1
views
0
recommends
+1 Recommend
1 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      Niña de 12 años con síncope durante el ejercicio Translated title: 12-year-old girl with syncope during exercise

      case-report

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Resumen Continuamos con la serie de casos clínicos en Cardiología Pediátrica revisando los motivos de consulta frecuentes en las consultas de Pediatría de Atención Primaria, presentados de forma breve y práctica y tratando de mostrar la utilidad del electrocardiograma, método diagnóstico del que disponemos en Atención Primaria. En este número se presenta el caso de una niña de 12 años con un episodio de síncope durante el ejercicio. Se discuten los hallazgos electrocardiográficos y la orientación en el manejo de este paciente.

          Translated abstract

          Abstract We continue reviewing the Pediatric Cardiology series of clinical cases, which display the reasons for frequent consultation in Primary Pediatric Care. We present them in a brief and practical way, trying to show the usefulness of the electrocardiogram, which proves to be the main diagnostic tool used in Primary Care. This issue describes the case of a 12-year-old girl who suffered an episode of syncope during exercise. Electrocardiographic findings and guidance in the management of this patient are discussed.

          Related collections

          Most cited references5

          • Record: found
          • Abstract: found
          • Article: not found

          Accurate electrocardiographic assessment of the QT interval: teach the tangent.

          Long QT-Syndrome (LQTS) is a prevalent and possibly lethal disease. Unfortunately, it has recently been shown that the majority of physicians, including many cardiologists, do not recognize a long QT interval when they see one. Conversely, almost 40% of patients referred to specialized centers with a presumed diagnosis of LQTS have a normal QT.
            Bookmark
            • Record: found
            • Abstract: found
            • Article: not found

            Long QT Syndrome: A Comprehensive Review of the Literature and Current Evidence

            Long QT syndrome (LQT) represents a heterogeneous family of cardiac electrophysiologic disorders characterized by QT prolongation and T-wave abnormalities on the electrocardiogram. It is commonly associated with syncope, however, sudden cardiac death can occur due to torsades de pointes. LQT is a clinical diagnosis and should be suspected in individuals on the basis of clinical presentation, family history and ECG characteristics. Management is focused on the prevention of syncope and ultimately sudden death. Complete cessation of symptoms is the goal. Life-style modification, beta blockers and ICD implantation are the most important therapeutic modalities in proper management of patients with LQT. Awareness should be raised regarding possible circumstances that could increase the risk of QT prolongation. Advanced age, hypokalemia, a history of heart failure, and structural heart disease are often mentioned in this context. Prudent consideration is needed before making a decision to recommend an ICD implantation in a young, active patient. Medical and/or device therapy still represent important therapeutic modalities in the management of patients with LQT with careful clinical judgement for the substrate of patients who will benefit. Insights from benchside to bedside have facilitated progress toward better therapeutic strategies, there also remains a need for tailoring management toward individuals in a mechanism-specific manner to optimize care. In addition, continued progress toward fundamental understanding of mechanisms of ion channel function and drug-channel interaction will guide the development of more effective, mechanism-based molecular agents in the treatment of LQT.
              Bookmark
              • Record: found
              • Abstract: not found
              • Article: not found

              Guía rápida para la lectura sistemática del ECG pediátrico

                Bookmark

                Author and article information

                Journal
                pap
                Pediatría Atención Primaria
                Rev Pediatr Aten Primaria
                Asociación Española de Pediatría de Atención Primaria (Madrid, Madrid, Spain )
                1139-7632
                June 2021
                : 23
                : 90
                : 187-190
                Affiliations
                [2] Alcorcón Madrid orgnameHospital Universitario Fundación Alcorcón orgdiv1Servicio de Pediatría orgdiv2Unidad de Cardiología Infantil España
                [1] Alcorcón Madrid orgnameHospital Universitario Fundación Alcorcón orgdiv1Servicio de Pediatría España
                Article
                S1139-76322021000200014 S1139-7632(21)02309000014
                03be773f-2710-43fc-87be-a03f8113c06a

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

                History
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 5, Pages: 4
                Product

                SciELO Spain

                Categories
                Casos Clínicos

                Arritmia sinusal respiratoria,Intervalo QT corregido,Síncope,Síndrome de QT largo,Corrected QT interval,Long QT syndrome,Respiratory sinus arrhythmia,Syncope

                Comments

                Comment on this article