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Convulsion is a common pediatric disorder and there is strong relation between convulsion and cardiovascular system which revealed by ECG monitoring and there are many ECG abnormalities attributed to different causes of convulsions, A 12-lead ECG is a low-cost test and can detect clinically significant abnormalities such as long QTc interval or heart block. Doing an ECG in all patients presenting with seizures clinic, inevitably, pick up non-specific abnormalities which require further investigation. Moreover, a normal 12-lead ECG does not exclude a cardiovascular cause for collapse and for those in whom a cardiac cause is still suspected despite a normal ECG, referral to a cardiologist is advisable
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| children with epilepsy | epilepsy diagnosed clinically EEG |
| |
| children with febrile convulsions | the child has high grade fever from 6 month to 6 years not recurrent duration less than 15 minute or atypical febrile convulsions |
| |
| children with cns infection | the child has fever, neck, rigidity DCL +or- CSF analysis |
| |
| children with electrolyte imbalance, hypoglycemia | abnormal values of electrolyte hypoglycemia |
| |
| children with poisoning | history of ingestion or inhalation of toxic substance |
| |
| children with encephalopathy | the child complains of brain disease or mal function with altered mental status as a complication of primary illness as kidney failure ,cirrhosis, etc. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ECG | Device | ii. 12 leads ECG: 12 leads ECG will be done to all infants & children using (FUKUDA DENSHI, CARDIMAX, model FCP 7101). The electrocardiograms will be reviewed through the creation of descriptive reports and determination of the following variables: heart rate, QRS duration, The QT interval was measured from the onset of the QRS complex to the end of the T wave, defined by the return of the terminal T wave to the isoelectric T-P baseline. When U waves were present, the end of the T wave will be taken as the nadir between the T and U waves. Then QT interval will be corrected for heart rate using Bazett's formula Interpretation of every ECG paper |
| Measure | Description | Time Frame |
|---|---|---|
| heart rate | normal values according to age and sex. | one year |
| Measure | Description | Time Frame |
|---|---|---|
| PR interval | normal values according to age and sex. | one year |
| Measure | Description | Time Frame |
|---|---|---|
| QTC | normal values according to age and sex. | one year |
Inclusion Criteria:
Exclusion Criteria:
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All children aged from 1month to 18 years presenting to the Pediatric Emergency with convulsions will be included.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Eman A Sadek | Contact | 01156556464 | 002 | eman011064@med.sohag.edu.eg |
| Montaser M Mohamed | Contact | 01026372799 | 002 | montaser-dabah@yahoo.com |
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| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34332536 | Background | Huang X, Malek N, Simpson J, Kalladka D, Dunn FG, Leach JP. Winning hearts and minds: ECG reporting in the first seizure clinic. BMC Cardiovasc Disord. 2021 Jul 31;21(1):364. doi: 10.1186/s12872-021-02174-4. | |
| 11781941 | Background | Rijnbeek PR, Witsenburg M, Szatmari A, Hess J, Kors JA. PEDMEANS: a computer program for the interpretation of pediatric electrocardiograms. J Electrocardiol. 2001;34 Suppl:85-91. doi: 10.1054/jelc.2001.28835. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jan 10, 2024 | |
| Reset | Jul 3, 2024 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jan 10, 2024 | Jul 3, 2024 |
| ID | Term |
|---|---|
| D012640 | Seizures |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D004562 | Electrocardiography |
| ID | Term |
|---|---|
| D006334 | Heart Function Tests |
| D003935 | Diagnostic Techniques, Cardiovascular |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| children with trauma | history of trauma imaging study done |
|
| children with genetic cause | the child has congenital anomaly as chromosomal abnormality, metabolic disease, mitochondrial disease |
|
| others | children not fulfilling the previous groups |
|
|
| 2424378 | Background | Karjalainen J, Viitasalo M. Fever and cardiac rhythm. Arch Intern Med. 1986 Jun;146(6):1169-71. |
| D004568 | Electrodiagnosis |