Abstract：
:Traditional ambulatory rhythm monitoring in children can have limitations, including cumbersome leads and limited monitoring duration. The ZioTM patch ambulatory monitor is a small, adhesive, single-channel rhythm monitor that can be worn up to 2 weeks. In this study, we present a retrospective cross-sectional analysis of the ZioTM monitor's impact in clinical practice. Patients aged 0-18 years were included in the study. A total of 373 studies were reviewed in 332 patients. In all, 28.4% had structural heart disease, and 16.9% had a prior surgical, catheterisation, or electrophysiology procedure. The most common indication for monitoring was tachypalpitations (41%); 93.5% of these patients had their symptoms captured during the study window. The median duration of monitoring was 5 days. Overall, 5.1% of ZioTM monitoring identified arrhythmias requiring new intervention or increased medical management; 4.0% identified arrhythmias requiring increased clinical surveillance. The remainder had either normal-variant rhythm or minor rhythm findings requiring no change in management. For patients with tachypalpitations and no structural heart disease, 13.2% had pathological arrhythmias, but 72.9% had normal-variant rhythm during symptoms, allowing discharge from cardiology care. Notably, for patients with findings requiring intervention or increased surveillance, 56% had findings first identified beyond 24 hours, and only 62% were patient-triggered findings. Seven studies (1.9%) were associated with complications or patient intolerance. The ZioTM is a well-tolerated device that may improve what traditional Holter and event monitoring would detect in paediatric cardiology patients. This study shows a positive clinical impact on the management of patients within a paediatric cardiology practice.
journal_name
Cardiol Youngjournal_title
Cardiology in the youngauthors
May JW,Carter EL,Hitt JR,Burklow TRdoi
10.1017/S1047951118001142subject
Has Abstractpub_date
2018-10-01 00:00:00pages
1134-1140issue
10eissn
1047-9511issn
1467-1107pii
S1047951118001142journal_volume
28pub_type
杂志文章abstract：:We describe the case of an 8-week-old infant with late presentation of severe refractory atypical Kawasaki disease. In addition to developing giant coronary arterial aneurysms and coronary thrombosis, she formed extensive bilateral arterial aneurysms throughout her systemic circulation. ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951116001967
更新日期：2017-03-01 00:00:00
abstract：BACKGROUND:The relationship between sildenafil dosing, exposure, and systemic hypotension in infants is incompletely understood. OBJECTIVES:The aim of this study was to characterise the relationship between predicted sildenafil exposure and hypotension in hospitalised infants. METHODS:We extracted information on sild...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951117001639
更新日期：2018-01-01 00:00:00
abstract：:The recommendations of the Association for European Paediatric and Congenital Cardiology for basic training in paediatric and congenital cardiology required to be recognised as a paediatric cardiologist by the Association for European Paediatric and Congenital Cardiology are described below. Those wishing to achieve m...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951120003455
更新日期：2020-11-01 00:00:00
abstract：:The neuro-cutaneous syndrome tuberous sclerosis is commonly associated with rhabdomyomas in various organs including the heart. We are reporting a rare case of a 7-month old male child with congenitally corrected transposition of the great arteries associated with tuberous sclerosis and cardiac rhabdomyomas. To our kn...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951113002047
更新日期：2014-10-01 00:00:00
abstract：UNLABELLED:Real-time three-dimensional echocardiography can surpass simple cross-sectional echocardiography in providing precise details of cardiac lesions. For the purpose of optimising treatment, we describe our findings with real-time three-dimensional echocardiography when interrogating different types of communica...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951111001107
更新日期：2012-04-01 00:00:00
abstract：:We report three cases of an abnormal finding of duplicated left pulmonary artery: two of these occurring in children with Kabuki syndrome and configuring the setting of a pseudo-pulmonary sling without any clinical or cardiac cross-sectional evidence of tracheal compression. The other case instead represents duplicate...
