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  • Articles  (3)
  • Atemnotsyndrom  (1)
  • Cardiac dysrhythmias  (1)
  • Cardioversion  (1)
  • Complications  (1)
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  • Articles  (3)
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  • 1
    ISSN: 1435-2451
    Keywords: Patent ductus arteriosus ; Respiratory distress syndrome ; Indomethacin ; Ductus arteriosus persistens ; Atemnotsyndrom ; Indometacin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Description / Table of Contents: Zusammenfassung Die Ligatur des offenen Ductus arteriosus ist auch bei kleinsten Frühgeborenen ein risikoarmer Eingriff und stellt immer eine vitale Indikation dar. Neben der Operation ist in indizierten Fällen auch der Verschluß mit Prostaglandin-Inaktivatoren möglich. Von 1976–1985 wurden 215 Frühgeborene behandelt. Bei 52 Säuglingen kam es zum Spontanverschluß. Bei 68 war Indomethacin erfolgreich. Bei 42 führte Indometacin nicht zum Verschluß, so daß eine Operation erforderlich wurde. 53 Säuglinge wurden wegen Kontraindikationen für Indometacin primär operiert. Die Gesamtletalität betrug 20%, wobei die kombinierte Gruppe die höchste Letalität aufwies.
    Notes: Summary Ligation of patent ductus arteriosus can be safely performed even in the smallest prematures and may be life-saving. Medical treatment with prostaglandin-inhibitors may be substituted in selected cases. From 1976–1985 a total of 215 prematures was treated. 52 of those experienced spontaneous closure. In 68 infants closure occurred following indomethacin-treatment. 48 had operation after failure of medical therapy and 53 with contraindications to indomethacin were primarily operated. The overall mortality reached 20% and was highest among those with combined medical and surgical treatment.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-1076
    Keywords: Supraventricular tachycardia ; Cardioversion ; Chest thump ; Complications
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract We report on two cases of mechanical termination of supraventricular tachycardia by chest thump which were followed by serious complications. In a 3-year-old boy with an otherwise normal heart, incessant supraventricular tachycardia was converted to sinus rhythm by a single precordial thump. This, however was followed by thrombo-embolic infarction of the left-sided middle cerebral artery. In another case of a 9-year-old girl, recurrent episodes of supraventricular tachycardia were associated with Ebstein anomaly of the tricuspid valve. Chest thump was successful in terminating supraventricular tachycardia but induced a short run of ventricular tachycardia which terminated itself and was then followed by sinus rhythm. It is concluded that even a slight precordial thump implies undetermined risks in the acute management of supraventricular tachycardia in children and should therefore be abandoned in favour of other methods.
    Type of Medium: Electronic Resource
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  • 3
    ISSN: 1432-1971
    Keywords: Idiopathic cardiomyopathy ; Cardiac dysrhythmias ; Sudden cardiac death
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract To assess the incidence and prognostic significance of cardiac dysrhythmias in children with idiopathic dilated or hypertrophic cardiomyopathy, the clinical course of 59 patients was retrospectively reviewed over a period of 27 years. Dilated cardiomyopathy (DCM) was diagnosed in 28 patients and hypertrophic cardiomyopathy (HCM) in 31 patients. The mean age at the time of diagnosis was 2.8±0.7 years in DCM patients and 6.7±0.8 years in HCM patients. Mean follow-up time after diagnosis of cardiomyopathy was 4.1±1.0 years in DCM patients and 6.6±0.8 years in HCM patients. Clinically significant cardiac dysrhythmias were found in 17 of 59 patients (29%): 7 of 28 patients (25%) with DCM and 10 of 31 patients (32%) with HCM. The initial diagnosis of a cardiac dysrhythmia was made by standard electrocardiography in 12 of 17 patients (71%) and by 24-hour Holter monitoring in 5 of 17 patients (29%). Ventricular dysrhythmias were present in 5 of 7 patients with dilated cardiomyopathy and in 5 of 10 patients with hypertrophic cardiomyopathy. During the follow-up time, death occurred in 18 of 59 patients (31%): 8 of 59 patients (14%) died from congestive heart failure and 10 of 59 patients (17%) died suddenly. Among the sudden deaths were 4 of 28 patients (14%) with dilated cardiomyopathy and 6 of 31 patients (19%) with hypertrophic cardiomyopathy. Cardiac dysrhythmias had been documented in 6 of the 10 patients dying suddenly (3 of 4 patients with DCM and 3 of 6 patients with HCM). It is concluded that (1) cardiac dysrhythmias are not a rare finding in children with idiopathic dilated or hypertrophic cardiomyopathy, and (2) their occurrence is not a predictor for sudden death.
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