Clinical, paraclinical and therapeutical aspects of extrasystoles in children The purpose of the study was to determine the risc factors, causes, clinical and instrumental characteristics, some therapeutic aspects in pediatric patients with cardiac extrasystolies. The study included 54 children between the age 1– 16 years old with arrhythmias that were examined. The children presented such disorders as: cardialgias, palpitations, labillity, headache. Tachyarrhythmias were detected occasionally, during a routine investigation in 16 (29.8%) children. The most frequent form of arrhythmias was the supraventricular tachyarrhythmia, in 22 (42.5%) children, caused by vegetovascular dystonia, residual perinatal encephalopathy, chronic infections, hipoxia. There were detected ventricular extrasystolies in 14 ( 25.5%) children, caused by myocarditis (7 children), congenital cardiopathy (1 patient), all of the children had minor heart abnormalities on echographic examination.

Obiectivele studiului au fost determinarea factorilor de risc şi a cauzelor posibile, formelor evolutive, particularităţilor clinico-instrumentale şi unele aspecte terapeutice ale ale extrasistoliilor la copii. Lotul de studiu a inclus 47 copii cu disritmii cardiace în vârsta de 12 luni–16 ani. Acuzele la internare au fost cardialgii, palpitaţii, labilitate emoţională, cefalee, iar la 16 (29,8%) copii disritmiile cardiace s-au depistat ocazional. Cea mai frecventă disritmie cardiacă a fost aritmia extrasistolică supraventriculară, depistată la 22 (42,5%) copii, cauza fiind disfuncţie neurovegetativă, encefalopatie perinatală reziduală, focare de infecţie cronică, hipoxie. La 14 (25,5%) copii s-a constatat aritmie extrasistolică ventriculară, cauzele fiind miocardita (7 copii), cardiopatia congenitală (1 copil), la toţi copiii la examenul ecografic s-au depistat anomalii minore de cord.