A Clinical Risk Score to Improve the Diagnosis of Tachycardia-Induced Cardiomyopathy in Childhood
Abstract Tachycardia-induced cardiomyopathy (TIC) is a treatable cause of heart failure in children, but there is little information as to which clinical variables best discriminate TIC from other forms of cardiomyopathy. TIC cases with dilated cardiomyopathy (DC) from 16 participating centers were...
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| Veröffentlicht in: | The American journal of cardiology 2016-10, Vol.118 (7), p.1074-1080 |
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| creator | Moore, Jeremy P., MD, MS Wang, Shuo, MD Albers, Erin L., MD, MSc Salerno, Jack C., MD Stephenson, Elizabeth A., MD, MSc, FHRS Shah, Maully J., MBBS Pflaumer, Andreas, MD Czosek, Richard J., MD Garnreiter, Jason M., MD Collins, Kathryn, MD Papez, Andrew L., MD Sanatani, Shubhayan, MD, FRCPC Cain, Nicole B., MD Kannankeril, Prince J., MD, MSc Perry, James C., MD Mandapati, Ravi, MD, FHRS Silva, Jennifer N.A., MD Balaji, Seshadri, MBBS, MRCP (UK), PhD Shannon, Kevin M., MD |
| description | Abstract Tachycardia-induced cardiomyopathy (TIC) is a treatable cause of heart failure in children, but there is little information as to which clinical variables best discriminate TIC from other forms of cardiomyopathy. TIC cases with dilated cardiomyopathy (DC) from 16 participating centers were identified and compared to controls with other forms of DC. Presenting clinical, echocardiographic, and electrocardiographic (ECG) characteristics were collected. Heart rate (HR) percentile was defined as HR/median HR for age, and PR index as the PR/RR interval. P-wave morphology (PWM) was defined as possible sinus or non-sinus based on a predefined algorithm. Eighty TIC cases and 135 controls were identified. Cases demonstrated lower z-scores for LVEDD and LVESD than DC controls (4.3 vs 6.5, p |
| doi_str_mv | 10.1016/j.amjcard.2016.07.008 |
| format | Article |
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TIC cases with dilated cardiomyopathy (DC) from 16 participating centers were identified and compared to controls with other forms of DC. Presenting clinical, echocardiographic, and electrocardiographic (ECG) characteristics were collected. Heart rate (HR) percentile was defined as HR/median HR for age, and PR index as the PR/RR interval. P-wave morphology (PWM) was defined as possible sinus or non-sinus based on a predefined algorithm. Eighty TIC cases and 135 controls were identified. Cases demonstrated lower z-scores for LVEDD and LVESD than DC controls (4.3 vs 6.5, p<0.001; 7.4 vs 10.9, p<0.001) and were less likely to receive inotropic medication at presentation (p<0.001 for both). Multivariable logistic regression identified HR percentile (OR 2.1 per 10% increase, CI 1.3-4.6; p=0.014), PR index (OR 1.2, CI 1.1-1.4; p=0.004), and non-sinus PWM (OR 104.9, CI 15.2-1659.8; p<0.001) as predictive of TIC status. A risk score utilizing HR percentile >130%, PR index>30%, and non-sinus PWM was associated with a sensitivity of 100% and specificity of 87% for the diagnosis of TIC. Model training and validation AUC were similar at 0.97 and 0.94, respectively. In conclusion, TIC may be accurately discriminated from other forms of DC using simple ECG parameters. This may allow for rapid diagnosis and early treatment of this condition.