journal_title：Cardiology in the young
pub_type： 杂志文章,评审
doi：10.1017/S1047951115000281
更新日期：2016-02-01 00:00:00
abstract：:A percutaneous transcatheter balloon dilation of a pulmonary venous pathway obstruction was successfully performed in a 40-year-old patient after a Mustard procedure. During the procedure, real-time three-dimensional trans-oesophageal echocardiography demonstrated the morphology of the obstruction. Our case highlights...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951119001045
更新日期：2019-07-01 00:00:00
abstract：:Congenital anomalies of the coronary arteries are present in 0.2-1.4% of the general population. These anomalies represent one of the most confusing issues in the field of cardiology and challenges for interventional cardiologists and cardiac surgeons if the anomalies are unrecognised. Double right coronary artery is ...
journal_title：Cardiology in the young
pub_type： 杂志文章,评审
doi：10.1017/S1047951113000176
更新日期：2014-02-01 00:00:00
abstract：:An unusual combination of three types of interatrial communications - coronary sinus defect, primum defect, and secundum defect - occurring together in a 3-year-old child is presented. ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795112000400X
更新日期：2020-12-01 00:00:00
abstract：BACKGROUND:Few data are available on the neuropsychological, behavioural, or structural brain imaging outcomes in adolescents who underwent corrective surgery in infancy for tetralogy of Fallot. METHODS:In this single-centre cross-sectional study, we enrolled 91 adolescents (13-16 years old) with tetralogy of Fallot a...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114000031
更新日期：2015-02-01 00:00:00
abstract：:VACTERL association and Scimitar syndrome are rare congenital diseases. In this study, we report on a neonate with prenatal suspicion of VACTERL association and small left-sided cardiac structures, which, only on postnatal angiography, could be revealed to be part of a Scimitar syndrome. As this is the second reported...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951114000924
更新日期：2015-03-01 00:00:00
abstract：:We report a case in which a meandering right pulmonary vein connecting to the left atrium is associated with hypoplasia of the right lung, horseshoe lung, abnormal pulmonary lobation, and abnormal branching of the pulmonary arteries. We discuss its relationship to the so-called scimitar variant, and to the scimitar sy...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951106000461
更新日期：2006-06-01 00:00:00
abstract：BACKGROUND:The aim of this study is to investigate the prevalence of subclinical rheumatic heart disease in schoolchildren aged 5-18 by using portable echocardiography in Ankara, Turkey. METHODS:The portable echocardiography screening was performed by a paediatric cardiologist for all of the cases. The mean age of 255...
journal_title：Cardiology in the young
pub_type： 杂志文章,多中心研究
doi：10.1017/S1047951119002075
更新日期：2019-10-01 00:00:00
abstract：:ABSTRACTPatent ductus arteriosus is among the most common congenital heart diseases. With the increasing use of transcatheter closure procedures, the incidence of complications related to the procedure has increased. Embolization of the ductus closure device to the pulmonary artery is a very rare complication. Since t...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951119000921
更新日期：2019-05-01 00:00:00
abstract：OBJECTIVES:The aim of the present study was to explore the predictive value of red cell distribution width as a means to differentiate between neurally mediated syncope and arrhythmic syncope in children. METHOD:Patients were divided into a neurally mediated syncope group (n=72) and an arrhythmic syncope group (n=21) ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951116001098
更新日期：2017-05-01 00:00:00
abstract：:Persistent fifth - double-lumen - aortic arch is a rarely seen entity, which is usually associated with other cardiac anomalies; it has been previously reported only in children. We report a new case of double-lumen aortic arch with a systemic-to-systemic connection diagnosed incidentally during cardiac multi-detector...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951111001855
更新日期：2012-06-01 00:00:00
abstract：:We present an example of corrected transposition with twisted discordant atrioventricular connections in which both fetal and postnatal echocardiograms were obtained. We correlate the fetal echocardiograms with the postnatal echocardiograms, placing emphasis on the echocardiographic clues to the diagnosis which were p...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/s1047951100009732
更新日期：2000-10-01 00:00:00
abstract：OBJECTIVE:Murmurs are abnormal audible heart sounds produced by turbulent blood flow. Therefore, murmurs in a child may be a source of anxiety for family members. Families often use online materials to explore possible reasons for these murmurs, given the accessibility of information on the Internet. In this study, we ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795111900307X
更新日期：2020-03-01 00:00:00
