Pediatric premature atrial contractions: Clinical characteristics, diagnosis, and management—A literature review
Ruihua Yu, Jianhong Qi, Xiaokang Wang · 2026
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Description
Yu and colleagues review premature atrial contractions, extra early heartbeats from the upper chambers, in children, in a 2026 pediatric cardiology synthesis. These beats are among the commonest findings from fetal life through adolescence. The review gathers epidemiology, causes, diagnosis, and management from meta-analyses, observational studies, and guidelines. It aims to give clinicians limits and risk protocols, since the same finding can be harmless in a normal heart yet serious alongside congenital heart disease or inherited muscle disorders.
In healthy children, prevalence ranges from 0.11 percent to 0.515 percent, with higher rates in newborns. Meta-analysis sets 24-hour monitor limits at 150 beats per day for infants under one year and 50 for older children. Fetal cases resolve on their own, though blocked beats can trigger sustained fast rhythms or a misleadingly slow pulse reading. Diagnosis rests on electrocardiograms and Holter monitoring; drugs such as propafenone enter when beats suppress the pulse.
Catalog record
| CREATOR | Ruihua Yu, Jianhong Qi, Xiaokang Wang |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 38 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |