Le urgenze cardiologiche in età perinatale: Parte seconda. Disturbi del ritmo e cardiomiopatie

Translated title of the contribution: Arrhythmias and cardiomyopathies in newborn and children

Ugo Vairo, Petronilla Appio, Rocco Leone, Maria Vittoria Schiavo, Donatello Salvatore, Maria Pia Mirauda, Rosaria Abate, Carolina Ianniello, Sebastiano De Vico, Antonio Smaldore, Giorgio Madonna, Gianbattista Gallicchio, Saverio De Marca, Giuseppe Adurno, Maria Rosaria Tagliente, Savino Mastropasqua, Gabriele D'Amato, Fabio Forte, Emma Canosa, Nicola D'Andrea

Research output: Contribution to journalArticlepeer-review


Continued postnatal development of the conduction system and of the sympathetic nervous system of the heart may predispose the newborn to arrhythmias and conduction disturbances that are not seen in older children. In addition, unfavorable environmental factors, such as a maternal disease state, pharmacologic agents given to the mother or neonate, and postnatal difficulties of the newborn (hypoxia, acidosis, hypothermia, metabolic disturbances, electrolyte imbalance) all can contribute to the rhythm disturbance. The different types of disrrhythmias are analized, particularly the supraventricular tachycardia (SVT)(1:10.000 in newborn) and complete atrioventricular block (AV block) (1:20.000). In SVT, if the patient is unresponsive to vagal stimulatory maneuvers, to adenosine and is in congestive heart failure, cardioversion may be performed. Congenital complete heart block can be associated with congenital heart diseases. Maternal lupus erythematosus or other connettive tissue disease has a frequent association with congenital AV block. The three types of cardiomyopathies (hypertrophic, dilated and restrictive) are functionally different from one another, and the demands of therapy are also different. The myocarditis may be caused by an infectious agent or immune mediated process. A diagnostic and therapeutic protocol for management of the myocarditis in children is reported.

Translated title of the contributionArrhythmias and cardiomyopathies in newborn and children
Original languageItalian
Pages (from-to)293-300
Number of pages8
JournalMedico e Bambino
Issue number5
Publication statusPublished - May 31 2004

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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