abstract：:Dengue virus can affect the heart, with complications as bradycardia, arrhythmias, and death. We present a case of a 15-year-old patient, diagnosed 4 years before with severe idiopathic pulmonary hypertension, confirmed by catheterism, with continuous follow up. At that time, she was living in Bogotá (2640 m above sea...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951120004321
更新日期：2020-12-14 00:00:00
abstract：:There exists a population of adults with undiagnosed coronary arterial lesions due to Kawasaki disease occurring before 1967. We report the clinical features in 6 adult males with coronary arterial lesions caused by presumed Kawasaki disease, whose dates of birth ranged from 1945 to 1963. The age of the diagnosed coro...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951107000169
更新日期：2007-02-01 00:00:00
abstract：AIMS:Our aims were to use transthoracic three-dimensional echocardiography to assess the morphology of atrial septal defects in children prior to closure, and to compare the three-dimensional echocardiographic data with transcatheter and surgical findings. METHODS AND RESULTS:We used transthoracic three-dimensional ec...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/s1047951103000118
更新日期：2003-02-01 00:00:00
abstract：:Neonatal interventions for critical aortic coarctation may be associated with considerable morbidity and mortality if the patient is extremely premature. We report the successful treatment of critical coarctation in a 25-week, 740-gram infant using initial clipping of the duct until continued prostaglandin E1 infusion...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951111000679
更新日期：2012-02-01 00:00:00
abstract：BACKGROUND:Right heart function is an important predictor of morbidity and mortality in pulmonary arterial hypertension and many CHD. We investigated whether treatment with the prostacyclin analogue treprostinil could prevent pressure overload-induced right ventricular hypertrophy and failure. METHODS:Male Wistar rats...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951116000160
更新日期：2017-01-01 00:00:00
abstract：:We describe a patient with the rare association of the heart in the left chest, congenitally corrected transposition, pulmonary atresia and an intact ventricular septum. There were associated fistulous communications between the morphologically left ventricle and the coronary arteries. Diagnosis was made by echocardio...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/s1047951100009227
更新日期：2000-05-01 00:00:00
abstract：OBJECTIVE:Anthracycline chemotherapeutic agents carry the well-recognised risk of cardiac toxicity. The aim of this study was to determine the long-term effect of anthracycline chemotherapy on the biventricular function in childhood cancer survivors using tissue Doppler imaging and two-dimensional speckle tracking echo...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951119001094
更新日期：2019-07-01 00:00:00
abstract：BACKGROUND:Catheter interventions for residual lesions in the early postoperative period after CHD operations are still not established as a reliable treatment option. METHODS:We retrospectively reviewed our institutional experience of cardiac catheterisations and catheter interventions performed in the early postoper...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951118001452
更新日期：2018-12-01 00:00:00
abstract：:SummaryThe vast majority of patients with complete transposition present during either the neonatal period or early infancy. Almost always the diagnosis and the categorization of associated lesions can be established by cross-sectional echocardiography. Doppler techniques usually provide enough information about flows...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795110000007X
更新日期：1991-01-01 00:00:00
abstract：BACKGROUND:Tricuspid regurgitation as a manifestation of an isolated congenital anomaly of the tricuspid valve is rare. Cross-sectional and color Doppler echocardiography allow improved evaluation of tricuspid valvar function. As a result, the heterogeneous category of congenital tricuspid valvar dysplasia may be bette...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/s1047951100004972
更新日期：1999-05-01 00:00:00
abstract：:Fibrates are peroxisome proliferator-activated receptor-α agonists and are clinically used for treatment of dyslipidemia and hypertriglyceridemia. Fenofibrate is reported as a cardioprotective agent in various models of cardiac dysfunction; however, limited literature is available regarding the role of gemfibrozil as ...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S104795111400081X
更新日期：2015-04-01 00:00:00
abstract：:A 5-week-old child presented with a cardiac arrest secondary to myocardial ischaemia. Echocardiography demonstrated a single coronary artery arising from the right sinus of Valsalva. The coronary artery branched into left and right arteries, with the left artery then coursing anomalously in the tissue plane between th...
journal_title：Cardiology in the young
pub_type： 杂志文章
doi：10.1017/S1047951104006092
更新日期：2004-12-01 00:00:00
