The role of the epinephrine test in the diagnosis and management of children suspected of having congenital long QT syndrome.

Abstract:

:The epinephrine test has been shown to be a powerful tool to predict the genotype of congenital long QT syndrome (LQTS). The aim of this study was to evaluate its role in the diagnosis and management of LQTS in children. The test (using the Shimizu protocol) was conducted in patients with some evidence of LQTS but in whom clinical and management decisions were challenging (n = 41, age 9.6 +/- 3.9 years, 19 female). LQT1, LQT2, and negative responses to epinephrine were obtained in 16, 5, and 20 subjects, respectively. LQTS gene positivity was obtained in two subjects. Beta-blocker therapy was started in all subjects with a positive epinephrine response (n = 21) and in some negative responders because of their strong LQTS phenotype (n = 10). No therapy was given to the subset with less convincing features of LQTS who had also responded negatively to epinephrine (n = 10). Follow-up for 3.0 +/- 2 years was uneventful in both management groups. Due to the discordance with genotyping, the epinephrine test cannot be used to diagnose genotype-positive LQTS but when used in combination with phenotype assessment and genetic screening, it could enable better management decisions.

journal_name

Pediatr Cardiol

journal_title

Pediatric cardiology

authors

Clur SA,Chockalingam P,Filippini LH,Widyanti AP,Van Cruijsen M,Blom NA,Alders M,Hofman N,Wilde AA

doi

10.1007/s00246-009-9603-2

subject

Has Abstract

pub_date

2010-05-01 00:00:00

pages

462-8

issue

4

eissn

0172-0643

issn

1432-1971

journal_volume

31

pub_type

杂志文章
  • Evolution of Ventricular Energetics in the Different Stages of Palliation of Hypoplastic Left Heart Syndrome: A Retrospective Clinical Study.

    abstract::Hyperplastic left heart syndrome (HLHS) patients are palliated by creating a Fontan-type circulation passing from different surgical stages. The aim of this work is to describe the evolution of ventricular energetics parameters in HLHS patients during the different stages of palliation including the hybrid, the Norwoo...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-017-1704-8

    authors: Di Molfetta A,Iacobelli R,Guccione P,Di Chiara L,Rocchi M,Cobianchi Belisari F,Campanale M,Gagliardi MG,Filippelli S,Ferrari G,Amodeo A

    更新日期:2017-12-01 00:00:00

  • Age-related criteria for signal-averaged electrocardiographic late potentials in children.

    abstract::This study examined the age-related criteria of signal-averaged electrocardiographic (SA-ECG) parameters in children. SA-ECGs were obtained in 82 healthy volunteers in six groups depending on age (group 1: 1 day to < 1 month; group 2: 1 month to < 1 year; group 3: 1 to < 6 years; group 4: 6 to < 12 years; group 5: 12 ...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/BF00796320

    authors: Hayabuchi Y,Matsuoka S,Kubo M,Akita H,Kuroda Y

    更新日期:1994-05-01 00:00:00

  • Perinatal Decision Making for Preterm Infants with Congenital Heart Disease: Determinable Risk Factors for Mortality.

    abstract::For premature infants with congenital heart disease (CHD), it may be unclear when the burdens of treatment outweigh potential benefits. Parents may thus have to choose between comfort care at birth and medical stabilization until surgical repair is feasible. Better defined outcome data, including risk factors for mort...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-016-1374-y

    authors: Lynema S,Fifer CG,Laventhal NT

    更新日期:2016-06-01 00:00:00

  • HOXA1 gene is not potentially related to ventricular septal defect in Chinese children.

    abstract::The HOXA1 gene plays a fundamental role in embryonic morphogenesis. Recent studies in humans and mice have indicated that HOXA1 plays a previously unrecognized role in cardiovascular system development. Congenital heart disease (CHD), particularly ventricular septal defect (VSD), might be a clinically isolated manifes...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00246-012-0418-1

    authors: Liu J,Wang B,Chen X,Li H,Wang J,Cheng L,Ma X,Gao B

    更新日期:2013-02-01 00:00:00

  • Nesiritide for the treatment of pulmonary hypertension and cor pulmonale in an infant.

    abstract::Nesiritide is a synthetic form of B-type natriuretic peptide. It is approved for the treatment of acute exacerbations of congestive heart failure in hospitalized adult patients. It is currently under investigation for use in other settings and other patient populations. This article describes administration of nesirit...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-006-0064-6

    authors: Reynolds EW,Conely ET,Vranicar M

    更新日期:2007-05-01 00:00:00

  • Myocardial Stress Perfusion MRI: Experience in Pediatric and Young-Adult Patients Following Arterial Switch Operation Utilizing Regadenoson.

    abstract::Dextro-transposition of the great arteries (D-TGA) is one of the most common cyanotic heart lesions. The arterial switch operation (ASO) is the preferred surgical palliation for D-TGA. One of the primary concerns following the ASO is complications arising from the coronary artery transfer. There is a need for myocardi...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-018-1890-z

    authors: Noel CV,Krishnamurthy R,Masand P,Moffett B,Schlingmann T,Cheong BY,Krishnamurthy R

    更新日期:2018-08-01 00:00:00

  • Symptomatic aorto-pulmonary collaterals early after arterial switch operation.

    abstract::Enlarged bronchial arteries and/or systemic-to-pulmonary collaterals have been frequently demonstrated in association with transposition of the great arteries. They are usually clinically silent, although they might be large enough to cause accelerated pulmonary vascular obstructive disease or symptomatic cardiac volu...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-007-9183-y

    authors: Santoro G,Carrozza M,Russo MG,Calabrò R

    更新日期:2008-07-01 00:00:00

  • Cardiovascular magnetic resonance imaging for intensive care infants: safe and effective?

    abstract:BACKGROUND:Cardiac magnetic resonance imaging (MRI) is an important diagnostic tool for congenital heart disease (CHD), as reflected by class 1 recommendations for the use of cardiac MRI by various consensus panels. However, little is known about the safety and clinical utility of cardiac MRI for these critically ill i...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-008-9295-z

    authors: Sarikouch S,Schaeffler R,Körperich H,Dongas A,Haas NA,Beerbaum P

    更新日期:2009-02-01 00:00:00

  • Two cases of warfarin-induced tracheobronchial calcification after Fontan surgery.

    abstract::This study identified tracheobronchial cartilage calcification in children with congenital heart disease. Calcification of the tracheobronchial airways has been found previously in adults receiving warfarin and in children receiving warfarin after mitral valve replacement. A 9-year-old girl who had received a Fontan r...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-014-0880-z

    authors: Eckersley L,Stirling J,Occleshaw C,Wilson N

    更新日期:2014-08-01 00:00:00

  • Dilated cardiomyopathy masquerading as long QT syndrome.

    abstract::Atrioventricular block has been described in association with cases of long QT syndrome and mortality is increased in this subgroup. We describe an infant with congenital QT prolongation and atrioventricular block with normal cardiac function, leading to the initial diagnosis of long QT syndrome. She subsequently deve...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-005-1114-1

    authors: Walls J,Dipchand A,Sanatani S

    更新日期:2006-01-01 00:00:00

  • Functional echocardiographic assessment of myocardial performance in anemic premature infants: a pilot study.

    abstract::This prospective observational study conducted in a neonatal intensive care unit aimed to evaluate echocardiographic changes provoked by anemia and transfusion of packed red blood cells (pRBCs) in premature infants. In this study, 32 anemic premature infants had serial echocardiographic assessment of left ventricular ...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-012-0154-6

    authors: Radicioni M,Troiani S,Mezzetti D

    更新日期:2012-04-01 00:00:00

  • Quantification of congenital aortic valve stenosis in pediatric patients: comparison between cardiac magnetic resonance imaging and transthoracic echocardiography.

    abstract::Previous studies showed the reliability of cardiac magnetic resonance imaging (cMRI) in the quantification of aortic valve stenosis in adults. The aim of this retrospective study was to assess the ability of cMRI in the quantification of congenital aortic valve stenosis (CAS) in children. Nineteen patients (mean age 1...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-013-0851-9

    authors: Sirin S,Nassenstein K,Neudorf U,Jensen CJ,Mikat C,Schlosser T

    更新日期:2014-06-01 00:00:00

  • Ontogeny of cardiac sympathetic innervation and its implications for cardiac disease.

    abstract::The vertebrate heart is innervated by the sympathetic and parasympathetic components of the peripheral autonomic nervous system, which regulates its contractile rate and force. Understanding the mechanisms that control sympathetic neuronal growth, differentiation, and innervation of the heart may provide insight into ...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00246-012-0248-1

    authors: Vincentz JW,Rubart M,Firulli AB

    更新日期:2012-08-01 00:00:00

  • Balloon angioplasty for native aortic coarctation in different anatomic variants.

