PREVALENCE OF PREMATURE VENTRICULAR EXCITATION SYNDROME IN SCHOOL-AGED CHILDREN
Main Article Content
Abstract
The clinical significance of PVES is determined by the fact that almost 80.0% of patients sooner or later develop tachyarrhythmic attacks, which under certain conditions are transformed into atrial and ventricular fibrillation, posing a threat to the patient’s life. Objective. To study the prevalence of various forms of premature ventricular excitation of the heart in school-age children. To establish the frequency and structure of premature ventricular excitation of the heart in school-age children. Material and methods. To identify cases of PVES in school-age children, 1733 children aged 7-14 years (827 girls, 906 boys) were examined. Results. Summarizing the results of the study and clinical observation of children with PVES, it can be stated that the manifestations of the latter are not a rare pathology for children in our region. PVES have a number of clinical and electrocardiographic features associated with the health and pre- and postnatal development of children, they have impaired electrophysiological features of the myocardium, asynchronism of the depolarization phases of the atria and ventricles, disproportion in the ECG intervals of de- and repolarization of the ventricles, which leads to inhibition of the contractility of the myocardium with the development of hypertrophy of the heart, an increase in the risk of developing supraventricular tachyarrhythmias. Conclusion. For early diagnostics and prevention of life-threatening arrhythmias caused by premature ventricular excitation (PVES), it is recommended to conduct systematic targeted preventive examinations among school-age children. Clinical, anamnestic and ECG criteria for PVE syndromes and phenomena, their types WPW, CLC, Mahaim are presented. Additional information characterizing the electromechanical activity of the atria is presented for doctors.
Downloads
Article Details
Section
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors retain the copyright of their manuscripts, and all Open Access articles are disseminated under the terms of the Creative Commons Attribution License 4.0 (CC-BY), which licenses unrestricted use, distribution, and reproduction in any medium, provided that the original work is appropriately cited. The use of general descriptive names, trade names, trademarks, and so forth in this publication, even if not specifically identified, does not imply that these names are not protected by the relevant laws and regulations.
How to Cite
References
Argunova V.M., Petrova A.E., Verevkina O.N. Heart rhythm and conduction disorders in children. Vestn arit-mol 2000; 15: 110.
2. Akhmatova Sh.A. Comparative characteristics of clinical and diagnostic signs of cardiac pathology in newborns. Dis. ... master's degree. Kazan 2014: 80.
3. Balykova L.A., Nazarova A.N. Treatment of cardiac arrhythmias in children // Practical medicine. - 2010. - No. 5. - P. 30-36.
4. Krutova A.V. et al. Features of the course and prognosis of cardiac rhythm and conduction disorders in children of the first year of life // Pediatrics. Journal named after G.N. Speransky. 2015. No. 2. - P. 13-18.
5. Diagnostics and treatment of cardiac rhythm and conduction features in children. / Edited by M.A. Shkolnikova, D.F. Egorov - St. Petersburg: Chelovek, 2012 - 432 p.
6. Zadionchenko V.S., Shekhyan G.G., Snetkova A.A., Shchekota A.M., Yalymov A.A. The role of additional cardiac pathways in ventricular pre-excitation. Handbook of a polyclinic physician. 2012 - No. 6-P. 46-49.
7. Nagornaya N.V., Pshenichnaya E.V., Parshin S.A. Non-invasive electrophysiological study - a modern method for diagnosing cardiac rhythm and conduction disorders in children // Child health. - 2012. - No. 3 (38). - P. 71-76.
8. Musadzhanova L.Kh. Characteristics of adaptive and borderline states of the cardiovascular system in children. // Abstract of a Doctor of Medicine. Tashkent. –2001. –35 p.
9. Shkolnikova M.A. Life-threatening arrhythmias in children. // -M. "Medicine". –1999. –230 p.
10. Kolbasova E.V. Risk factors for paroxysmal tachycardia in children with asymptomatic WPW syndrome // Annals of Arrhythmology. - 2011. - No. 2 (Supplement). - P. 39.
11. Burak T.Ya. Features of assessing the results of stress tests in WPW syndrome. Herald of Arrhythmology. - 2010. - No. 59. - P. 78-80. 12. Shkolnikova M.A., Miklashevich I.M., Kalinina L.A. Normative ECG parameters in children and adolescents. - M.: Association of Children's Cardiologists of Russia, 2010. - 232 p.
13. Djuraev, M., Azimova, S., Dadabaev, O. and Vasilevsky, E., 2025. PERSISTENCE AND REACTIVATION OF CYTOMEGALOVIRUS: A NEW LOOK AT THE CURRENT PROBLEM. International journal of medical sciences, 1(2), pp.363-369.
14. Gulamovich, D. M. (2023). Classification of the most common infectious diseases today. International Multidisciplinary Journal for Research & Development, 10(10).
15. Gulamovich, D. M. (2023). Classification of the most common infectious diseases today. International Multidisciplinary Journal for Research & Development, 10(10).