CarCardiac Arrhythmias in Patients Presenting with Myocarditis/Myopericarditis-A Single Center Retrospective Studydiac Arrhythmias in Patients Presenting with Myocarditis/Myopericarditis-A Single Center Retrospective Study

Derya Duman; Derya Karpuz

Makale detayları

CarCardiac Arrhythmias in Patients Presenting with Myocarditis/Myopericarditis-A Single Center Retrospective Studydiac Arrhythmias in Patients Presenting with Myocarditis/Myopericarditis-A Single Center Retrospective Study

Yazarlar:

Derya Duman | Derya Karpuz

Yayıncı:

Kirikkale University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi Vol.25 Issue 2, pp.321-328

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001297779

pISSN:

2148-9645

Anahtar kelimeler:

Özet:

 Objective: Isolated myocarditismyopericarditis, characterized by involvement and inflammation of the heart muscle and pericardium, is mostly seen after a viral infection. Different types of cardiac arrhythmias may occur during myocarditismyopericarditis in children. Studies on this subject in children are rare. We aimed to present the arrhythmias seen in patients with myocarditismyopericarditis, and the treatments. Another aim was to evaluate the effect of arrhythmias on the course of the disease and establish risk factors. Material and Methods: The files of 79 patients who were followed up in our hospital with the diagnosis of myocarditismyopericarditis between September 2021 and March 2023 were reviewed retrospectively. Results: The ages of the patients ranged from 2 months to 18 years. 44 patients 55.6 were male; 35 patients 44.3 were girls. Uniform ventricular extrasystoles at baseline electrocardiography were observed in 879 10.1 patients. One patient had atrial tachycardia, one had atrial fibrillation, one had sustained ventricular tachycardia, and three patients had supraventricular tachycardia. In the 24 Hour-Holter monitorization of the remaining patients, non-sustained ventricular tachycardia attacks and polymorphic ventricular extrasystoles were observed in 579 6.3 patients, and uniform ventricular extrasystole was observed in 1179 13.9 patients. In total, 3079 37.9 of the patients had arrhythmia. Anti-arrhythmic therapy was started in patients with high risk. Patients with good general condition, in whom had only uniform ventricular extrasystole and no problem in the control holter monitoring,were followed up clinically without any problems. There was no significant difference in terms of length of hospital stay. Arrhythmia recurred in two patients. Conclusion: The first presentation of myocarditismyopericarditis might be with arrhythmias. Patients should be monitored for rhythm problems. 24-hour Holter monitoring is important in detecting arrhythmias. Because of the risk of recurrence of arrhythmia after the acute period, patients should be followed up.

 Objective: Isolated myocarditismyopericarditis, characterized by involvement and inflammation of the heart muscle and pericardium, is mostly seen after a viral infection. Different types of cardiac arrhythmias may occur during myocarditismyopericarditis in children. Studies on this subject in children are rare. We aimed to present the arrhythmias seen in patients with myocarditismyopericarditis, and the treatments. Another aim was to evaluate the effect of arrhythmias on the course of the disease and establish risk factors. Material and Methods: The files of 79 patients who were followed up in our hospital with the diagnosis of myocarditismyopericarditis between September 2021 and March 2023 were reviewed retrospectively. Results: The ages of the patients ranged from 2 months to 18 years. 44 patients 55.6 were male; 35 patients 44.3 were girls. Uniform ventricular extrasystoles at baseline electrocardiography were observed in 879 10.1 patients. One patient had atrial tachycardia, one had atrial fibrillation, one had sustained ventricular tachycardia, and three patients had supraventricular tachycardia. In the 24 Hour-Holter monitorization of the remaining patients, non-sustained ventricular tachycardia attacks and polymorphic ventricular extrasystoles were observed in 579 6.3 patients, and uniform ventricular extrasystole was observed in 1179 13.9 patients. In total, 3079 37.9 of the patients had arrhythmia. Anti-arrhythmic therapy was started in patients with high risk. Patients with good general condition, in whom had only uniform ventricular extrasystole and no problem in the control holter monitoring,were followed up clinically without any problems. There was no significant difference in terms of length of hospital stay. Arrhythmia recurred in two patients. Conclusion: The first presentation of myocarditismyopericarditis might be with arrhythmias. Patients should be monitored for rhythm problems. 24-hour Holter monitoring is important in detecting arrhythmias. Because of the risk of recurrence of arrhythmia after the acute period, patients should be followed up.

