Evaluation and management of atrioventricular block in children
Pediatric brady-dysrhythmias and conduction disorders are uncommon, but timely recognition and evaluation are critical. This review will highlight the key diagnostic and management steps for first, second, and third-degree atrioventricular heart block in pediatric patients. There is a breadth of acq...
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| Veröffentlicht in: | Current opinion in pediatrics 2014-06, Vol.26 (3), p.279-285 |
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| container_title | Current opinion in pediatrics |
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| creator | Saleh, Fareed Greene, Elizabeth A Mathison, David |
| description | Pediatric brady-dysrhythmias and conduction disorders are uncommon, but timely recognition and evaluation are critical. This review will highlight the key diagnostic and management steps for first, second, and third-degree atrioventricular heart block in pediatric patients.
There is a breadth of acquired and often reversible causes of atrioventricular block in childhood. Recent advances in diagnostics and pacing therapies have led to improved outcomes.
A thorough evaluation is required to determine when atrioventricular block requires treatment. In symptomatic or unstable patients, the management should focus on resuscitative measures, diagnostic testing, potential reversible causes, monitoring for progression, cardiac consultation and evaluating the need for definitive pacemaker placement. |
| doi_str_mv | 10.1097/MOP.0000000000000100 |
| format | Article |
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There is a breadth of acquired and often reversible causes of atrioventricular block in childhood. Recent advances in diagnostics and pacing therapies have led to improved outcomes.
A thorough evaluation is required to determine when atrioventricular block requires treatment. In symptomatic or unstable patients, the management should focus on resuscitative measures, diagnostic testing, potential reversible causes, monitoring for progression, cardiac consultation and evaluating the need for definitive pacemaker placement.</description><identifier>ISSN: 1040-8703</identifier><identifier>EISSN: 1531-698X</identifier><identifier>DOI: 10.1097/MOP.0000000000000100</identifier><identifier>PMID: 24759228</identifier><language>eng</language><publisher>United States</publisher><subject>Arrhythmias, Cardiac - diagnosis ; Arrhythmias, Cardiac - therapy ; Atrioventricular Block - diagnosis ; Atrioventricular Block - physiopathology ; Atrioventricular Block - therapy ; Brugada Syndrome ; Cardiac Conduction System Disease ; Child ; Child, Preschool ; Disease Progression ; Electrocardiography ; Equipment Design ; Heart Atria - physiopathology ; Heart Conduction System - abnormalities ; Heart Failure - prevention & control ; Humans ; Pacemaker, Artificial ; Prognosis ; Resuscitation ; Ventricular Dysfunction, Left - diagnosis ; Ventricular Dysfunction, Left - physiopathology ; Ventricular Dysfunction, Left - therapy</subject><ispartof>Current opinion in pediatrics, 2014-06, Vol.26 (3), p.279-285</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c307t-9bab8b3c32ceb02eb6bb630e2257de9ecfd1f8c47032fc84353e444a8852abda3</citedby><cites>FETCH-LOGICAL-c307t-9bab8b3c32ceb02eb6bb630e2257de9ecfd1f8c47032fc84353e444a8852abda3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24759228$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saleh, Fareed</creatorcontrib><creatorcontrib>Greene, Elizabeth A</creatorcontrib><creatorcontrib>Mathison, David</creatorcontrib><title>Evaluation and management of atrioventricular block in children</title><title>Current opinion in pediatrics</title><addtitle>Curr Opin Pediatr</addtitle><description>Pediatric brady-dysrhythmias and conduction disorders are uncommon, but timely recognition and evaluation are critical. This review will highlight the key diagnostic and management steps for first, second, and third-degree atrioventricular heart block in pediatric patients.
There is a breadth of acquired and often reversible causes of atrioventricular block in childhood. Recent advances in diagnostics and pacing therapies have led to improved outcomes.
