Heart Rate

[Sharma_R]

I am writting this for a kid

Sex : Male      Age : 2 years

He has undergone surgery for TOF . After that he is facing some problems with heart rate. Current demographics report shows following observations when captured for 24 hours.

Local Doctor is advicing for Pacemaker ......Please advice if that is the only solution available or any other medication is also solution for same ? .....If pacemaker is only solution then which pacemaker type should be used in this case.

Observations for 24 hours measurements are as follows :

The average Heart rate was 70 BPM . The minimum heart rate was 57 BPM . The maximum heart rate was 97 BPM.

Ventricular ectopic activity consisted of 16 beats of which 12 were in single PVCs 2 were in interpolated PVCs, 2 were in R on T.

The patient's rhythm included 1 hr 32 min 28 sec of bradycardia. the slowest single episode of bradycardia occurred at 10:07:27 PM , lasting 1 min 23 sec , with minimum heart rate of 57 BPM.

Supraventricular ectopic activity consisted of 25 beats , of which 25 were single PACs. The longest R-R interval was 1.2 seconds . The longest N-N interval was 1.2 seconds .

Some interpretation from report :

1) Baseline Rhythm is complete heart block with intermittent paced rhythm.
2) Heart rate variability is normal.
3) Occasional ventricular ectopics seen.No episode of NSVT /VT recorded.
4) Occasional supraventricular ectopics seen
5) No significant pauses or brady events.
6) No significant ST T changes seen in channel 2 & channel 3

I appreciate your value inputs for same.


Thanks

[Brooke_38]

Hello...

You may try posting this question over in the Pediatric Cardiology Forum...You will most likely get better feedback there. Best of luck:)

[Jerry_NJ]

I write more to bump your post back to the top than to provided much help.

While the HR numbers may be a little low for a young child they don't strike me as too far off...but then I have no pediatric experience.  

I do understand the concern about a pace maker, especially at such a young age.  However, ask the doctor if a pace maker in a young child is something  he may "out grow", that is it may not be for the rest of his life.

If the HR is dangerously low,  the only treatment I've read about is a pace maker.

Wish in the best and good news for a Happy New Year