Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 4
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Baratvand, Mahmood Soodani, Mansour Zarei, Eghbal and Asadollahi, Abdolrahim 2013. Sexual Abuse and Drug Abuse Among Homeless Children in Ahvaz, Iran. Child Abuse Review, Vol. 22, Issue. 6, p. 408.


    Francis, Rohin and Ghuran, Azad 2015. Heart and Toxins.


    Woan, Jessica Lin, Jessica and Auerswald, Colette 2013. The Health Status of Street Children and Youth in Low- and Middle-Income Countries: A Systematic Review of the Literature. Journal of Adolescent Health, Vol. 53, Issue. 3, p. 314.


    Merrill, Ray M. Njord, Levi Njord, Rebecca Read, Curtis and Pachano, Jeanette D.R. 2010. The effect of family influence on indicators associated with street life among Filipino street children. Vulnerable Children and Youth Studies, Vol. 5, Issue. 2, p. 142.


    ×

Electrocardiographic and echocardiographic findings in street children known to be substance abusers

  • Seref Olgar (a1), Aygun Dindar (a1), Turkan Ertugrul (a1), Rukiye Eker Omeroglu (a1) and Umrah Aydogan (a1)
  • DOI: http://dx.doi.org/10.1017/S1047951107001710
  • Published online: 01 February 2008
Abstract
Abstract

Substance abuse is prevalent in adolescent street children, and death is reported as secondary to aspiration, accidental trauma, asphyxia, cardiac arrhythmia, anoxia, vagal inhibition and respiratory depression. In this study, we examined electrocardiographic and echocardiographic findings from 53 street male adolescents, comparing our findings to those obtained from 61 controls in the same age group. The street children smoked cigarettes (98.1%) and had used, or were using, thinner (73.6%), glue (75.5%), hashish (79.2%), morphine or its products (24.5%), ecstasy (37.7%), anti-emetics (13.2%) and alcohol (60.4%). On examination, their blood pressures were lower than the control group. Electrocardiographically, PR, QRS, QT were found to be longer (p less than 0.05) than the values for healthy controls. Although it was not statistically significant, QTc duration was also longer than the control group. Echocardiography revealed increased diameters of the left ventricle and atrium, the aorta, and the coronary arteries as compared to the healthy children (p less than 0.05).

Copyright
Corresponding author
Correspondence to: Seref Olgar, MD, Istanbul University, Istanbul Faculty of Medicine, Department of Pediatric Cardiology, 34390 Capa, Istanbul, TURKEY. Tel & Fax: +90 246 227 46 64; E-mail: erefolgar@yahoo.com or solgar@hacettepe.edu.tr
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.HR Anderson , RS Macnair , JD Ramsey . Deaths from abuse of volatile substances: a national epidemiological study. Br Med J (Clin Res Ed) 1985; 290: 304307.

3.A Garson . How to measure the QT interval – what is normal. Am J Cardiol 1993; 72: 14B.

4.JM Watson . Solvent abuse by children and young adults: a review. Br J Addict 1980; 75: 2736.

5.R Meadows , A Verghese . Medical complications of glue sniffing. South Med J 1996; 89: 455462.

6.N Uzun , Y Kendirli . Clinical, socio-demographic, neurophysiological and neuropsychiatric evaluation of children with volatile substance addiction. Child Care Health Dev 2005; 31: 425432.

7.J Ramsey , HR Anderson , K Bloor , RJ Flanagan . An introduction to the practice, prevalence and chemical toxicology of volatile substance abuse. Hum Toxicol 1989; 8: 261269.

8.A Esmail , B Warburton , JM Bland , HR Anderson , J Ramsey . Regional variations in deaths from volatile solvent abuse in Great Britain. Addiction 1997; 92: 17651771.

9.FT de Carvalho , L Neiva-Silva , MC Ramos , . Sexual and drug use risk behaviors among children and youth in street circumstances in Porto Alegre. Brazil AIDS Behav 2006; 10: S57S66.

10.Y Lolin . Chronic neurological toxicity associated with exposure to volatile substances. Hum Toxicol 1989; 8: 293300.

13.SR Cunningham , GW Dalzell , P McGirr , MM Khan . Myocardial infarction and primary ventricular fibrillation after glue sniffing. Br Med J (Clin Res Ed) 1987; 294: 739740.

14.SMJM Straus , JA Kors , ML De Bruin , . Prolonged QTc interval and risk of sudden cardiac death in a population of older adults. J Am Coll Cardiol 2006; 47: 362367.

15.MA Downes , IM Whyte , GK Isbister . QTc abnormalities in deliberate self-poisoning with. Moclobemide Intern Med J 2005; 35: 388391.

17.JL Fitzgerald , JJ Reid . Sympathomimetic actions of methylenedioxymethamphetamine in rat and rabbit isolated cardiovascular tissues. J Pharm Pharmacol 1994; 46: 826832.

18.MJ Krantz , L Lewkowiez , H Hays , MA Woodroffe , AD Robertson , PS Mehler . Torsade de pointes associated with very-high-dose methadone. Ann Intern Med 2002; 137: 501504.

19.BA Martell , JH Arnsten , B Ray , MN Gourevitch . The impact of methadone induction on cardiac conduction in opiate users. Ann Intern Med 2003; 139: 154155.

21.N Singh , HK Singh , PP Singh , IA Khan . Cocaine-induced torsades de pointes in idiopathic long Q-T syndrome. Am J Ther 2001; 8: 299302.

22.W Zareba , AJ Moss , PJ Schwartz , . Influence of genotype on the clinical course of the long-QT syndrome. International Long-QT Syndrome Registry Research Group. N Engl J Med 1998; 339: 960965.

23.A Garson Jr, M Dick 2nd, A Fournier , . The long QT syndrome in children. An international study of 287 patients. Circulation 1993; 87: 18661872.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Cardiology in the Young
  • ISSN: 1047-9511
  • EISSN: 1467-1107
  • URL: /core/journals/cardiology-in-the-young
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords: