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Acute rheumatic fever (ARF) is the most common acquired heart disease among children living in developing countries (1). During the acute phase of the disease, cardiac arrhythmias and conduction disorders can be seen (2-4). First degree atrioventricular (AV) block, which is a minor diagnostic criterion of the disease, is frequently seen, while advanced AV block, supraventricular tachycardia, bundle branch blocks, junctional rhythm, premature contractions and ventricular tachycardia are rarely seen (3-7). Although 12-lead electrocardiogram is sufficient for determining the cardiac rhythm in most of the cases, 24-hour Holter monitoring may be useful in the cases of possible paroxysmal rhythm or conduction abnormalities (3,4). The aim of this study is to provide an overview of the frequency of arrhythmias and conduction disorders in children with ARF.

easterns journal of medicine/eastern journal of medicine

The frequency of rhythm and conduction abnormalities and benefits of 24-hour Holter electrocardiogram on detecting these abnormalities in patients with acute rheumatic fever.