scholarly journals Holiday Heart Syndrome

2011 ◽  
Vol 1 (2) ◽  
pp. 43-46
Author(s):  
Maysara M. Abdelaziz ◽  
Anand N. Kamalanathan ◽  
Cheri Mathews John

Holiday heart syndrome is an acute cardiac rhythm or conduction disturbance associated with heavy ethanol consumption in a person without other clinical evidence of heart disease. Typically, this resolves rapidly with spontaneous recovery during subsequent abstinence from alcohol use. Two adolescents were presented with different degrees of heart block following acute alcohol ingestion. The electrocardiograph abnormalities resolved within 12 hours. Further investigations, including echocardiography and 24-hour electrocardiograph, were normal. Emergency Department physicians should be aware of the possibility of acute alcohol ingestion causing changes in cardiac conduction which has a potential to develop into life-threatening arrhythmias, thus, can occur in children and young adolescents.

2011 ◽  
Vol 1 (2) ◽  
pp. 43-46
Author(s):  
Maysara M. Abdelaziz ◽  
Anand N. Kamalanathan ◽  
Cheri Mathews John

Holiday heart syndrome is an acute cardiac rhythm or conduction disturbance associated with heavy ethanol consumption in a person without other clinical evidence of heart disease. Typically, this resolves rapidly with spontaneous recovery during subsequent abstinence from alcohol use. Two adolescents were presented with different degrees of heart block following acute alcohol ingestion. The electrocardiograph abnormalities resolved within 12 hours. Further investigations, including echocardiography and 24-hour electrocardiograph, were normal. Emergency Department physicians should be aware of the possibility of acute alcohol ingestion causing changes in cardiac conduction which has a potential to develop into life-threatening arrhythmias, thus, can occur in children and young adolescents.


1997 ◽  
Vol 7 (1) ◽  
pp. 69-74
Author(s):  
Seiji Takeda ◽  
Ichiro Tatara ◽  
Kenji Kono

PEDIATRICS ◽  
1963 ◽  
Vol 32 (4) ◽  
pp. 549-557
Author(s):  
Beverly C. Morgan

Ninety-eight cases of diphtheria were observed in a 5½ year period, and the cardiac findings were evaluated. There were nine deaths. Three patients were dead on arrival See Image in the PDF File at the hospital (without postmortem evidence of myocarditis) while three died of diphtheritic myocarditis and three as a result of respiratory complications. No child who succumbed had been immunized against diphtheria. Four patients developed electrocardiographic and clinical evidence of myocarditis, and three died. In addition, 27 children showed minor electrocardiographic abnormalities of questionable significance. No patient had clinical or pathological evidence of myocarditis in the absence of electrocardiographic abnormalities. Although transient nonspecific electrocardiorgaphic abnormalities are frequent, their significance remains unclear. Marked electrocardiographic abnormalities such as bundle-branch block, A-V dissociation, and complete heart block are diagnostic of myocarditis in patients with diphtheria.


2021 ◽  
Vol 4 (11) ◽  
pp. 01-06
Author(s):  
Akbar Molaei

Introduction: Congenital cardiac disorders are the most prevalent congenital disorders which require interventional or surgical treatments. The most common causes of complete heart block (CHB) are degeneration of cardiac conduction system, acute myocardial infarction and congenital cardiac disorders. CHB after congenital heart surgery is of paramount importance which causes post-operation death and heart failure. Application of a pacemaker is a standard treatment for CHB. The purpose of this paper is to study the frequency of early postoperative CHB in patients with congenital cardiac diseases and also the need for temporary (TPM) and permanent (PPM) pacemakers. Materials and methods: This descriptive-analytical and cross-sectional study was conducted on children with congenital heart defects who had undergone open-heart surgery in Tabriz’s Shahid Madani Hospital from 2011 to 2016. Patients with early postoperative CHB were included in the study. Those who had improved on their own and those who needed TPM and PPM were identified and at the end, the frequency of CHB and the need for TPM and PPM were assessed. Results: Of the 2100 operated patients, 109 patients developed early postoperative heart block. The frequency of early CHB after open heart surgery was 5.19%. Of the 109 patients, 69 patients (63.3%) with early postoperative CHB needed TPM, 9 patients needed PPM and 22 patients improved without pacemaker. Conclusion: The prevalence of early CHB in patients operated for congenital cardiac diseases was 5.19%. The need for TPM was high and most of the patients had improved cardiac rhythm with no need for PPM or TPM.


