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Il bambino con il batticuore in Pronto Soccorso:
dalla teoria alla pratica andata e ritorno

Marco Bobbo1, Gianluca Tamaro2, Valentina Gesuete1, Biancamaria D’Agata1, Egidio Barbi1, Alessandro Ventura1,2

1IRCCS Materno-Infantile “Burlo Garofolo”, Trieste
2Università di Trieste

Indirizzo per corrispondenza: marco.bobbo@burlo.trieste.it

The child with palpitations in the Emergency Unit

Key words: Cardiac arrhythmia, Paroxysmal supraventricular tachycardia, Retrospective study

Palpitations are a common cause of complaint in the paediatric population and can be a reason of serious concern for children, adolescents and parents. Despite this, palpitations are known to have a benign prognosis, but still are cause of referral to the Emergency Unit (EU). The aim of the present retrospective study was to make a review of prevalence and long-term prognosis of emergency accesses for palpitations between 2009-2015. The study was conducted in the EU of the Paediatric Hospital “Burlo Garofolo”, Trieste, Italy. Despite a low prevalence of access to the EU, namely 0.1%, 96 patients in a time span of 7 years, 16.7% of patients (n = 16) had an underlying arrhythmic cause for the symptom. The presence of a heart rate above 150 beats per minute was highly suggestive of cardiac arrhythmia, more often of paroxysmal supraventricular tachycardia. As far as the long-term follow-up is concerned, 10.4% of patients (n = 10) received medical therapy and 6.2% (n = 6) underwent transcatheter ablation for supraventricular arrhythmia. In conclusion, palpitations turned out to be an infrequent cause of access to the EU. Nonetheless, 1 out of 6 patients requires long term medical therapy or percutaneous intervention.

Vuoi citare questo contributo?

M. Bobbo, G. Tamaro, V. Gesuete, B. D’Agata, E. Barbi, A. Ventura Il bambino con il batticuore in Pronto Soccorso:
dalla teoria alla pratica andata e ritorno. Medico e Bambino pagine elettroniche 2017;20(4) https://www.medicoebambino.com/?id=RIC1704_10.html

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