    abstract::Balloon angioplasty for native coarctation of the aorta in infants and children is gaining acceptance as an alternative to surgery in discrete membranous obstruction. The aim of this study was to assess the immediate and intermediate-term effectiveness and safety of balloon angioplasty in infants and children with dis...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-007-9029-7

    authors: Massoud Iel S,Farghly HE,Abdul-Monem A,Botros N,Kassem A,Magraby AE,Dawood A,Abdul-Hakam M

    更新日期:2008-05-01 00:00:00

  • Ruptured sinus of Valsalva found incidentally in a patient with tetralogy of Fallot.

    abstract::Ruptured sinus Valsalva aneurysm (SVA) in a patient with tetralogy of Fallot is a very rare cardiac complication. This report describes the case of a 10-year-old Hispanic girl who presented to her cardiologist for a routine transthoracic echocardiography (TTE), which showed a ruptured sinus of Valsalva, with left-to-r...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-012-0457-7

    authors: Mithani AA,Polimenakos AC,Santucci BA

    更新日期:2013-01-01 00:00:00

  • Truncus arteriosus: diagnostic accuracy, outcomes, and impact of prenatal diagnosis.

    abstract::Limited data exist on the impact of prenatal diagnosis and outcomes of fetal truncus arteriosus (TA). We sought to assess prenatal diagnostic accuracy and prenatal outcomes in fetuses with TA and compare postnatal outcomes in neonates with prenatally and postnatally diagnosed TA. Records were reviewed for patients dia...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-008-9328-7

    authors: Swanson TM,Selamet Tierney ES,Tworetzky W,Pigula F,McElhinney DB

    更新日期:2009-04-01 00:00:00

  • The growing epidemic of hypertension among children and adolescents: a challenging road ahead.

    abstract::Currently, it is clear that primary hypertension begins in childhood and that it contributes to the early development of chronic kidney disease (CKD). Hypertension also increases the risk of cardiovascular morbidity and mortality, and that risk rises as blood pressure levels escalate. As among adult patients, overweig...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00246-012-0333-5

    authors: Assadi F

    更新日期:2012-10-01 00:00:00

  • Echocardiographic abnormalities in familial dysautonomia.

    abstract::Sudden death accounts for up to 43% of all deaths in patients with familial dysautonomia (FD). The classic features of FD, namely, autonomic dysfunction, high blood pressure, and blood pressure labiality, are all risk factors for cardiac remodeling and hypertrophy. Myocardial remodeling and hypertrophy are independent...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-009-9497-z

    authors: Nussinovitch U,Katz U,Nussinovitch M,Blieden L,Nussinovitch N

    更新日期:2009-11-01 00:00:00

  • Carney complex presenting with Raynaud's phenomenon and erythematous macules of the extremities.

    abstract::A 12-year-old male presented with a 6-week history of apparent digital vasculitis with color changes of the distal fingers and erythematous macules of the palms and soles. Physical examination revealed skin findings of Carney complex and an abnormal cardiac examination. Echocardiography demonstrated a large left atria...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-005-1238-3

    authors: Mirkinson LJ,Ratnayaka K,Sable CA,Gaskin PR

    更新日期:2006-03-01 00:00:00

  • Interatrial groove tear: an unusual complication of balloon atrial septostomy.

    abstract::The authors present an unusual complication of the balloon atrial septostomy procedure performed in a neonate with D-transposition of the great arteries. Cardiac tamponade developed shortly after the balloon atrial septostomy procedure and the infant was found to have a tear in the superior aspect of the left atrium, ...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/BF02076340

    authors: Blanchard WB,Knauf DG,Victorica BE

    更新日期:1983-04-01 00:00:00

  • Abnormal coronary flow reserve in a 13-year-old girl with an absent left circumflex coronary artery.

    abstract::We measured the coronary flow reserve in a 13-year-old girl with the rare anomaly of an absent left circumflex coronary artery. Although the coronary flow volume of the right coronary artery was at the same level as that of the left anterior descending coronary artery, the coronary flow reserve of the patient's right ...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s002460010188

    authors: Itoi T,Oka T,Hamaoka K

    更新日期:2001-03-01 00:00:00

  • Vascular histopathologic reaction to pulmonary artery banding in an in vivo growing porcine model.

    abstract::Pulmonary artery banding (PAB) is used as a surgical palliation to reduce excessive pulmonary blood flow caused by congenital heart defects. Due to the lack of microscopic studies dealing with the tissue remodeling caused by contemporary PAB materials, this study aimed to assess histologic changes associated with PAB ...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-013-0699-z

    authors: Nedorost L,Uemura H,Furck A,Saeed I,Slavik Z,Kobr J,Tonar Z

    更新日期:2013-10-01 00:00:00

  • Congenital giant aneurysm of the left innominate vein: is surgical treatment required?

