Pediatrik disritmiler

Pediatrik disritmiler, pediatri poliklinik ve acillerine seyrek ancak önemli başvuru nedenleridir. Doğumsal kalp hastalıklarının başarılı cerrahi tedavisi ve tanı araçlarının gelişmesiyle beraber daha sık olarak disritmi tanısı konulmaya başlamıştır. Pediatrik disritmiler; asemptomatik olabileceği gibi, halsizlik, sersemlik hissi, efor kapasitesinde azalma, çabuk yorulma, kalp atımlarında düzensizlik, çarpıntı, bayılma şikayetleri ile kendilerini göstermekte ve bazen kardiyak arrest ilk başvuru bulgusu olabilmektedir. Sebep olabilecekleri önemli hemodinamik etkiler nedeniye pediatristler ve aile hekimleri tarafından iyi tanınmaları, hastalar için hayatiyet arz etmektedir. Bu derlemede sık karşılaşılan pediatrik disritmilerin pediatristler ve aile hekimlerince doğru tanı ve tedavisine katkıda bulunulması amaçlanmıştır.

Pediatric dysrhythmias

Pediatric dysrhythmias are rare but important causes of admission to pediatric clinics and emergency departments. Due to the development of successful surgical treatment of congenital heart diseases and improvements in the diagnostic tools, pediatric dysrhythmias are more frequently diagnosed. Although pediatric dysrhythmias are may be asymptomatic, they may manifest with weakness, dizziness, decrease in the effort capacity, easy fatigability, irregularity in heartbeats, palpitations, syncope and cardiac arrest. Since dysrhythmias may give rise to signifcant hemodynamic outcomes, their recognition by pediatricians and family physicians is vital for the patients. This review aims to contribute to the correct diagnosis and management of the cases with frequently encoun - tered pediatric dysrhythmias.

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