Cardiac Arrhythmias in Pediatric Emergency Department

Incidence and Outcome of Cardiac Arrhythmias Among Children in the Emergency Department at Assiut University Children Hospital

Status

Not yet recruiting

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT07826273

Enrollment

Registered

2026-09-17

Start date

2026-09-13

Completion date

2028-02-25

Last updated

2026-09-17

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Arrhythmias, Cardiac, Bradycardia, Tachycardia, Supraventricular

Keywords

Cardiac arrhythmia, Pediatric emergency, Supraventricular tachycardia, ECG, Assiut

Brief summary

This cross-sectional study aims to determine the incidence, clinical presentation, and outcome of cardiac arrhythmias among children presenting to the Emergency Department of Assiut University Children Hospital.

Detailed description

Cardiac arrhythmias are a significant concern in the pediatric emergency setting. This observational study will include children aged 1 month to 18 years presenting with symptoms suggestive of arrhythmia (palpitation, chest pain, syncope, dyspnea, or respiratory distress). All participants will undergo full history, clinical examination, 12-lead ECG, and additional investigations as indicated (echocardiography, Holter, laboratory tests). Incidence of different arrhythmia types, clinical picture, and short-term outcomes will be recorded.

Interventions

None listed

Study design

Observational model

CASE_ONLY

Time perspective

CROSS_SECTIONAL

Eligibility

Sex/Gender

ALL

Age

1 Months to 18 Years

Healthy volunteers

Inclusion criteria

* Age from 1 month to 18 years * Presenting with palpitation, chest pain, syncope, dyspnea, or respiratory distress * Written informed consent from parents or legal guardians

Exclusion criteria

* Age below 1 month

Design outcomes

Primary

Measure	Time frame	Description
Incidence of cardiac arrhythmias	Baseline	Proportion of children presenting to the pediatric emergency department who are diagnosed with cardiac arrhythmia based on 12-lead ECG.

Secondary

Measure	Time frame	Description
Types of arrhythmias	Baseline	Proportion of specific arrhythmia types (sinus tachycardia, supraventricular tachycardia, ventricular tachycardia, bradyarrhythmias, premature beats, and others) among diagnosed cases.
Need for PICU admission	Baseline	Proportion of children with cardiac arrhythmia who require admission to the pediatric intensive care unit.
Need for cardioversion	Baseline	Proportion of children who require electrical or pharmacological cardioversion.
Mortality	At 30 days	Proportion of children with cardiac arrhythmia who die during the emergency department visit or hospital stay.

Contacts

CONTACTHossam H Abdel kader, Resident

Husam.18313179@med.aun.edu.eg+20 11 22524212

STUDY_CHAIRGhada O Elsedfy, prof

pediatrics Department, Assiut University Hospitals

Outcome results