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2016.07.008</identifier><identifier>PMID: 27515893</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Biopsy ; Cardiac arrhythmia ; Cardiomyopathy ; Cardiomyopathy, Dilated - diagnostic imaging ; Cardiomyopathy, Dilated - drug therapy ; Cardiomyopathy, Dilated - etiology ; Cardiotonic Agents - therapeutic use ; Cardiovascular ; Case-Control Studies ; Child ; Child, Preschool ; Echocardiography ; Electrocardiography ; Female ; Heart failure ; Heart Failure - diagnostic imaging ; Heart Failure - drug therapy ; Heart Failure - etiology ; Heart Rate ; Humans ; Infant ; Logistic Models ; Logistics ; Male ; Morphology ; Multivariate Analysis ; Patients ; Registries ; Risk Assessment ; Sinuses ; Stroke Volume ; Tachycardia - complications ; Tachycardia - diagnosis ; Variables</subject><ispartof>The American journal of cardiology, 2016-10, Vol.118 (7), p.1074-1080</ispartof><rights>2016</rights><rights>Published by Elsevier Inc.</rights><rights>Copyright Elsevier Limited Oct 1, 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c481t-4913c9a78f72d1e612e661127f170909815401b372ccca8b4500cdce95edb993</citedby><cites>FETCH-LOGICAL-c481t-4913c9a78f72d1e612e661127f170909815401b372ccca8b4500cdce95edb993</cites><orcidid>0000-0002-3830-3643 ; 0000-0002-8141-287X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1822757921?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976,64364,64366,64368,72218</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27515893$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moore, Jeremy P., MD, MS</creatorcontrib><creatorcontrib>Wang, Shuo, MD</creatorcontrib><creatorcontrib>Albers, Erin L., MD, MSc</creatorcontrib><creatorcontrib>Salerno, Jack C., MD</creatorcontrib><creatorcontrib>Stephenson, Elizabeth A., MD, MSc, FHRS</creatorcontrib><creatorcontrib>Shah, Maully J., MBBS</creatorcontrib><creatorcontrib>Pflaumer, Andreas, MD</creatorcontrib><creatorcontrib>Czosek, Richard J., MD</creatorcontrib><creatorcontrib>Garnreiter, Jason M., MD</creatorcontrib><creatorcontrib>Collins, Kathryn, MD</creatorcontrib><creatorcontrib>Papez, Andrew L., MD</creatorcontrib><creatorcontrib>Sanatani, Shubhayan, MD, FRCPC</creatorcontrib><creatorcontrib>Cain, Nicole B., MD</creatorcontrib><creatorcontrib>Kannankeril, Prince J., MD, MSc</creatorcontrib><creatorcontrib>Perry, James C., MD</creatorcontrib><creatorcontrib>Mandapati, Ravi, MD, FHRS</creatorcontrib><creatorcontrib>Silva, Jennifer N.A., MD</creatorcontrib><creatorcontrib>Balaji, Seshadri, MBBS, MRCP (UK), PhD</creatorcontrib><creatorcontrib>Shannon, Kevin M., MD</creatorcontrib><title>A Clinical Risk Score to Improve the Diagnosis of Tachycardia-Induced Cardiomyopathy in Childhood</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Abstract Tachycardia-induced cardiomyopathy (TIC) is a treatable cause of heart failure in children, but there is little information as to which clinical variables best discriminate TIC from other forms of cardiomyopathy. TIC cases with dilated cardiomyopathy (DC) from 16 participating centers were identified and compared to controls with other forms of DC. Presenting clinical, echocardiographic, and electrocardiographic (ECG) characteristics were collected. Heart rate (HR) percentile was defined as HR/median HR for age, and PR index as the PR/RR interval. P-wave morphology (PWM) was defined as possible sinus or non-sinus based on a predefined algorithm. Eighty TIC cases and 135 controls were identified. Cases demonstrated lower z-scores for LVEDD and LVESD than DC controls (4.3 vs 6.5, p<0.001; 7.4 vs 10.9, p<0.001) and were less likely to receive inotropic medication at presentation (p<0.001 for both). Multivariable logistic regression identified HR percentile (OR 2.1 per 10% increase, CI 1.3-4.6; p=0.014), PR index (OR 1.2, CI 1.1-1.4; p=0.004), and non-sinus PWM (OR 104.9, CI 15.2-1659.8; p<0.001) as predictive of TIC status. A risk score utilizing HR percentile >130%, PR index>30%, and non-sinus PWM was associated with a sensitivity of 100% and specificity of 87% for the diagnosis of TIC. Model training and validation AUC were similar at 0.97 and 0.94, respectively. In conclusion, TIC may be accurately discriminated from other forms of DC using simple ECG parameters. This may allow for rapid diagnosis and early treatment of this condition.