Universitatea de Stat de Medicină și Farmacie ”Nicolae Testemițanu” din Republica Moldova
Abstract
Departement of PediatricsIntroduction. Ventricular extrasystoles (VES) are present in
around 40% of healthy children. Considered benign, they
are often neglected. Although symptomatic VES are subject to
specific treatment, data on the effectiveness of antiarrhythmic
treatment in children is limited and still undefined. Material and methods. We analyzed the results of pediatric studies
publications covering a period of 10 years (2012-2021), by accessing the
databases PubMed, Scopus, HINARI using keywords.Results. The analysis of the data of the completed studies, based mainly on small series of
patients, denotes the prevalence in healthy children of monomorphic VES, isolated, originating
from the ejection tract of the right ventricle. Unlike adults, the behavior of children with VES is
influenced by the laws of growth and development. Despite the proven efficacy of flecainide in
children with VES, beta-blockers remain the most indicated. The transcatheter ablation, a
recommended treatment of line 2 in children, has a high rate of complications in infants andConclusions. VESs are common arrhythmias in children. The behavior of children with VES remains unconcluded
due to the lack of unified criteria for clinical and functional evaluation, which would allow an early initiation of an
appropriate personalized treatment.
young children and limited indications in older children.
Purpose. Analysis and systematization of current data regarding
the behavior of children with VES
