Convulsions
Conditions
Brief summary
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
Interventions
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
Sponsors
Study design
Eligibility
Inclusion criteria
* All children aged from 1month to 18 years presenting to the Pediatric Emergency with convulsions will be included.
Exclusion criteria
* Children not filling the criteria of convulsions (like conditions mimic epilepsy) * Children with known cardiac disease or cardiac arrhythmia and patients who will not give consent will be excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| heart rate | one year | normal values according to age and sex. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PR interval | one year | normal values according to age and sex. |
Other
| Measure | Time frame | Description |
|---|---|---|
| QTC | one year | normal values according to age and sex. |