaker implantation. METHODS The records of pediatric patients who had apparent breath-holding spells and associated bradycardia and were treated with permanent pacemaker implantation were reviewed. RESULTS Ten pediatric patients with...

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Successful treatment of pallid breath-holding spells with fluoxetine.

Pallid breath-holding (PBH) is a childhood condition that presents with recurrent syncope. Although typically benign, severe cases can lead to asystole and anoxic seizures. Previous studies have advocated pacemaker placement to abbreviate symptoms. This was a retrospective study of patients treated with fluoxetine for PBH spells. Clinical response, side effects and avoidance of pacemaker implan...

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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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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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ژورنال

عنوان ژورنال: Annals of Pediatric Cardiology

سال: 2015

ISSN: 0974-2069

DOI: 10.4103/0974-2069.154142