A thorough evaluation is required to determine when atrioventricular block requires treatment. In symptomatic or unstable patients, the management should focus on resuscitative measures, diagnostic testing, potential reversible causes, monitoring for progression, cardiac consultation and evaluating the need for definitive pacemaker placement.</description><subject>Arrhythmias, Cardiac - diagnosis</subject><subject>Arrhythmias, Cardiac - therapy</subject><subject>Atrioventricular Block - diagnosis</subject><subject>Atrioventricular Block - physiopathology</subject><subject>Atrioventricular Block - therapy</subject><subject>Brugada Syndrome</subject><subject>Cardiac Conduction System Disease</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Disease Progression</subject><subject>Electrocardiography</subject><subject>Equipment Design</subject><subject>Heart Atria - physiopathology</subject><subject>Heart Conduction System - abnormalities</subject><subject>Heart Failure - prevention & control</subject><subject>Humans</subject><subject>Pacemaker, Artificial</subject><subject>Prognosis</subject><subject>Resuscitation</subject><subject>Ventricular Dysfunction, Left - diagnosis</subject><subject>Ventricular Dysfunction, Left - physiopathology</subject><subject>Ventricular Dysfunction, Left - therapy</subject><issn>1040-8703</issn><issn>1531-698X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1LAzEQhoMotlb_gUiOXrbms5s9iZT6AZV6UPAWkuysru5uarJb8N8baRVxLjMD7zvv8CB0SsmUkiK_uF89TMnfooTsoTGVnGazQj3vp5kIkqmc8BE6ivEtaTiVxSEaMZHLgjE1RpeLjWkG09e-w6YrcWs68wItdD32FTZ9qP0mLaF2Q2MCto1377jusHutmzJAd4wOKtNEONn1CXq6XjzOb7Pl6uZufrXMHCd5nxXWWGW548yBJQzszNoZJ8CYzEsowFUlrZQT6VdWOSW45CCEMEpJZmxp-ASdb--ug_8YIPa6raODpjEd-CFqKhktKJFSJKnYSl3wMQao9DrUrQmfmhL9jU4ndPo_umQ72yUMtoXy1_TDin8B4_1p-Q</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Saleh, Fareed</creator><creator>Greene, Elizabeth A</creator><creator>Mathison, David</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140601</creationdate><title>Evaluation and management of atrioventricular block in children</title><author>Saleh, Fareed ; Greene, Elizabeth A ; Mathison, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c307t-9bab8b3c32ceb02eb6bb630e2257de9ecfd1f8c47032fc84353e444a8852abda3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Arrhythmias, Cardiac - diagnosis</topic><topic>Arrhythmias, Cardiac - therapy</topic><topic>Atrioventricular Block - diagnosis</topic><topic>Atrioventricular Block - physiopathology</topic><topic>Atrioventricular Block - therapy</topic><topic>Brugada Syndrome</topic><topic>Cardiac Conduction System Disease</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Disease Progression</topic><topic>Electrocardiography</topic><topic>Equipment Design</topic><topic>Heart Atria - physiopathology</topic><topic>Heart Conduction System - abnormalities</topic><topic>Heart Failure - prevention & control</topic><topic>Humans</topic><topic>Pacemaker, Artificial</topic><topic>Prognosis</topic><topic>Resuscitation</topic><topic>Ventricular Dysfunction, Left - diagnosis</topic><topic>Ventricular Dysfunction, Left - physiopathology</topic><topic>Ventricular Dysfunction, Left - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saleh, Fareed</creatorcontrib><creatorcontrib>Greene, Elizabeth A</creatorcontrib><creatorcontrib>Mathison, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Current opinion in pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Saleh, Fareed</au><au>Greene, Elizabeth A</au><au>Mathison, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation and management of atrioventricular block in children</atitle><jtitle>Current opinion in pediatrics</jtitle><addtitle>Curr Opin Pediatr</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>26</volume><issue>3</issue><spage>279</spage><epage>285</epage><pages>279-285</pages><issn>1040-8703</issn><eissn>1531-698X</eissn><abstract>Pediatric brady-dysrhythmias and conduction disorders are uncommon, but timely recognition and evaluation are critical. This review will highlight the key diagnostic and management steps for first, second, and third-degree atrioventricular heart block in pediatric patients.
There is a breadth of acquired and often reversible causes of atrioventricular block in childhood. Recent advances in diagnostics and pacing therapies have led to improved outcomes.
A thorough evaluation is required to determine when atrioventricular block requires treatment. In symptomatic or unstable patients, the management should focus on resuscitative measures, diagnostic testing, potential reversible causes, monitoring for progression, cardiac consultation and evaluating the need for definitive pacemaker placement.</abstract><cop>United States</cop><pmid>24759228</pmid><doi>10.1097/MOP.0000000000000100</doi><tpages>7</tpages></addata></record> |
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| ispartof | Current opinion in pediatrics, 2014-06, Vol.26 (3), p.279-285 |
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| subjects | Arrhythmias, Cardiac - diagnosis Arrhythmias, Cardiac - therapy Atrioventricular Block - diagnosis Atrioventricular Block - physiopathology Atrioventricular Block - therapy Brugada Syndrome Cardiac Conduction System Disease Child Child, Preschool Disease Progression Electrocardiography Equipment Design Heart Atria - physiopathology Heart Conduction System - abnormalities Heart Failure - prevention & control Humans Pacemaker, Artificial Prognosis Resuscitation Ventricular Dysfunction, Left - diagnosis Ventricular Dysfunction, Left - physiopathology Ventricular Dysfunction, Left - therapy |
| title | Evaluation and management of atrioventricular block in children |
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