Cardiac Conduction Disturbance Detected in a Pediatric Population
Objective To delineate the prevalence and clinical implications of cardiac conduction disturbance (CCD) in school-age children. Study design Between 1999 and 2001, a citywide survey of 432,166 elementary and high school students had been performed in Taipei by questionnaire, electrocardiography, pho...
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| Veröffentlicht in: | The Journal of pediatrics 2008, Vol.152 (1), p.85-89 |
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| creator | Chiu, Shuenn-Nan, MD Wang, Jou-Kou, MD, PhD Wu, Mei-Hwan, MD, PhD Chang, Chi-Wei, MD Chen, Chun-An, MD Lin, Ming-Tai, MD Wu, En-Ting, MD Hua, Yu Chuan, BS Lue, Hung-Chi, MD, PhD |
| description | Objective To delineate the prevalence and clinical implications of cardiac conduction disturbance (CCD) in school-age children. Study design Between 1999 and 2001, a citywide survey of 432,166 elementary and high school students had been performed in Taipei by questionnaire, electrocardiography, phonocardiography, and physical examination. Patients with any abnormalities on this survey were referred for final diagnosis. Results After excluding those with congenital heart disease (CHD), the prevalence of CCD was 0.75%, higher in males than in females (0.78% vs 0.71%). Incomplete right bundle branch block (IRBBB; 0.32%), complete right bundle branch block (CRBBB; 0.11%), ventricular premature contraction (0.11%), and Wolff-Parkinson-White syndrome (0.067 %) were the most common diagnoses. Second-degree atrioventricular block, IRBBB, CRBBB, and intraventricular conduction delay were more common in males; and atrial premature contraction was more common in females. The prevalence of CCD increased with age, from 0.48% in elementary school students to 0.97% in high school students. After detection of CCD, 39 patients with previously undiagnosed atrial septal defect (ASD) and 15 high-risk patients were found. The sensitivity of IRBBB in screening for ASD was 34.67%. Conclusions The prevalence of CCD in children without CHD was 0.75%. Detection of CCD helped identify patients with unrecognized ASD and high-risk cardiac patients. |
| doi_str_mv | 10.1016/j.jpeds.2007.05.044 |
| format | Article |
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Study design Between 1999 and 2001, a citywide survey of 432,166 elementary and high school students had been performed in Taipei by questionnaire, electrocardiography, phonocardiography, and physical examination. Patients with any abnormalities on this survey were referred for final diagnosis. Results After excluding those with congenital heart disease (CHD), the prevalence of CCD was 0.75%, higher in males than in females (0.78% vs 0.71%). Incomplete right bundle branch block (IRBBB; 0.32%), complete right bundle branch block (CRBBB; 0.11%), ventricular premature contraction (0.11%), and Wolff-Parkinson-White syndrome (0.067 %) were the most common diagnoses. Second-degree atrioventricular block, IRBBB, CRBBB, and intraventricular conduction delay were more common in males; and atrial premature contraction was more common in females. The prevalence of CCD increased with age, from 0.48% in elementary school students to 0.97% in high school students. After detection of CCD, 39 patients with previously undiagnosed atrial septal defect (ASD) and 15 high-risk patients were found. The sensitivity of IRBBB in screening for ASD was 34.67%. Conclusions The prevalence of CCD in children without CHD was 0.75%. Detection of CCD helped identify patients with unrecognized ASD and high-risk cardiac patients.