 Objective: Isolated myocarditismyopericarditis, characterized by involvement and inflammation of the heart muscle and pericardium, is mostly seen after a viral infection. Different types of cardiac arrhythmias may occur during myocarditismyopericarditis in children. Studies on this subject in children are rare. We aimed to present the arrhythmias seen in patients with myocarditismyopericarditis, and the treatments. Another aim was to evaluate the effect of arrhythmias on the course of the disease and establish risk factors. Material and Methods: The files of 79 patients who were followed up in our hospital with the diagnosis of myocarditismyopericarditis between September 2021 and March 2023 were reviewed retrospectively. Results: The ages of the patients ranged from 2 months to 18 years. 44 patients 55.6 were male; 35 patients 44.3 were girls. Uniform ventricular extrasystoles at baseline electrocardiography were observed in 879 10.1 patients. One patient had atrial tachycardia, one had atrial fibrillation, one had sustained ventricular tachycardia, and three patients had supraventricular tachycardia. In the 24 Hour-Holter monitorization of the remaining patients, non-sustained ventricular tachycardia attacks and polymorphic ventricular extrasystoles were observed in 579 6.3 patients, and uniform ventricular extrasystole was observed in 1179 13.9 patients. In total, 3079 37.9 of the patients had arrhythmia. Anti-arrhythmic therapy was started in patients with high risk. Patients with good general condition, in whom had only uniform ventricular extrasystole and no problem in the control holter monitoring,were followed up clinically without any problems. There was no significant difference in terms of length of hospital stay. Arrhythmia recurred in two patients. Conclusion: The first presentation of myocarditismyopericarditis might be with arrhythmias. Patients should be monitored for rhythm problems. 24-hour Holter monitoring is important in detecting arrhythmias. Because of the risk of recurrence of arrhythmia after the acute period, patients should be followed up.

 Amaç: Kalp kasının ve perikardın tutulumu ve inflamasyonu ile karakterize izole miyokarditmiyoperikardit, çoğunlukla viral bir enfeksiyon sonrası görülür. Çocuklarda miyokarditmiyoperikardit sırasında çeşitli kardiyak aritmiler görülebilir. Literatürde çocuklarda bu konu ile ilgili çalışmalar nispeten azdır. Bu çalışma ile tek bir merkezde takip edilen miyokarditmiyoperikarditli olgularda görülen aritmileri ve uyguladığımız tedavileri sunmayı amaçladık. Bir diğer hedefimiz aritmilerin hastalığın seyrine etkisini ve aritmiye yol açabilecek risk faktörlerini değerlendirmekti. Gereç ve Yöntemler: Eylül 2021-Mart 2023 tarihleri arasında, hastanemizde miyokardit miyoperikardit tanısı ile takip edilen 79 olgunun dosyaları geriye dönük olarak incelendi. Bulgular: Hastaların yaşları 2 ay-18 yıl arasında değişmekteydi. Hastaların 44ü 55.6 erkek, 35i 44.3 kız idi. Elektrokardiyografide 879 10.1 hastada bazalde uniformik ventriküler ekstrasistoller görüldü. Bir hastanın başvurusunda atriyal taşikardisi, birinde atriyal fibrilasyon, birinde sürekli ventriküler taşikardi, üç hastada ise supraventriküler taşikardi mevcuttu. Kalan hastaların holter incelemelerinde 579 6.3 hastada sürekli olmayan ventriküler taşikardi atağı ve farklı şekilllerde ventriküler ekstrasistoller izlendi, 1179 13.9 hastada ise uniformik ventriküler ekstrasistol görüldü. Totalde hastaların 3079unda 37.9 aritmi görüldü. Riskli hastalara antiaritmik tedavi başlandı. Genel durumu iyi olan, sadece uniformik ventriküler ekstrasistolleri olan ve kontrol holterde sorun olmayan hastalar klinik olarak sorunsuz takip edildiler. Aritmisi olanlarla olmayanlar arasında, hastaların yatış süresi açısından belirgin bir farklılık gözlenmedi. Akut dönem sonrası iki hastada aritmi tekrarladı. Sonuç: Miyokarditmiyoperikarditin ilk başvurusu aritmilerle olabileceği gibi, klinik seyirde sonradan karşımıza çıkabilir ve hastalar ritm açısından monitorize edilmelidir. 24 saat Holter monitorizayonu aritmileri yakalamada önemlidir. Akut dönem sonrası da aritminin tekrarlama riski nedeniyle hastalar takip edilmelidir.

Makale detayları

CarCardiac Arrhythmias in Patients Presenting with Myocarditis/Myopericarditis-A Single Center Retrospective Studydiac Arrhythmias in Patients Presenting with Myocarditis/Myopericarditis-A Single Center Retrospective Study

Yazarlar:

Derya Duman | Derya Karpuz

Yayıncı:

Kirikkale University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi Vol.25 Issue 2, pp.321-328

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001297779

pISSN:

2148-9645

Myocarditis

myopericarditis

arrhythmia

electrocardiography.Miyokardit

miyoperikardit

aritmi

elektrokardiyografi.

Sayı

Makale detayları

Yazarlar: Derya Duman | Derya Karpuz

Yayıncı: Kirikkale University

Ana Başlıklar: Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi: Kırıkkale Üniversitesi Tıp Fakültesi Dergisi Vol.25 Issue 2, pp.321-328

Belge Tipi: Makale

Yayın Tarihi: 8/2023

Belge Dili: Türkçe

Document ID (Org No.): 2001297779

pISSN: 2148-9645

Sayı

Yazarlar:

Derya Duman | Derya Karpuz

Yayıncı:

Kirikkale University

Ana Başlıklar:

Sağlık Hizmetleri ve Sistemleri (Diğer)

Dergi:

Kırıkkale Üniversitesi Tıp Fakültesi Dergisi Vol.25 Issue 2, pp.321-328

Belge Tipi:

Makale

Yayın Tarihi:

8/2023

Belge Dili:

Türkçe

Document ID (Org No.):

2001297779

pISSN:

2148-9645