Evaluation by exercise testing of children with mild and moderate valvular aortic stenosis.

Accession number;00A0259393
Title;Evaluation by exercise testing of children with mild and moderate valvular aortic stenosis.
Author; YILMAZ G (Baskent Univ., Tur) OEZME S (Hacettepe Univ., Ankara, Tur) OEZER S (Hacettepe Univ., Ankara, Tur) TOKEL K (Baskent Univ., Tur) CELIKER A (Hacettepe Univ., Ankara, Tur)
Journal Title;Pediatr Int
Journal Code:Z0373B
ISSN:1328-8067
VOL.42;NO.1;PAGE.48-52(2000)
Figure&Table&Reference;FIG.1, TBL.4, REF.17
Pub. Country;Japan
Language;English
Abstract;Background: The aim of the present paper was to determine the factors related to sudden death in aortic stenosis. Methods: The factors related to sudden death were investigated in 40 asymptomatic children with mild and moderate aortic stenosis by treadmill testing. Results: The QT interval of aortic stenosis cases were significantly longer than those of healthy children with increasing heart rates during exercise. Conelusions: A longer QT interval of aortic stenosis cases compared to normal children during exercise is the first sign of myocardial ischemia and leads to fatal ventricular arrhythmias and sudden death. For this reason we recommend that exercise testing should be performed frequently in aortic stenosis patients and that close follow up is necessary for patients with long QT segments that can be a marker for severe arrhythmias. (author abst.)
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