In heart rhythm disorders, the heart beats too fast or infrequently. In both cases, arrhythmia, which manifests itself with different symptoms, must be monitored and treated! Otherwise, it can become the cause of many problems such as decreased quality of life, damage to heart function and heart failure. Acibadem Maslak Hospital, Electrophysiology Arrhythmia and Pacemaker Clinic, Child and Cardiology Specialist. Dr. We asked Alper Çeliker about the diagnosis and treatment of arrhythmia in children.
Acibadem Maslak Hospital, Electrophysiology Arrhythmia and Pacemaker Clinic, Child and Cardiology Specialist. Dr. Alper Celiker, families with sudden death and fainting, especially those with a history, all parents should pay attention to the symptoms of arrhythmia, he says.
Does Visiting a Pediatrician Regularly Make Diagnosis Easier?
Regular checks can be noticed that the heart beats slowly. However, rapid heartbeats with sudden attacks may not be understood under doctor control. Because this situation shows sudden symptoms and attacks, but only during the examination is noticed.
What are the consequences of not recognizing the arrhythmia in children?
Slow heart beats If left untreated, the child is experiencing sudden faints and may develop developmental delay. These kids need a permanent pacemaker. In fast-arriving rhythm disorders, if the attacks last longer, for example, if the heart exceeds 8-10 hours can occur. Heart rate can go up to 130-20 when palpitations occur. If he lives for months or even years at heart rate, his heart grows and his dysfunction occurs. Another type of tachycardia is chronic tachycardia. For example, if a child whose heart actually needs to beat 90 times a minute beats 130 beats per minute, this figure is not too high. Because when the palpitations, this number can go up to 180-200. However, in chronic tachycardia, if the patient lives for 130 months, or even years, with a heart rate of 130, his heart will develop into growth and dysfunction.
How Can Parents Understand Arrhythmia in Their Children?
In rhythm disorders related to slow heart beat; fainting, growth retardation and nighttime incontinence. if arrhythmia If palpitations, comes in the form of attacks. Suddenly when the attack, the child turns yellow, vomits, his stomach and chest aches, sudden sweating with feeling weakness. Fainting can also occur in a very serious attack.
Arrhythmia Which Age Period Is More Seen?
The incidence of arrhythmia, which occurs most frequently during adolescence, increases with age and the diagnosis of the disease is made more easily in adolescence since it can be said more easily.
What are the reasons?
There is no known cause of palpitation arrhythmia! The disease can be caused by several factors in the womb. The situation can be seen in the womb or when the child is born. If the mother has arrhythmias in her other children, she is advised to undergo the necessary tests during her pregnancy. If the mother has connective tissue disease, especially lupus, the likelihood of having a baby with arrhythmia increases. In addition, lethal arrhythmias can be seen in the genetic transmission of ion channel diseases in the heart. Since this situation shows a family transition, it is necessary to be very careful.
How is Arrhythmia Diagnosed?
ECG is very important for attacks in fast beats. Because when the attack ends, a completely normal picture can occur in the heart. In this case, the diagnosis becomes difficult. In addition, 24-hour Holter ECG is another important method used for diagnosis. In Holter ECG, a device is worn for 24 hours and the records of this device are examined at the end of this period.
Other methods include effort testing and long-term recorders in cases where complaints rarely occur. To detect complaints that occur every 6 months or more, devices placed under the skin are used for 1-2 years. In another method, various measurements are made by entering through the nose and esophagus.
Arrhythmia What does the child deprive?
In all kinds of arrhythmias, the child's quality of life decreases, and it is dangerous to go out alone or play with friends, because of the possibility of fainting. The child is deprived of all kinds of sports. Some families with children who have a slow heartbeat discomfort, "What happens if the battery is not inserted?" If a child with such a condition does not have a battery installed, the child will never be able to live his life normally. This makes him very much affected psychologically. Already the purpose of treatments to improve the quality of life. The same goes for tachycardia. For this reason, it is recommended that the intervention be made in children who are in the age of puberty.
Can the child return to normal life after treatment?
Children with pacemakers or medications can return to normal life in a short time.
There are two treatment options for rhythm disorders with high heart rate. One is drug use. Since the palpitation is unclear, it should be used regularly every day. The second option is a treatment that has been used with radio frequency energy since the 1990s. This form of treatment is called ma burning halk in folk language. A catheter is entered through the groin causing the heart to palpitate, radio frequency current is given by burning. The treatment is permanent for life. If there is no life-threatening condition in young children, this treatment is usually expected to exceed the age of 4-5 years. Operation takes 1.5 hours. One of the similar methods, arak Freeze Destruction ”treatment has been developing in recent years. Genetic transmission disease called ion channel diseases, on the other hand, drug treatment is applied and in some cases shock is prevented palpitations. Pacemaker is used in slow beats.