</description><subject>Biopsy</subject><subject>Cardiac arrhythmia</subject><subject>Cardiomyopathy</subject><subject>Cardiomyopathy, Dilated - diagnostic imaging</subject><subject>Cardiomyopathy, Dilated - drug therapy</subject><subject>Cardiomyopathy, Dilated - etiology</subject><subject>Cardiotonic Agents - therapeutic use</subject><subject>Cardiovascular</subject><subject>Case-Control Studies</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Echocardiography</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>Heart failure</subject><subject>Heart Failure - diagnostic imaging</subject><subject>Heart Failure - drug therapy</subject><subject>Heart Failure - etiology</subject><subject>Heart Rate</subject><subject>Humans</subject><subject>Infant</subject><subject>Logistic Models</subject><subject>Logistics</subject><subject>Male</subject><subject>Morphology</subject><subject>Multivariate Analysis</subject><subject>Patients</subject><subject>Registries</subject><subject>Risk Assessment</subject><subject>Sinuses</subject><subject>Stroke Volume</subject><subject>Tachycardia - complications</subject><subject>Tachycardia - diagnosis</subject><subject>Variables</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkk1v1DAQhi0EokvhJ4AsceGS4HE-bF9AVaCwUiUkunfLazvE2yRe7KRS_j0OuwWpFzjZIz3zzsc7CL0GkgOB-v0hV8NBq2BymsKcsJwQ_gRtgDORgYDiKdoQQmgmoBQX6EWMhxQCVPVzdEFZBRUXxQapK9z0bnRa9fi7i3f4Vvtg8eTxdjgGf5--ncWfnPox-ugi9i3eKd0ta2Wnsu1oZm0NbtbQD4s_qqlbsBtx07nedN6bl-hZq_poX53fS7S7_rxrvmY3375sm6ubTJccpqxMLWuhGG8ZNWBroLauAShrgRFBBIeqJLAvGNVaK74vK0K00VZU1uyFKC7Ru5Ns6vrnbOMkBxe17Xs1Wj9HCZwyLkRJyf-gFKAgvEjo20fowc9hTHP8pljFBIVEVSdKBx9jsK08BjeosEggcnVLHuTZLbm6JQmTya2U9-asPu8Ha_5kPdiTgI8nwKbF3TsbZNTOjmnjLlg9SePdP0t8eKSgz3bf2cXGv9PISCWRt-vJrBcDdQHA6rr4BdIVuuc</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Moore, Jeremy P., MD, MS</creator><creator>Wang, Shuo, MD</creator><creator>Albers, Erin L., MD, MSc</creator><creator>Salerno, Jack C., MD</creator><creator>Stephenson, Elizabeth A., MD, MSc, FHRS</creator><creator>Shah, Maully J., MBBS</creator><creator>Pflaumer, Andreas, MD</creator><creator>Czosek, Richard J., MD</creator><creator>Garnreiter, Jason M., MD</creator><creator>Collins, Kathryn, MD</creator><creator>Papez, Andrew L., MD</creator><creator>Sanatani, Shubhayan, MD, FRCPC</creator><creator>Cain, Nicole B., MD</creator><creator>Kannankeril, Prince J., MD, MSc</creator><creator>Perry, James C., MD</creator><creator>Mandapati, Ravi, MD, FHRS</creator><creator>Silva, Jennifer N.A., MD</creator><creator>Balaji, Seshadri, MBBS, MRCP (UK), PhD</creator><creator>Shannon, Kevin M., MD</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><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>3V.