2017 ◽  
Vol 31 (12) ◽  
pp. 1691-1697 ◽  
Author(s):  
Alessandro Mantovani ◽  
Riccardo Rigolon ◽  
Isabella Pichiri ◽  
Giovanni Morani ◽  
Stefano Bonapace ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Kaitlyn Vennard ◽  
Matthew P. Gilbert

Thyroid storm is a rare endocrine emergency characterized by dysfunction of multiple organ systems. Thyroid storm is more common in Graves’ disease and can be precipitated by surgery, trauma, infection, metabolic abnormalities, iodine load, and parturition. We present a diagnostically challenging case of thyroid storm precipitated by radioiodine therapy and accompanied by bradycardia, a rare but life-threatening complication related to treatment for hyperthyroidism.


Author(s):  
Minati Choudhury ◽  
Jitin Narula ◽  
Milind P. Hote ◽  
Sarita Mohapatra

AbstractPermanent pacemaker implantation in low birthweight (LBW) babies with congenital complete heart block is extremely challenging due to a paucity of appropriate pulse generator placement pocket sites. The development of infection following an implantation procedure can pose a life-threatening risk to the patients. With more patients in the younger group receiving these devices than ever before and the rate of infection increasing rapidly, a closer look at the burden of infection and its impact on outcome of these patients is warranted. We report mucormycosis infection at the abdominal pacemaker pocket site of an infant requiring pacemaker explantation and re-insertion into the intrapleural space.


2019 ◽  
pp. 42-50
Author(s):  
Elizabeth Kukielka ◽  
Kelly Gipson ◽  
Rebecca Jones

Successful telemetry monitoring relies on timely clinician response to potentially life-threatening cardiac rhythm abnormalities. Breakdowns in the processes and procedures associated with telemetry monitoring, as well as improperly functioning telemetry monitoring equipment, may lead to events that compromise patient safety. An analysis of reports submitted to the Pennsylvania Patient Safety Reporting System (PA-PSRS) from January 2014 through December 2018 identified 558 events specifically involving interruptions or failures associated with telemetry monitoring equipment or with the healthcare providers responsible for setting up and maintaining proper functioning of that equipment. The analysis highlighted a steady increase in the quantity of event reports associated with telemetry monitoring submitted to PA-PSRS. User errors accounted for nearly half (47.1%, 263 of 558) of events in the analysis. The most common event subtypes included: errors involving batteries in telemetry monitoring equipment (14.0%); errors in which patients were not connected to telemetry monitoring equipment as ordered (12.9%); errors involving broken, damaged, or malfunctioning telemetry monitoring equipment (10.9%); and errors in which patients were connected to the wrong telemetry monitoring equipment (9.0%).


PEDIATRICS ◽  
1978 ◽  
Vol 62 (5) ◽  
pp. 847-849
Author(s):  
Milton J. Reitman ◽  
Heddu J. Zirin ◽  
Charles J. DeAngelis

The clinician must recognize that the Epstein-Barr virus can affect the conduction system of the heart. Therefore, children with infectious mononucleosis who develop bradycardia or hypotension deserve careful cardiac evaluation, including serial ECGs. Pacemaker therapy may be necessary in the treatment of life-threatening bradyarrhymias.


PEDIATRICS ◽  
1970 ◽  
Vol 45 (4) ◽  
pp. 640-650
Author(s):  
Cirilo Sotelo-Avila ◽  
Harvey S. Rosenberg ◽  
Dan G. McNamara

The cardiac conduction system of an infant with congenital complete heart block was studied at postmortem examination by subserial sections of the interatrial and interventricular septa. A localized area of necrosis in the central fibrous body interrupted the penetrating portion of the bundle of His. The cardiac structure was intact, with no abnormality other than the lesions in the fibrous tissue. The lesion is interpreted as the result of an acquired inflammation late in intrauterine life, with damage localized to the cardiac central fibrous body.


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