Multicenter investigation of the correlation between supraventricular tachycardia and tachycardia-induced cardiomyopathy in children
10.3760/cma.j.issn.0578-1310.2017.09.009
- VernacularTitle: 儿童室上性心动过速致心动过速性心肌病相关因素多中心研究
- Author:
Xiaomei LI
1
;
Haiyan GE
;
Lin SHI
;
Xueqin LIU
;
Baojing GUO
;
Meiting LI
;
He JIANG
;
Yi ZHANG
;
Haiju LIU
;
Xiaochun ZHENG
;
Aijie LI
;
Yuanyuan ZHANG
Author Information
1. Heart Center, Division of Pediatric Cardiology, First Hospital of Tsinghua University, Beijing 100016, China
- Publication Type:Journal Article
- Keywords:
Tachycardia, supraventricular;
Child;
Cardiomyopathies
- From:
Chinese Journal of Pediatrics
2017;55(9):668-671
- CountryChina
- Language:Chinese
-
Abstract:
Objective:This study aimed to investigate the correlation between supraventricular tachycardia (SVT) and tachycardia-induced cardiomyopathy(TIC) in children and assess the risk factors for the development of TIC.
Method:One hundred and eighty-three patients were recruited in four hospitals of Beijing diagnosed as SVT were divided into two groups depending on whether or not complicated with TIC. The age, gender, tachycardia type, ventricular rate during tachycardia, frequency of tachycardia episodes and duration of tachycardia were compared between the two groups and risk factors associated with TIC were analyzed. Statistical analyses were performed using t test, Mann-Whitney U and χ2 test.
Result:Totally 183 patients were included in this study (paroxysmal supraventricular tachycardia, PSVT, n=149; atrial tachycardia, AT, n=34). The incidence of TIC was 13.1%. There was significant difference regarding the incidence of TIC between children with AT and children with PSVT (26.5% vs. 10.1%, χ2=6.537, P=0.011). The percentage of AT in patients with TIC was significantly higher than patients without TIC (37.5% vs. 15.7%, χ2=6.537, P=0.011). Patients with TIC had a higher frequency of tachycardia episodes(2.5(1.0-4.8) beats/year vs 4.0(1.0-10.0) beats/year, Z=-2.223, P=0.026)and longer duration of tachycardia(11.0(1.1-36.0) h vs 2.5(1.0-12.0) h, Z=-2.154, P=0.031)compared with patients without TIC. Multivariate predictors of TIC was longer duration of tachycardia (OR=2.041, P=0.028).
Conclusion:TIC occurs in 13.1% of children with SVT. The incidence of TIC in children with AT is higher than in children with PSVT. Risk factor for the development of TIC is longer duration of tachycardia.