</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>M7Z</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>7QO</scope><orcidid>https://orcid.org/0000-0002-3830-3643</orcidid><orcidid>https://orcid.org/0000-0002-8141-287X</orcidid></search><sort><creationdate>20161001</creationdate><title>A Clinical Risk Score to Improve the Diagnosis of Tachycardia-Induced Cardiomyopathy in Childhood</title><author>Moore, Jeremy P., MD, MS ; Wang, Shuo, MD ; Albers, Erin L., MD, MSc ; Salerno, Jack C., MD ; Stephenson, Elizabeth A., MD, MSc, FHRS ; Shah, Maully J., MBBS ; Pflaumer, Andreas, MD ; Czosek, Richard J., MD ; Garnreiter, Jason M., MD ; Collins, Kathryn, MD ; Papez, Andrew L., MD ; Sanatani, Shubhayan, MD, FRCPC ; Cain, Nicole B., MD ; Kannankeril, Prince J., MD, MSc ; Perry, James C., MD ; Mandapati, Ravi, MD, FHRS ; Silva, Jennifer N.A., MD ; Balaji, Seshadri, MBBS, MRCP (UK), PhD ; Shannon, Kevin M., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c481t-4913c9a78f72d1e612e661127f170909815401b372ccca8b4500cdce95edb993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Biopsy</topic><topic>Cardiac arrhythmia</topic><topic>Cardiomyopathy</topic><topic>Cardiomyopathy, Dilated - diagnostic imaging</topic><topic>Cardiomyopathy, Dilated - drug therapy</topic><topic>Cardiomyopathy, Dilated - etiology</topic><topic>Cardiotonic Agents - therapeutic use</topic><topic>Cardiovascular</topic><topic>Case-Control Studies</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Echocardiography</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>Heart failure</topic><topic>Heart Failure - diagnostic imaging</topic><topic>Heart Failure - drug therapy</topic><topic>Heart Failure - etiology</topic><topic>Heart Rate</topic><topic>Humans</topic><topic>Infant</topic><topic>Logistic Models</topic><topic>Logistics</topic><topic>Male</topic><topic>Morphology</topic><topic>Multivariate Analysis</topic><topic>Patients</topic><topic>Registries</topic><topic>Risk Assessment</topic><topic>Sinuses</topic><topic>Stroke Volume</topic><topic>Tachycardia - complications</topic><topic>Tachycardia - diagnosis</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moore, Jeremy P., MD, MS</creatorcontrib><creatorcontrib>Wang, Shuo, MD</creatorcontrib><creatorcontrib>Albers, Erin L., MD, MSc</creatorcontrib><creatorcontrib>Salerno, Jack C., MD</creatorcontrib><creatorcontrib>Stephenson, Elizabeth A., MD, MSc, FHRS</creatorcontrib><creatorcontrib>Shah, Maully J., MBBS</creatorcontrib><creatorcontrib>Pflaumer, Andreas, MD</creatorcontrib><creatorcontrib>Czosek, Richard J., MD</creatorcontrib><creatorcontrib>Garnreiter, Jason M., MD</creatorcontrib><creatorcontrib>Collins, Kathryn, MD</creatorcontrib><creatorcontrib>Papez, Andrew L., MD</creatorcontrib><creatorcontrib>Sanatani, Shubhayan, MD, FRCPC</creatorcontrib><creatorcontrib>Cain, Nicole B., MD</creatorcontrib><creatorcontrib>Kannankeril, Prince J., MD, MSc</creatorcontrib><creatorcontrib>Perry, James C., MD</creatorcontrib><creatorcontrib>Mandapati, Ravi, MD, FHRS</creatorcontrib><creatorcontrib>Silva, Jennifer N.A., MD</creatorcontrib><creatorcontrib>Balaji, Seshadri, MBBS, MRCP (UK), PhD</creatorcontrib><creatorcontrib>Shannon, Kevin M., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Biochemistry Abstracts 1</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moore, Jeremy P., MD, MS</au><au>Wang, Shuo, MD</au><au>Albers, Erin L., MD, MSc</au><au>Salerno, Jack C., MD</au><au>Stephenson, Elizabeth A., MD, MSc, FHRS</au><au>Shah, Maully J., MBBS</au><au>Pflaumer, Andreas, MD</au><au>Czosek, Richard J., MD</au><au>Garnreiter, Jason M., MD</au><au>Collins, Kathryn, MD</au><au>Papez, Andrew L., MD</au><au>Sanatani, Shubhayan, MD, FRCPC</au><au>Cain, Nicole B., MD</au><au>Kannankeril, Prince J., MD, MSc</au><au>Perry, James C., MD</au><au>Mandapati, Ravi, MD, FHRS</au><au>Silva, Jennifer N.A., MD</au><au>Balaji, Seshadri, MBBS, MRCP (UK), PhD</au><au>Shannon, Kevin M., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Clinical Risk Score to Improve the Diagnosis of Tachycardia-Induced Cardiomyopathy in Childhood</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>118</volume><issue>7</issue><spage>1074</spage><epage>1080</epage><pages>1074-1080</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Abstract Tachycardia-induced cardiomyopathy (TIC) is a treatable cause of heart failure in children, but there is little information as to which clinical variables best discriminate TIC from other forms of cardiomyopathy. TIC cases with dilated cardiomyopathy (DC) from 16 participating centers were identified and compared to controls with other forms of DC. Presenting clinical, echocardiographic, and electrocardiographic (ECG) characteristics were collected. Heart rate (HR) percentile was defined as HR/median HR for age, and PR index as the PR/RR interval. P-wave morphology (PWM) was defined as possible sinus or non-sinus based on a predefined algorithm. Eighty TIC cases and 135 controls were identified. Cases demonstrated lower z-scores for LVEDD and LVESD than DC controls (4.3 vs 6.5, p<0.001; 7.4 vs 10.9, p<0.001) and were less likely to receive inotropic medication at presentation (p<0.001 for both). Multivariable logistic regression identified HR percentile (OR 2.1 per 10% increase, CI 1.3-4.6; p=0.014), PR index (OR 1.2, CI 1.1-1.4; p=0.004), and non-sinus PWM (OR 104.9, CI 15.2-1659.8; p<0.001) as predictive of TIC status. A risk score utilizing HR percentile >130%, PR index>30%, and non-sinus PWM was associated with a sensitivity of 100% and specificity of 87% for the diagnosis of TIC. Model training and validation AUC were similar at 0.97 and 0.94, respectively. In conclusion, TIC may be accurately discriminated from other forms of DC using simple ECG parameters. This may allow for rapid diagnosis and early treatment of this condition.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>27515893</pmid><doi>10.1016/j.amjcard.2016.07.008</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-3830-3643</orcidid><orcidid>https://orcid.org/0000-0002-8141-287X</orcidid></addata></record> |
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| ispartof | The American journal of cardiology, 2016-10, Vol.118 (7), p.1074-1080 |
| issn | 0002-9149 1879-1913 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; ProQuest Central UK/Ireland |
| subjects | Biopsy Cardiac arrhythmia Cardiomyopathy Cardiomyopathy, Dilated - diagnostic imaging Cardiomyopathy, Dilated - drug therapy Cardiomyopathy, Dilated - etiology Cardiotonic Agents - therapeutic use Cardiovascular Case-Control Studies Child Child, Preschool Echocardiography Electrocardiography Female Heart failure Heart Failure - diagnostic imaging Heart Failure - drug therapy Heart Failure - etiology Heart Rate Humans Infant Logistic Models Logistics Male Morphology Multivariate Analysis Patients Registries Risk Assessment Sinuses Stroke Volume Tachycardia - complications Tachycardia - diagnosis Variables |
| title | A Clinical Risk Score to Improve the Diagnosis of Tachycardia-Induced Cardiomyopathy in Childhood |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-19T09%3A17%3A58IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Clinical%20Risk%20Score%20to%20Improve%20the%20Diagnosis%20of%20Tachycardia-Induced%20Cardiomyopathy%20in%20Childhood&rft.jtitle=The%20American%20journal%20of%20cardiology&rft.au=Moore,%20Jeremy%20P.,%20MD,%20MS&rft.date=2016-10-01&rft.volume=118&rft.issue=7&rft.spage=1074&rft.epage=1080&rft.pages=1074-1080&rft.issn=0002-9149&rft.eissn=1879-1913&rft.coden=AJCDAG&rft_id=info:doi/10.1016/j.amjcard.2016.07.008&rft_dat=%3Cproquest_cross%3E4192924581%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1822757921&rft_id=info:pmid/27515893&rft_els_id=S0002914916311766&rfr_iscdi=true |