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008 210306s2020 ua dh f m 000 0 eng d
040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.28.Ph.D.2020.Sh.E
100 0 _aShereen Ameen Zaky Elmallwany
245 1 0 _aEvaluation of ventricular arrhythmias in children with a structurally normal heart /
_cShereen Ameen Zaky Elmallwany ; Supervised Gehan Hussein Ahmed , Noha Hosam Eldin Behery , Osama Mohamed Abdalaziz
246 1 5 _aتقييم ضربات القلب البطينية فى الأطفال ذوى القلوب الطبيعية
260 _aCairo :
_bShereen Ameen Zaky Elmallwany ,
_c2020
300 _a125 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _aBackground: Ventricular arrhythmia may be an isolated benign finding in children, a marker of serious systemic disease or myopathy or a mechanism for syncope and sudden cardiac death. Arrhythmogenic right ventricular dysplasia (ARVD) is an inherited cardiomyopathy disorder, leading to arrhythmias, and predominantly involving the right ventricular myocardium. Aim of the work: Evaluation of pediatric patients with ventricular arrhythmias for presence of systemic disease and detection of cardiac abnormalities that could not be detected by routine echocardiography using cardiac magnetic resonance imaging (CMR) in children with a structurally normal heart. Methodology: Twenty one cases of ventricular arrhythmias with a structurally normal heart were included. We studied the clinical picture, 12 leads ECG with measurement of {QRS duration, QTc, QTc dispersion, JTc, JTc dispersion, T (p-e) and T (p-e)/QT}, 24 hours Holter monitoring, Echocardiography and CMR for selected cases. Results: Palpitation was the presenting symptom in 66.6% of the cases and syncope in 23.8%. Ventricular arrhythmias were of right ventricular origin in 95.2% of the cases, polymorphic in 61.9%. QTc dispersion and JTc dispersion were statistically significant higher in cases with chest pain (P value 0.001). Holter detected ventricular arrhythmias frequency ranged from (4-47%).One case was diagnosed as Wilson disease. No cardiac abnormalities were detected in CMR. Medical management was indicated in 16 cases (76%)
530 _aIssued also as CD
653 4 _aECG
653 4 _aHolter
653 4 _aPVCs
700 0 _aGehan Hussein Ahmed ,
_eSupervisor
700 0 _aNoha Hosam Eldin Behery ,
_eSupervisor
700 0 _aOsama Mohamed Abdalaziz ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c80131
_d80131