I Конгресс детских врачей Республики Узбекистан
с международным участием
«Актуальные вопросы практической педиатрии»
301
PATHOGENETIC STRUCTURE OF ARRHYTHMIAS IN NEWBORN
Khasanova G.M., Tajibayeva D.Sh.
Tashkent Pediatric Medical Institute. Tashkent, Uzbekistan
RELEVANCE
At present, cardiac arrhythmias have come to the fore in the structure of
cardiovascular pathology.
PURPOSE OF THE RESEARCH
To evaluate the therapy of cardiac arrhythmias in children treated in the
Cardio Rheumatology Department of the clinic of the Tashkent Pediatric Medical
Institute in the first quarter of 2023.
MATERIALS AND METHODS
The study included 31 children. There are 3 groups of age: preschool (3
–
6 years
old), junior school age (6
–
11 years old), and senior school age (11
–
17 years old).
RESULTS
Approaches to the treatment of children with cardiac arrhythmias, regardless
of age, are the same. Directions in the treatment of cardiac arrhythmias: non-drug,
drug, surgical. Non-drug therapy includes lifestyle correction: adherence to work, rest,
physical activity, nutrition, and stress elimination. Medicamentous treatment of
diseases of infectious and non-infectious etiology, cardiographic, nootropic, sedative,
and antiarrhythmic therapy. Cardiotrophs (creatine phosphate, Asparkam, and
Mildronate) were administered to all patients. Nootropics (piracetam, amino acetic
acid preparation) were used in 13 children (42%). Sedative therapy was carried out
in 24 children (77%). In 11 children (35.5%) with hypersympathicotonia, the drug
β
-phenyl-
γ
-aminobutyric acid was used. Antiarrhythmic therapy (Propafenone,
Metoprolol) was administered to 4 children (13%) with supraventricular, ventricular
tachycardia, and extrasystole. Surgical treatment includes correction of heart disease,
radiofrequency ablation, and implantation of a pacemaker. One child underwent
implantation of a pacemaker (atrioventricular blockade of the 3rd degree).
CONCLUSION
Therapy of cardiac arrhythmias in children is aimed at lifestyle changes plus
drug support: the appointment of sedatives, cardiographic, nootropic drugs, and
AAT. Most childhood arrhythmias are harmless and do not require
antiarrhythmic therapy. In case of emergency, surgical correction is performed.