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2007.05.044</identifier><identifier>PMID: 18154906</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adolescent ; Arrhythmias, Cardiac - diagnosis ; Arrhythmias, Cardiac - epidemiology ; Arrhythmias, Cardiac - etiology ; Arrhythmias, Cardiac - physiopathology ; Biological and medical sciences ; Bundle-Branch Block - diagnosis ; Bundle-Branch Block - epidemiology ; Child ; Electrocardiography ; Female ; General aspects ; Heart Conduction System - physiopathology ; Heart Septal Defects, Atrial - complications ; Heart Septal Defects, Atrial - diagnosis ; Heart Septal Defects, Atrial - epidemiology ; Heart Septal Defects, Atrial - physiopathology ; Humans ; Male ; Medical sciences ; Pediatrics ; Phonocardiography ; Prevalence ; Sensitivity and Specificity ; Sex Factors ; Surveys and Questionnaires ; Taiwan - epidemiology ; Ventricular Premature Complexes - diagnosis ; Ventricular Premature Complexes - epidemiology ; Wolff-Parkinson-White Syndrome - diagnosis ; Wolff-Parkinson-White Syndrome - epidemiology</subject><ispartof>The Journal of pediatrics, 2008, Vol.152 (1), p.85-89</ispartof><rights>Mosby, Inc.</rights><rights>2008 Mosby, Inc.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c508t-deb80bf43ffbd9d7db70e36b12460f9ed1a73337475942280431d337fad8f0053</citedby><cites>FETCH-LOGICAL-c508t-deb80bf43ffbd9d7db70e36b12460f9ed1a73337475942280431d337fad8f0053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jpeds.2007.05.044$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,4024,27923,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20053266$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18154906$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chiu, Shuenn-Nan, MD</creatorcontrib><creatorcontrib>Wang, Jou-Kou, MD, PhD</creatorcontrib><creatorcontrib>Wu, Mei-Hwan, MD, PhD</creatorcontrib><creatorcontrib>Chang, Chi-Wei, MD</creatorcontrib><creatorcontrib>Chen, Chun-An, MD</creatorcontrib><creatorcontrib>Lin, Ming-Tai, MD</creatorcontrib><creatorcontrib>Wu, En-Ting, MD</creatorcontrib><creatorcontrib>Hua, Yu Chuan, BS</creatorcontrib><creatorcontrib>Lue, Hung-Chi, MD, PhD</creatorcontrib><creatorcontrib>Taipei Pediatric Cardiology Working Group</creatorcontrib><title>Cardiac Conduction Disturbance Detected in a Pediatric Population</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective To delineate the prevalence and clinical implications of cardiac conduction disturbance (CCD) in school-age children. Study design Between 1999 and 2001, a citywide survey of 432,166 elementary and high school students had been performed in Taipei by questionnaire, electrocardiography, phonocardiography, and physical examination. Patients with any abnormalities on this survey were referred for final diagnosis. Results After excluding those with congenital heart disease (CHD), the prevalence of CCD was 0.75%, higher in males than in females (0.78% vs 0.71%). Incomplete right bundle branch block (IRBBB; 0.32%), complete right bundle branch block (CRBBB; 0.11%), ventricular premature contraction (0.11%), and Wolff-Parkinson-White syndrome (0.067 %) were the most common diagnoses. Second-degree atrioventricular block, IRBBB, CRBBB, and intraventricular conduction delay were more common in males; and atrial premature contraction was more common in females. The prevalence of CCD increased with age, from 0.48% in elementary school students to 0.97% in high school students. After detection of CCD, 39 patients with previously undiagnosed atrial septal defect (ASD) and 15 high-risk patients were found. The sensitivity of IRBBB in screening for ASD was 34.67%. Conclusions The prevalence of CCD in children without CHD was 0.75%. Detection of CCD helped identify patients with unrecognized ASD and high-risk cardiac patients.