Fifteen-minute consultation: How to manage neonatal bradycardia.

IF 1.1 4区 医学 Q3 PEDIATRICS
Sudeep Shrestha, Giacomo Buratti, Reem Husseiny, Nicola Storring, Prashanthi Katta
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引用次数: 0

Abstract

Neonatal bradycardia is characterised by a heart rate below 80 bpm, irrespective of gestational age. It is generally self-resolving but, in some cases, represents an underlying pathology which may be cardiac or non-cardiac in origin. The common causes for bradycardia are non-cardiac in origin such as autonomic immaturity in premature infants, electrolyte imbalances, hypothyroidism and medications. Cardiac causes include-sinus bradycardia, conduction system abnormalities, congenital heart disease and channelopathies. Diagnostic investigations typically include a standard 12-lead ECG, 24-hour Holter monitor and an echocardiogram. This article aims to provide a practical framework for the management of neonates with bradycardia and guide further investigation and/or referral to specialist paediatric cardiology services.

十五分钟咨询:如何处理新生儿心动过缓。
新生儿心动过缓的特点是心率低于 80 bpm,与胎龄无关。心动过缓一般可自行缓解,但在某些情况下,代表着潜在的病理变化,可能是心源性的,也可能是非心源性的。心动过缓的常见原因是非心源性的,如早产儿自主神经发育不全、电解质失衡、甲状腺功能减退和药物。心源性原因包括窦性心动过缓、传导系统异常、先天性心脏病和通道病。诊断检查通常包括标准的 12 导联心电图、24 小时 Holter 监测仪和超声心动图。本文旨在为新生儿心动过缓的管理提供一个实用框架,并为进一步检查和/或转诊至儿科心脏病专科服务提供指导。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
0.00%
发文量
68
审稿时长
>12 weeks
期刊介绍: Archives of Disease in Childhood is an international peer review journal that aims to keep paediatricians and others up to date with advances in the diagnosis and treatment of childhood diseases as well as advocacy issues such as child protection. It focuses on all aspects of child health and disease from the perinatal period (in the Fetal and Neonatal edition) through to adolescence. ADC includes original research reports, commentaries, reviews of clinical and policy issues, and evidence reports. Areas covered include: community child health, public health, epidemiology, acute paediatrics, advocacy, and ethics.
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