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Prevalence, Management, and Outcomes of Atrial Fibrillation in Paediatric Patients: Insights from a Tertiary Cardiology Centre.

2024-09-15Text Open access
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dc.contributor.authorConstante, Andreia Duarte
dc.contributor.authorSuarez, Joana
dc.contributor.authorLourenço, Guilherme
dc.contributor.authorPortugal, Guilherme
dc.contributor.authorSilva Cunha, Pedro
dc.contributor.authorMartins Oliveira, Mário
dc.contributor.authorTrigo, Conceição
dc.contributor.authorPinto, Fátima
dc.contributor.authorLaranjo, Sérgio
dc.date.accessioned2025-05-09T15:18:49Z
dc.date.available2025-05-09T15:18:49Z
dc.date.issued2024-09-15
dc.description.abstractAtrial fibrillation (AF) is increasingly recognised in paediatric patients, presenting unique challenges in management due to its association with various underlying heart conditions. This study aimed to evaluate the prevalence, management strategies, and outcomes of AF in this population. : A retrospective analysis was conducted at a tertiary paediatric cardiology centre, including patients aged ≤18 years diagnosed with AF between January 2015 and December 2023. The study focused on demographic details, clinical presentations, treatments, and outcomes. Descriptive statistics were employed to assess treatment efficacy, recurrence rates, and complications. : The study included 36 paediatric patients (median age: 15 years, IQR: 13-17; 58% male). Of these, 52.8% had acquired heart disease, 16.7% had congenital heart anomalies, and 16.7% presented with lone AF. The initial management strategies involved electrical cardioversion in 53.3% of patients and pharmacological conversion with amiodarone in 46.7%. Rhythm control therapy was administered to over 80% of the cohort, and 63.9% were placed on oral anticoagulation, predominantly for rheumatic and congenital heart diseases. The overall success rate of rhythm control was 96.2%, with an AF recurrence rate of 3.8%. Ischemic stroke was the most common complication, occurring in three patients, all with underlying rheumatic heart disease. : AF in paediatric patients is predominantly associated with rheumatic and congenital heart diseases, though a significant proportion of patients present with lone AF. Despite effective rhythm control in most cases, neurological complications, particularly ischemic strokes in patients with underlying heart disease, remain a critical concern. These findings underscore the need for more comprehensive studies to better understand the aetiology, risk factors, and optimal management strategies for paediatric AF.eng
dc.identifier.citationMedicina (Kaunas) . 2024 Sep 15;60(9):1505. doi: 10.3390/medicina60091505.
dc.identifier.doi10.3390/medicina60091505.
dc.identifier.pmid39336546
dc.identifier.urihttp://hdl.handle.net/10400.17/5087
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectHSM CAR PED
dc.subjectHSM CAR
dc.subjectAdolescent
dc.subjectChild
dc.subjectFemale
dc.subjectMale
dc.subjectHumans
dc.subjectAmiodarone / therapeutic use
dc.subjectPrevalence
dc.subjectAnti-Arrhythmia Agents / therapeutic use
dc.subjectAnticoagulants / therapeutic use
dc.subjectAtrial Fibrillation* / epidemiology
dc.subjectAtrial Fibrillation* / therapy
dc.subjectElectric Countershock / statistics & numerical data
dc.subjectRetrospective Studies
dc.subjectTertiary Care Centers* / organization & administration
dc.subjectTreatment Outcome
dc.subjectTertiary Care Centers* / statistics & numerical data
dc.titlePrevalence, Management, and Outcomes of Atrial Fibrillation in Paediatric Patients: Insights from a Tertiary Cardiology Centre.eng
dc.typetext
dspace.entity.typePublication
oaire.citation.issue9
oaire.citation.startPage1505
oaire.citation.titleMedicina (Kaunas)
oaire.citation.volume60
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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