    abstract::Congenital aneurysms of the thoracic venous system are rare. In particular, innominate venous aneurysms are extremely rare. We describe a 16-year-old girl whose chest x-ray suggested a mediastinal tumor. Three-dimensional contrast-enhancement magnetic resonance venography showed a giant sacciform aneurysm of the left ...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-003-0499-y

    authors: Tsuji A,Katada Y,Tanimoto M,Fujita I

    更新日期:2004-07-01 00:00:00

  • Primary rhabdomyosarcoma of the heart.

    abstract::A primary rhabdomyosarcoma of the heart observed in a 3-week-old infant, provides an opportunity to review this rare clinical entity; 61 reported cases are collated. The more common sites are right ventricle, left atrium, and right atrium; the tumour may protrude into the cavity and cause obstruction. Echocardiography...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/BF02265621

    authors: Schmaltz AA,Apitz J

    更新日期:1982-01-01 00:00:00

  • Congenital mitral regurgitation caused by a perforation in the anterior leaflet: perioperative evaluation by color-coded Doppler echocardiography.

    abstract::Color-coded two-dimensional (2D) echocardiography confirmed the presence of severe congenital mitral regurgitation in an 8-month-old infant. Intraoperative inspection revealed an isolated perforation in the anterior leaflet. ...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/BF02239570

    authors: Schranz D,Oelert H,Iversen S,Schuind A,Huth R,Jüngst BK,Stopfkuchen H,Erbel R

    更新日期:1990-04-01 00:00:00

  • Transcatheter Closure of Perimembranous Ventricular Septal Defects with Left Ventricular to Right Atrial Shunt.

    abstract::During the development of so-called aneurysmal transformation of perimembranous ventricular septal defects (pmVSD), tricuspid valve (TV) morphology and function may be altered resulting in left ventricular (LV) to right atrial (RA) shunting. The feasibility and outcome of interventional closure of these pmVSD has not ...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-015-1170-0

    authors: Kerst G,Moysich A,Ho SY,Apitz C,Latus H,Schranz D

    更新日期:2015-10-01 00:00:00

  • Pulmonary hypertension in Kawasaki disease.

    abstract::This report describes the case of two pediatric patients who demonstrated echocardiographic evidence of pulmonary hypertension (PH) during the acute phase of Kawasaki disease. The etiology of PH development in this setting is currently unknown, but the authors hypothesize that pulmonary vasculitis may play a significa...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00246-012-0510-6

    authors: Nicholson GT,Samai C,Kanaan U

    更新日期:2013-01-01 00:00:00

  • Normalization of maximal cardiovascular variables for body size in premenarcheal girls.

    abstract::Previous studies have indicated the importance of allometric scaling of VO2max for body size. However, no information is available on adjusting maximal cardiac output (Qmax) and stroke volume (SVmax) for body dimensions. The allometric exponent b was determined for the equation Y = aXb (where Y is the physiological ou...

    journal_title:Pediatric cardiology

    pub_type: 临床试验,杂志文章

    doi:10.1007/s002460010102

    authors: Rowland T,Goff D,Martel L,Ferrone L,Kline G

    更新日期:2000-09-01 00:00:00

  • Hemodynamic assessment in patients with one-and-a-half ventricle repair revealed by four-dimensional flow magnetic resonance imaging.

    abstract::We report hemodynamic findings in two patients with pulmonary atresia and intact ventricular septum (PAIVS) after "one-and-a-half ventricle repair" and placement of a bidirectional Glenn shunt using four-dimensional (4D) flow magnetic resonance imaging. Quantification of flow and analysis of flow patterns revealed the...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-012-0288-6

    authors: Uribe S,Bächler P,Valverde I,Crelier GR,Beerbaum P,Tejos C,Irarrazaval P

    更新日期:2013-02-01 00:00:00

  • Use of dexmedetomidine in patients with trisomy 21 after cardiac surgery.

    abstract::Children with trisomy 21 have a high incidence of congenital heart disease that frequently requires surgical repair. These patients often require multiple and higher dosage sedatives during the postoperative period. Dexmedetomidine is an alpha(2)-adrenergic receptor agonist that has sedative, analgesic, and anxiolytic...

    journal_title:Pediatric cardiology

    pub_type: 杂志文章

    doi:10.1007/s00246-006-0072-6

    authors: Kalyanaraman M,Costello JL,Starr JP

    更新日期:2007-09-01 00:00:00