Cargando…

Ventricular Extrasystole in Children: Single-Center Experience

OBJECTIVE: Ventricular extrasystole is one of the most common rhythm disorders in children, and almost all of them are characterized by normal cardiac functions without structural cardiac abnormalities. The aim of this study was to assess the clinical course of ventricular extrasystole in children w...

Descripción completa

Detalles Bibliográficos
Autores principales: Uysal, Fahrettin, Özalp, Şule, Genç, Abdüsselam, Akça, Tuğberk, Türkmen, Hasan, Bostan, Özlem M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Pediatrics Association 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10441151/
https://www.ncbi.nlm.nih.gov/pubmed/37357453
http://dx.doi.org/10.5152/TurkArchPediatr.2023.22313
_version_ 1785093315269492736
author Uysal, Fahrettin
Özalp, Şule
Genç, Abdüsselam
Akça, Tuğberk
Türkmen, Hasan
Bostan, Özlem M.
author_facet Uysal, Fahrettin
Özalp, Şule
Genç, Abdüsselam
Akça, Tuğberk
Türkmen, Hasan
Bostan, Özlem M.
author_sort Uysal, Fahrettin
collection PubMed
description OBJECTIVE: Ventricular extrasystole is one of the most common rhythm disorders in children, and almost all of them are characterized by normal cardiac functions without structural cardiac abnormalities. The aim of this study was to assess the clinical course of ventricular extrasystole in children who did not have cardiac structural abnormalities. MATERIALS AND METHODS: This retrospective study analyzed 24-hour rhythm Holter recordings performed in our clinic in children. Patients diagnosed with isolated ventricular extrasystole in Holter records and without structural heart disease on echocardiography were included in the evaluation. RESULTS: A total of 20 160 Holter results were evaluated in the study, and 226 patients (male; 66%) met the criteria. The mean follow-up time was 8.7 ± 3.2 years. While 81.8% of the patients were asymptomatic, the most common symptom was palpitation and 5 patients had syncope. Of the patients, 72 (31.8%) received medical therapy. Beta-blockers were the most often prescribed medication. Cardiomyopathy did not develop in any of the patients during the follow-up period. A partial reduction in the frequency of ventricular extrasystole was observed in 42% of the patients, while complete recovery was observed in 22%. CONCLUSION: Ventricular extrasystole in children generally has a good prognosis; most of them are asymptomatic, and the rates of spontaneous regression over time are quite high, regardless of the origin.
format Online
Article
Text
id pubmed-10441151
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Turkish Pediatrics Association
record_format MEDLINE/PubMed
spelling pubmed-104411512023-08-22 Ventricular Extrasystole in Children: Single-Center Experience Uysal, Fahrettin Özalp, Şule Genç, Abdüsselam Akça, Tuğberk Türkmen, Hasan Bostan, Özlem M. Turk Arch Pediatr Original Article OBJECTIVE: Ventricular extrasystole is one of the most common rhythm disorders in children, and almost all of them are characterized by normal cardiac functions without structural cardiac abnormalities. The aim of this study was to assess the clinical course of ventricular extrasystole in children who did not have cardiac structural abnormalities. MATERIALS AND METHODS: This retrospective study analyzed 24-hour rhythm Holter recordings performed in our clinic in children. Patients diagnosed with isolated ventricular extrasystole in Holter records and without structural heart disease on echocardiography were included in the evaluation. RESULTS: A total of 20 160 Holter results were evaluated in the study, and 226 patients (male; 66%) met the criteria. The mean follow-up time was 8.7 ± 3.2 years. While 81.8% of the patients were asymptomatic, the most common symptom was palpitation and 5 patients had syncope. Of the patients, 72 (31.8%) received medical therapy. Beta-blockers were the most often prescribed medication. Cardiomyopathy did not develop in any of the patients during the follow-up period. A partial reduction in the frequency of ventricular extrasystole was observed in 42% of the patients, while complete recovery was observed in 22%. CONCLUSION: Ventricular extrasystole in children generally has a good prognosis; most of them are asymptomatic, and the rates of spontaneous regression over time are quite high, regardless of the origin. Turkish Pediatrics Association 2023-07-01 /pmc/articles/PMC10441151/ /pubmed/37357453 http://dx.doi.org/10.5152/TurkArchPediatr.2023.22313 Text en 2023 authors https://creativecommons.org/licenses/by-nc/4.0/ Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Original Article
Uysal, Fahrettin
Özalp, Şule
Genç, Abdüsselam
Akça, Tuğberk
Türkmen, Hasan
Bostan, Özlem M.
Ventricular Extrasystole in Children: Single-Center Experience
title Ventricular Extrasystole in Children: Single-Center Experience
title_full Ventricular Extrasystole in Children: Single-Center Experience
title_fullStr Ventricular Extrasystole in Children: Single-Center Experience
title_full_unstemmed Ventricular Extrasystole in Children: Single-Center Experience
title_short Ventricular Extrasystole in Children: Single-Center Experience
title_sort ventricular extrasystole in children: single-center experience
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10441151/
https://www.ncbi.nlm.nih.gov/pubmed/37357453
http://dx.doi.org/10.5152/TurkArchPediatr.2023.22313
work_keys_str_mv AT uysalfahrettin ventricularextrasystoleinchildrensinglecenterexperience
AT ozalpsule ventricularextrasystoleinchildrensinglecenterexperience
AT gencabdusselam ventricularextrasystoleinchildrensinglecenterexperience
AT akcatugberk ventricularextrasystoleinchildrensinglecenterexperience
AT turkmenhasan ventricularextrasystoleinchildrensinglecenterexperience
AT bostanozlemm ventricularextrasystoleinchildrensinglecenterexperience