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2.
Indian Pediatr ; 2003 Jun; 40(6): 594; author reply 594
Artigo em Inglês | IMSEAR | ID: sea-10485
3.
Indian J Pediatr ; 2002 Mar; 69(3): 271-2
Artigo em Inglês | IMSEAR | ID: sea-84286

RESUMO

Recent studies have demonstrated a role for calcium channel blocking agents in the treatment of persistent hyperinsulinemic hypoglycemia of infancy. We report a 30 day old infant with PHHI whom we successfully treated with oral nifedipine alone.


Assuntos
Bloqueadores dos Canais de Cálcio/uso terapêutico , Feminino , Humanos , Hiperinsulinismo/complicações , Hipoglicemia/tratamento farmacológico , Recém-Nascido , Nifedipino/uso terapêutico
4.
Indian J Pediatr ; 2002 Feb; 69(2): 141-4
Artigo em Inglês | IMSEAR | ID: sea-80478

RESUMO

OBJECTIVE: The long QT syndrome (LQTS) is a disorder of the electrical system of the heart, due to dysfunction of the ion channels and involving the repolarisation process. The inherited form occurs when there is a mutation in one of the genes which encode the making of a channel. Prolongation of the QT interval renders the patient vulnerable to an arrythmia called torsade de pointes, resulting in syncope and sudden death. METHODS: Three children with the congenital long QT syndrome presented to the pediatric department, one of them also having a 2:1 atrio-ventricular block. The parents and siblings of these children were screened for the long QT syndrome with an electrocardiogram. 2D echocardiography was done to rule out structural abnormalities and audiometry for deafness. RESULTS: Four family members were identified on screening to have LQTS. Propranolol was started on all children with LQTS. The child with heart block also received a pacemaker. LQTS must be considered in all patients presenting with syncope especially if associated with deafness and/or a family history of sudden deaths in infancy or childhood. CONCLUSION: The corrected QT interval must be determined in all children with heart block since the two conditions are often associated.


Assuntos
Criança , Terapia Combinada , Feminino , Humanos , Lactente , Síndrome do QT Longo/congênito , Masculino , Marca-Passo Artificial , Linhagem , Prognóstico , Propranolol/administração & dosagem , Medição de Risco , Resultado do Tratamento
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