</description><subject>Adolescent</subject><subject>Arrhythmias, Cardiac - diagnosis</subject><subject>Arrhythmias, Cardiac - epidemiology</subject><subject>Arrhythmias, Cardiac - etiology</subject><subject>Arrhythmias, Cardiac - physiopathology</subject><subject>Biological and medical sciences</subject><subject>Bundle-Branch Block - diagnosis</subject><subject>Bundle-Branch Block - epidemiology</subject><subject>Child</subject><subject>Electrocardiography</subject><subject>Female</subject><subject>General aspects</subject><subject>Heart Conduction System - physiopathology</subject><subject>Heart Septal Defects, Atrial - complications</subject><subject>Heart Septal Defects, Atrial - diagnosis</subject><subject>Heart Septal Defects, Atrial - epidemiology</subject><subject>Heart Septal Defects, Atrial - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pediatrics</subject><subject>Phonocardiography</subject><subject>Prevalence</subject><subject>Sensitivity and Specificity</subject><subject>Sex Factors</subject><subject>Surveys and Questionnaires</subject><subject>Taiwan - epidemiology</subject><subject>Ventricular Premature Complexes - diagnosis</subject><subject>Ventricular Premature Complexes - epidemiology</subject><subject>Wolff-Parkinson-White Syndrome - diagnosis</subject><subject>Wolff-Parkinson-White Syndrome - epidemiology</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1r3DAQhkVpaDZJf0Eh-NLc7Iw-bNmHBJZN2gYCCaQ9C1kagRyvvZXsQP595OzSQi89iYHnHQ3PS8gXCgUFWl12RbdDGwsGIAsoCxDiA1lRaGRe1Zx_JCsAxnIuZHVMTmLsAKARAJ_IMa1pKRqoVmS90cF6bbLNONjZTH4cshsfpzm0ejCY3eCEZkKb-SHT2SMmdgreZI_jbu71gp-RI6f7iJ8P7yn59e325-ZHfv_w_W6zvs9NCfWUW2xraJ3gzrW2sdK2EpBXLWWiAtegpVpyzqWQZSMYq0FwatPstK0dQMlPycV-7y6Mv2eMk9r6aLDv9YDjHJUEKmndNAnke9CEMcaATu2C3-rwqiioxZzq1Ls5tZhTUKpkLqXOD-vndov2b-agKgFfD4CORvcuJD8-_uHYciOrFu5qz2GS8eIxqGg8JpfWh6RS2dH_55Drf_Km94NPXz7jK8ZunMOQPCuqIlOgnpaSl45BpgtEKv4NXvqg2A</recordid><startdate>2008</startdate><enddate>2008</enddate><creator>Chiu, Shuenn-Nan, MD</creator><creator>Wang, Jou-Kou, MD, PhD</creator><creator>Wu, Mei-Hwan, MD, PhD</creator><creator>Chang, Chi-Wei, MD</creator><creator>Chen, Chun-An, MD</creator><creator>Lin, Ming-Tai, MD</creator><creator>Wu, En-Ting, MD</creator><creator>Hua, Yu Chuan, BS</creator><creator>Lue, Hung-Chi, MD, PhD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><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>2008</creationdate><title>Cardiac Conduction Disturbance Detected in a Pediatric Population</title><author>Chiu, Shuenn-Nan, MD ; Wang, Jou-Kou, MD, PhD ; Wu, Mei-Hwan, MD, PhD ; Chang, Chi-Wei, MD ; Chen, Chun-An, MD ; Lin, Ming-Tai, MD ; Wu, En-Ting, MD ; Hua, Yu Chuan, BS ; Lue, Hung-Chi, MD, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c508t-deb80bf43ffbd9d7db70e36b12460f9ed1a73337475942280431d337fad8f0053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adolescent</topic><topic>Arrhythmias, Cardiac - diagnosis</topic><topic>Arrhythmias, Cardiac - epidemiology</topic><topic>Arrhythmias, Cardiac - etiology</topic><topic>Arrhythmias, Cardiac - physiopathology</topic><topic>Biological and medical sciences</topic><topic>Bundle-Branch Block - diagnosis</topic><topic>Bundle-Branch Block - epidemiology</topic><topic>Child</topic><topic>Electrocardiography</topic><topic>Female</topic><topic>General aspects</topic><topic>Heart Conduction System - physiopathology</topic><topic>Heart Septal Defects, Atrial - complications</topic><topic>Heart Septal Defects, Atrial - diagnosis</topic><topic>Heart Septal Defects, Atrial - epidemiology</topic><topic>Heart Septal Defects, Atrial - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pediatrics</topic><topic>Phonocardiography</topic><topic>Prevalence</topic><topic>Sensitivity and Specificity</topic><topic>Sex Factors</topic><topic>Surveys and Questionnaires</topic><topic>Taiwan - epidemiology</topic><topic>Ventricular Premature Complexes - diagnosis</topic><topic>Ventricular Premature Complexes - epidemiology</topic><topic>Wolff-Parkinson-White Syndrome - diagnosis</topic><topic>Wolff-Parkinson-White Syndrome - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chiu, Shuenn-Nan, MD</creatorcontrib><creatorcontrib>Wang, Jou-Kou, MD, PhD</creatorcontrib><creatorcontrib>Wu, Mei-Hwan, MD, PhD</creatorcontrib><creatorcontrib>Chang, Chi-Wei, MD</creatorcontrib><creatorcontrib>Chen, Chun-An, MD</creatorcontrib><creatorcontrib>Lin, Ming-Tai, MD</creatorcontrib><creatorcontrib>Wu, En-Ting, MD</creatorcontrib><creatorcontrib>Hua, Yu Chuan, BS</creatorcontrib><creatorcontrib>Lue, Hung-Chi, MD, PhD</creatorcontrib><creatorcontrib>Taipei Pediatric Cardiology Working Group</creatorcontrib><collection>Pascal-Francis</collection><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>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chiu, Shuenn-Nan, MD</au><au>Wang, Jou-Kou, MD, PhD</au><au>Wu, Mei-Hwan, MD, PhD</au><au>Chang, Chi-Wei, MD</au><au>Chen, Chun-An, MD</au><au>Lin, Ming-Tai, MD</au><au>Wu, En-Ting, MD</au><au>Hua, Yu Chuan, BS</au><au>Lue, Hung-Chi, MD, PhD</au><aucorp>Taipei Pediatric Cardiology Working Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiac Conduction Disturbance Detected in a Pediatric Population</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2008</date><risdate>2008</risdate><volume>152</volume><issue>1</issue><spage>85</spage><epage>89</epage><pages>85-89</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Objective To delineate the prevalence and clinical implications of cardiac conduction disturbance (CCD) in school-age children. Study design Between 1999 and 2001, a citywide survey of 432,166 elementary and high school students had been performed in Taipei by questionnaire, electrocardiography, phonocardiography, and physical examination. Patients with any abnormalities on this survey were referred for final diagnosis. Results After excluding those with congenital heart disease (CHD), the prevalence of CCD was 0.75%, higher in males than in females (0.78% vs 0.71%). Incomplete right bundle branch block (IRBBB; 0.32%), complete right bundle branch block (CRBBB; 0.11%), ventricular premature contraction (0.11%), and Wolff-Parkinson-White syndrome (0.067 %) were the most common diagnoses. Second-degree atrioventricular block, IRBBB, CRBBB, and intraventricular conduction delay were more common in males; and atrial premature contraction was more common in females. The prevalence of CCD increased with age, from 0.48% in elementary school students to 0.97% in high school students. After detection of CCD, 39 patients with previously undiagnosed atrial septal defect (ASD) and 15 high-risk patients were found. The sensitivity of IRBBB in screening for ASD was 34.67%. Conclusions The prevalence of CCD in children without CHD was 0.75%. Detection of CCD helped identify patients with unrecognized ASD and high-risk cardiac patients.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>18154906</pmid><doi>10.1016/j.jpeds.2007.05.044</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Arrhythmias, Cardiac - diagnosis Arrhythmias, Cardiac - epidemiology Arrhythmias, Cardiac - etiology Arrhythmias, Cardiac - physiopathology Biological and medical sciences Bundle-Branch Block - diagnosis Bundle-Branch Block - epidemiology Child Electrocardiography Female General aspects Heart Conduction System - physiopathology Heart Septal Defects, Atrial - complications Heart Septal Defects, Atrial - diagnosis Heart Septal Defects, Atrial - epidemiology Heart Septal Defects, Atrial - physiopathology Humans Male Medical sciences Pediatrics Phonocardiography Prevalence Sensitivity and Specificity Sex Factors Surveys and Questionnaires Taiwan - epidemiology Ventricular Premature Complexes - diagnosis Ventricular Premature Complexes - epidemiology Wolff-Parkinson-White Syndrome - diagnosis Wolff-Parkinson-White Syndrome - epidemiology |
| title | Cardiac Conduction Disturbance Detected in a Pediatric Population |
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