The Utilization of an Insertable Cardiac Monitor in a Child With Pallid Breath-Holding Spells

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• 作者：Shai Tejman-Yarden ; MD ; MSc^a ; ^{tegmanya@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; Bruria Ben-Zeev ; MD^a ; Yuval Goldshmit ; BSc^b ; Georgia Sarquella-Brugada ; MD^c ; Assi Cicurel ; MD^d ; Uriel Katz ; MD^a ; David Mishali ; MD^a ; Michael Glikson ; MD^e
• 关键词：breath-holding spells ; bradycardia ; cardiac pacemaker
• 刊名：Pediatric Neurology
• 出版年：2016
• 出版时间：November 2016
• 年：2016
• 卷：64
• 期：Complete
• 页码：80-82
• 全文大小：971 K

文摘

Pacing can be a successful treatment for pallid breath-holding spells, primarily in individuals with severe bradycardia.

Patient Description

We describe an 18-month-old girl experiencing severe pallid breath-holding spells in whom repeated electrocardiographic, Holter, and electroencephalographic monitoring tests were all normal.

Results

Using a subcutaneous insertable cardiac monitor, severe bradycardia was detected during one of this girl's episodes. This finding led to a pacemaker implantation. Subsequently, her breath-holding spells completely resolved.

Conclusion

This child illustrates the ability of the insertable cardiac monitor to help and diagnose arrhythmias in children with unresolved clinical findings. The ability to implant it with a minimal scar makes it ideal for uncooperative individuals with relative few and unexpected episodes that are hard to diagnose.