How useful is electrocardiography in children with cochlear implantation?

Copyright © 2022 Elsevier B.V. All rights reserved..

OBJECTIVES: Hearing loss is an important health problem in children and cochlear implantation is used in its treatment. In addition, in children with hearing loss, accompanying renal, neurological, structural and cardiac conductive pathologies can often accompany. In this study, it was aimed to evaluate the electrocardiographic findings, especially QT duration in children who underwent cochlear implantation.

METHODS: The data were obtained from the medical records of our hospital, which is a tertiary referral cochlear implant center. All children who had cochlear implantation surgery due to sensorineural hearing loss and admitted to our hospital for speech therapy between 2019 and 2020 were evaluated with 12-channel ECG.

RESULTS: Sixty children (15 girls and 45 boys) with a mean age of 6.5 years were analyzed. Children with a history of heart disease were excluded. In cardiac examinations, five (8.3%) had systolic murmur, four (6.6%) had mid systolic click, and two (3.3%) had stiffening in the first heart sound. Abnormalities were detected in 25% (n = 15) of the electrocardiograms. The most common ECG abnormalities were prolonged QT in 4 cases, left ventricular hypertrophy in 3 cases, left axis deviation in 2 cases, and T wave changes in 2 cases. Long QT syndrome (3.3%) was diagnosed in 2 of the cases with long QT.

CONCLUSION: This study demonstrates the need for electrocardiography and cardiac examinations in children undergoing cochlear implantation for hearing loss. These cases should be evaluated especially in terms of the presence of cardiac arrhythmias and potential for fatal ion channelopathy.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:162

Enthalten in:

International journal of pediatric otorhinolaryngology - 162(2022) vom: 01. Nov., Seite 111297

Sprache:

Englisch

Beteiligte Personen:

Taskin, Necati [VerfasserIn]
Ozdemir, Ozan [VerfasserIn]

Links:

Volltext

Themen:

Child
Cochlear implantation
Deafness
Electrocardiography
Journal Article

Anmerkungen:

Date Completed 19.10.2022

Date Revised 19.10.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.ijporl.2022.111297

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM346057191