Mitera Children’s Hospital is a tertiary center for diagnosis and treatment of cardiac arrhythmias from fetal life throughout childhood. Our institution also specialise in the diagnosis and treatment of dysrhythmias that occur in adults with congenital heart disease.
The first line of arrhythmia treatment for neonates and young children is usually medication, whilst in older children it is possible to “burn” the responsible lesion (EP ablation) with a procedure similar to cardiac catheterisation. There is an algorithm that is followed for the diagnosis of cardiac arrhythmias in children and on most occasions a 24-hour-tape (Holter) is requested. An exercise test may also be helpful to diagnose whether the dysrhythmias subside during exercise, whilst a cardiac MRI might reveal pathological lesions where the arrhythmias stem from.
Finally, our department specialises in the investigation of children with fainting episodes (with ECG, Echocardiography and a tilt test where necessary).