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Diagnosis, evaluation and treatment of cardiac arrhythmias Abstract: Paediatric cardiac arrythmias commonly occur in the absence of structural heart disease, and are classified according to their cardiac site of origin. Although a detailed history and examination are invaluable, a correct diagnosis cannot be made unless the ECG is analysed, taking into account features specific to this age group. A 24-hour ECG recording may also be helpful. As many of these conditions have a genetic basis, a careful family history should be taken. For patients presenting acutely with haemodynamic collapse, paediatric life support measures should be instigated. For others, there is more time to undertake investigations prior to treatment. A relatively small number of agents, described here, are used in therapy, and in older children, radiofrequency ablation or fitting of a pacemaker offers a more permanent treatment. Advances in genetics suggest the chance of improved screening and treatment for those conditions which are inherited. Paediatrics and Child HealthSmoking Plus Family History Ups Stroke Risk from Aneurysm Six-Fold Those with a family history of stroke from an aneurysm are now found to have a six-fold increase in stroke risk from aneurysm, directly related to smoking.The new study, published in the American Academy of Neurology, studied 339 people who suffered stroke from aneurysm, a blood vessel weakness that results in brain hemorrhage, leading to stroke. The condition is fatal in thirty-five to forty percent of cases. The researchers also compared 1,016 people who had not had a stroke due to an aneurysm. Half of the stroke groups were current smokers; the other half either quit or never smoked.read more CBC.caNew Plans To Improve Prevention Of Vascular Disease, UK New plans to improve the prevention and management of patients with vascular disease were announced today by Health Minister Edwina Hart. Mrs Hart said that a group of clinicians will review current provision of vascular risk management and assessment in Wales and recommend a future model to reduce the number of people developing the disease. Medicalnewstoday.comBlue Cross And Blue Shield Of Oklahoma Announces Autism Benefits Blue Cross and Blue Shield of Oklahoma announced the addition of an autism benefit to insured groups effective their next policy year. This change will not in any way affect the current medical coverage that has always been available to children with autism. medicalnewstoday.comPublished Reports Inaccurate Concerning Alcohol Consumption During Pregnancy A national alcohol research group is concerned that the media's misinterpretation of a recent British research study could encourage pregnant women to be more at ease with temperate alcohol consumption. Some media reports erroneously stated that the study by The University College London researchers revealed that light drinking by pregnant women could be beneficial to their babies. medicalnewstoday.com |
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