Permanent cardiac pacing in a 2.5 month-old infant with severe cyanotic breath-holding spells and prolonged asystole
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چکیده
منابع مشابه
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.
متن کاملBreath-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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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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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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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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ژورنال
عنوان ژورنال: Cardiology Journal
سال: 2011
ISSN: 1897-5593
DOI: 10.5603/cj.2011.0040