A Study of Cardiac Arrhythmia and ECG Changes in Children With Convulsions at Sohag University Hospital

• Conditions: Convulsions
• Interventions: Device: ECG

• Registration Number: NCT05322772
• Lead Sponsor: Sohag University

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

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-03-28
• Status Verified: 2022-04
• Study Start: 2022-04
• Study First Submitted QC: 2022-04-11
• Last Update Submitted: 2022-04-11
• Study First Posted: 2022-04-12
• Last Update Posted: 2022-04-12
• Primary Completion: 2023-04
• Study Completion: 2023-04

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 100

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.

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
children with cns infection	ECG	the child has fever, neck, rigidity DCL +or- CSF analysis
children with poisoning	ECG	history of ingestion or inhalation of toxic substance
children with epilepsy	ECG	epilepsy diagnosed clinically EEG
children with febrile convulsions	ECG	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 electrolyte imbalance, hypoglycemia	ECG	abnormal values of electrolyte hypoglycemia
children with encephalopathy	ECG	the child complains of brain disease or mal function with altered mental status as a complication of primary illness as kidney failure ,cirrhosis, etc.
children with genetic cause	ECG	the child has congenital anomaly as chromosomal abnormality, metabolic disease, mitochondrial disease
children with trauma	ECG	history of trauma imaging study done
others	ECG	children not fulfilling the previous groups

Primary Outcome Measures

Name	Time	Method
heart rate	one year	normal values according to age and sex.

Secondary Outcome Measures

Name	Time	Method
PR interval	one year	normal values according to age and sex.