Lack of Association of ST-T Wave Abnormalities to Congenital Heart Disease in Neonates

Congenital Heart Disease
Sudheer R GorlaAparna Kulkarni

Abstract

ST-T wave (STTW) abnormalities have been described in 20-40% of normal newborns. We sought to describe the associations of these Electrocardiogram (ECG) abnormalities to perinatal course and congenital heart disease (CHD). A retrospective chart review was performed on all neonatal ECGs between January 2008 and March 2013 identified from electronic medical records. Electronic medical records were reviewed for perinatal course and maternal medical conditions. Neonates <37 weeks gestation, >3 days age, requiring hemodynamic support in the first 3 days, with oxygen saturation <90% on room air, or with arrhythmias and significant abnormalities of axis and voltage were excluded from the analysis. ST segment elevation or depression of >2 mm in at least one lead and flat or inverted T waves in at least one lead except aVR were considered abnormal. Statistical relationships were explored between STTW abnormalities, perinatal variables and CHD. ECGs were performed on 1043 neonates, of which 664 were included. STTW abnormalities were found in 236 (35.5%) neonates. T wave abnormalities were identified in 191 (28.7%), ST segment abnormalities in 77 (11.6%) and both on 32 (4.8%) neonates. No relationship was found between the ECG abnormaliti...Continue Reading

References

Jun 25, 1992·The American Journal of Cardiology·J A TowbinA Garson
Aug 1, 1983·Archives of Disease in Childhood·R JedeikinR D Rowe
Jun 1, 1999·Clinical Pediatrics·J M Perlman
Sep 1, 1964·British Heart Journal·S Z WALSH
Mar 21, 2007·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·C VayssiereB Langer
Mar 5, 2008·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Anna LocatelliGiuseppe Paterlini
Oct 31, 2008·Yonsei Medical Journal·Mirjana VucinovicIvo Banovic
Jan 22, 2010·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Alfredo MancusoAlba Mancuso
Apr 19, 2011·Early Human Development·Sergio FerrazzaniAlessandro Caruso
Jul 7, 2011·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Kristin M KnightLoralei L Thornburg
Jul 10, 2012·American Journal of Perinatology·Mina Abbassi-GhanavatiKenneth J Leveno
Dec 5, 2012·Advanced Biomedical Research·Mohammad Reza NajafiShahrokh Noori Meshkati
Dec 25, 2012·Obstetrics and Gynecology·Colin A WalshFionnuala M McAuliffe
Jul 12, 2014·Neonatology·Fermín García-Muñoz RodrigoAlfredo García-Alix Pérez
Aug 31, 2014·Journal of Electrocardiology·Sunny JhamnaniJoseph Lindsay
Jan 31, 2015·American Journal of Obstetrics and Gynecology·Janine E SpainAlison G Cahill

❮ Previous
Next ❯

Citations

Aug 11, 2018·Clinical Pediatrics·Prashant MinochaSethuraman Swaminathan
Dec 27, 2018·Cardiology in the Young·Sudheer R GorlaSethuraman Swaminathan

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

Basal Ganglia

Basal Ganglia are a group of subcortical nuclei in the brain associated with control of voluntary motor movements, procedural and habit learning, emotion, and cognition. Here is the latest research.

Cardiac Conduction System

The cardiac conduction system is a specialized tract of myocardial cells responsible for maintaining normal cardiac rhythm. Discover the latest research on the cardiac conduction system here.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

© 2022 Meta ULC. All rights reserved