Preoperative electrocardiograms for nonsyndromic children with hand syndactyly

The Journal of Hand Surgery
Laura C NuzziBrian I Labow

Abstract

To examine the efficacy of preoperative electrocardiogram (EKG) screening for Timothy syndrome, a rare and fatal condition characterized by prolonged QT, in children referred for syndactyly release. We reviewed the records of nonsyndromic syndactyly patients seen by a hand surgeon at our institution between 2007 and 2013. All underwent a preoperative screening EKG for Timothy syndrome. We reviewed the medical records for demographics, presentation, EKG results, and operative findings, and calculated median age at the time of EKG and surgery and frequency distributions for sex, side affected, EKG result, and clinical finding. The mean patient charge for EKG and interpretation was calculated. We identified 128 syndactyly patients, 72% of which were boys. Median age at the time of EKG testing and syndactyly release was 1 year. A total of 92% of patients had normal EKG results; one patient exhibited a prolonged QT. Ten patients (8%) had further cardiac evaluation because of the EKG result and were found to be normal on repeat testing. No patient met QT threshold for Timothy syndrome and all patients were cleared for surgery. The minimum patient charge for EKG testing was $183. To improve patient safety, some have advocated preopera...Continue Reading

References

Jan 1, 1995·Journal of the American College of Cardiology·M L MarksM Keating
Dec 25, 2004·Anesthesiology·Susan J KiesMichael J Ackerman
Nov 25, 2005·Anesthesiology·Stefan Rasche, Matthias Hübler
Apr 5, 2011·Critical Care Nurse·Mary Beth Flynn MakicJessica Chadwick
Sep 15, 2011·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·U KrauseT Paul
Nov 23, 2011·American Journal of Medical Genetics. Part a·Jane GillisDavid Chitayat
Jan 24, 2014·Acta ortopedica brasileira·Luiz Garcia Mandarano-FilhoCláudio Henrique Barbieri
Oct 16, 2014·Ultraschall in der Medizin : Organ der Deutschen Gesellschaft für Ultraschall in der Medizin, [der] Österreichischen Gesellschaft für Ultraschall in der Medizin, [der] Schweizerischen Gesellschaft für Ultraschall in Medizin und Biologie·F IngravalloF Piscaglia

❮ Previous
Next ❯

Citations

Mar 7, 2020·Hand Surgery and Rehabilitation·M Le HanneurF Fitoussi

❮ Previous
Next ❯

Related Concepts

Related Feeds

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.

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.

Related Papers

Anesthesiology
Apostolos AlexoudisChristos Iatrou
Nursing Times
M H Swift
The Journal of the Louisiana State Medical Society : Official Organ of the Louisiana State Medical Society
J I Martinez-Lopez
© 2022 Meta ULC. All rights reserved