tailieunhanh - báo cáo khoa học: "Atrial fibrillation in healthy adolescents after highly caffeinated beverage consumption: two case reports"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Atrial fibrillation in healthy adolescents after highly caffeinated beverage consumption: two case reports | Di Rocco et al. Journal of Medical Case Reports 2011 5 18 http content 5 1 18 JOURNAL OF MEDICAL CASE REPORTS CASE REPORT Open Access Atrial fibrillation in healthy adolescents after highly caffeinated beverage consumption two case reports Jennifer R Di Rocco1 Adelaide During2 Peter J Morelli3 Marybeth Heyden3 Thomas A Biancaniello3 Abstract Introduction Energy drinks and highly caffeinated drinks comprise some of the fastest growing products of the beverage industry often targeting teenagers and young adults. Cardiac arrhythmias in children related to high caffeine consumption have not been well described in the literature. This case series describes the possible association between the consumption of highly caffeinated drinks and the subsequent development of atrial fibrillation in the adolescent population. Case presentations We report the cases of two Caucasian adolescent boys of 14 and 16 years of age at the time of presentation each without a significant cardiac history who presented with palpitations or vague chest discomfort or both after a recent history of excessive caffeine consumption. Both were found to have atrial fibrillation on electrocardiogram one patient required digoxin to restore a normal sinus rhythm and the other self-converted after intravenous fluid administration. Conclusion With the increasing popularity of energy drinks in the pediatric and adolescent population physicians should be aware of the arrhythmogenic potential associated with highly caffeinated beverage consumption. It is important for pediatricians to understand the lack of regulation in the caffeine content and other ingredients of these high-energy beverages and their complications so that parents and children can be educated about the risk of cardiac arrhythmias with excessive energy drink consumption. Introduction Atrial fibrillation is extremely rare in the pediatric population almost always occurring in association with structural heart .