Structured inpatient evaluation of neonatal cardiac ectopy

Research output: Contribution to journalArticle

Abstract

Objective(s): In well-appearing newborns with suspected cardiac ectopy, we sought to evaluate our practice and test whether initial electrocardiogram (ECG) findings were associated with neonatal arrhythmias (NA). Study design: We identified well-appearing, non-anomalous infants >34 weeks' gestation with suspected ectopy over 3.5 years. NA was defined as ≥10% premature atrial contractions (PAC), ≥5 beats of atrial tachycardia, ≥2% premature ventricular contractions (PVCs), or ≥3 beats of ventricular tachycardia. The unadjusted associations between initial ECG findings and NA are reported. Result: Among 126 infants with ECGs and Holters performed, NA was observed in 38 patients (30%) and was similar whether PACs were present or not on the initial ECG (33% vs. no PACs: 29%, p = 0.6). However, NAs were identified more frequently based on the presence of PVCs on the initial ECG (83% vs. 25%, p < 0.01). Conclusion: NAs were prevalent and both their etiologies and impact on infants warrant future study.

Original languageEnglish (US)
Pages (from-to)696-701
Number of pages6
JournalJournal of Perinatology
Volume38
Issue number6
DOIs
StatePublished - Jun 1 2018

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Inpatients
Electrocardiography
Cardiac Arrhythmias
Ventricular Premature Complexes
Atrial Premature Complexes
Ventricular Tachycardia
Tachycardia
Newborn Infant
Pregnancy

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

@article{cf01d20ac50f40f8978be5e0e21cbfcf,
title = "Structured inpatient evaluation of neonatal cardiac ectopy",
abstract = "Objective(s): In well-appearing newborns with suspected cardiac ectopy, we sought to evaluate our practice and test whether initial electrocardiogram (ECG) findings were associated with neonatal arrhythmias (NA). Study design: We identified well-appearing, non-anomalous infants >34 weeks' gestation with suspected ectopy over 3.5 years. NA was defined as ≥10{\%} premature atrial contractions (PAC), ≥5 beats of atrial tachycardia, ≥2{\%} premature ventricular contractions (PVCs), or ≥3 beats of ventricular tachycardia. The unadjusted associations between initial ECG findings and NA are reported. Result: Among 126 infants with ECGs and Holters performed, NA was observed in 38 patients (30{\%}) and was similar whether PACs were present or not on the initial ECG (33{\%} vs. no PACs: 29{\%}, p = 0.6). However, NAs were identified more frequently based on the presence of PVCs on the initial ECG (83{\%} vs. 25{\%}, p < 0.01). Conclusion: NAs were prevalent and both their etiologies and impact on infants warrant future study.",
author = "Hurst, {Irene A.} and Gregory Webster and Machut, {Kerri Z.} and Nina Gotteiner and Chaouki, {Ahmad Sami} and Groothuis, {Elizabeth N.} and Karna Murthy",
year = "2018",
month = "6",
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doi = "10.1038/s41372-018-0089-8",
language = "English (US)",
volume = "38",
pages = "696--701",
journal = "Journal of Perinatology",
issn = "0743-8346",
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TY - JOUR

T1 - Structured inpatient evaluation of neonatal cardiac ectopy

AU - Hurst, Irene A.

AU - Webster, Gregory

AU - Machut, Kerri Z.

AU - Gotteiner, Nina

AU - Chaouki, Ahmad Sami

AU - Groothuis, Elizabeth N.

AU - Murthy, Karna

PY - 2018/6/1

Y1 - 2018/6/1

N2 - Objective(s): In well-appearing newborns with suspected cardiac ectopy, we sought to evaluate our practice and test whether initial electrocardiogram (ECG) findings were associated with neonatal arrhythmias (NA). Study design: We identified well-appearing, non-anomalous infants >34 weeks' gestation with suspected ectopy over 3.5 years. NA was defined as ≥10% premature atrial contractions (PAC), ≥5 beats of atrial tachycardia, ≥2% premature ventricular contractions (PVCs), or ≥3 beats of ventricular tachycardia. The unadjusted associations between initial ECG findings and NA are reported. Result: Among 126 infants with ECGs and Holters performed, NA was observed in 38 patients (30%) and was similar whether PACs were present or not on the initial ECG (33% vs. no PACs: 29%, p = 0.6). However, NAs were identified more frequently based on the presence of PVCs on the initial ECG (83% vs. 25%, p < 0.01). Conclusion: NAs were prevalent and both their etiologies and impact on infants warrant future study.

AB - Objective(s): In well-appearing newborns with suspected cardiac ectopy, we sought to evaluate our practice and test whether initial electrocardiogram (ECG) findings were associated with neonatal arrhythmias (NA). Study design: We identified well-appearing, non-anomalous infants >34 weeks' gestation with suspected ectopy over 3.5 years. NA was defined as ≥10% premature atrial contractions (PAC), ≥5 beats of atrial tachycardia, ≥2% premature ventricular contractions (PVCs), or ≥3 beats of ventricular tachycardia. The unadjusted associations between initial ECG findings and NA are reported. Result: Among 126 infants with ECGs and Holters performed, NA was observed in 38 patients (30%) and was similar whether PACs were present or not on the initial ECG (33% vs. no PACs: 29%, p = 0.6). However, NAs were identified more frequently based on the presence of PVCs on the initial ECG (83% vs. 25%, p < 0.01). Conclusion: NAs were prevalent and both their etiologies and impact on infants warrant future study.

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