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Healthwatch
Preventing Sudden Heart Death In Children And Teens: 4 Questions Can Help
~3.3 mins read

Photo of doctor and child during medical exam with mother looking on

It's incredibly rare for a child or teen to die suddenly because of a heart problem, but it's a horrible tragedy when it does, especially because often it could have been prevented — if someone had just asked the right question.

We tend to think about sudden deaths like these in athletes, since we commonly hear about them happening on a playing field — and because most of the prevention efforts have been aimed at athletes. But they absolutely can happen in children and teens who aren't athletes, according to a 2021 policy statement from the American Academy of Pediatrics. The guidance it offers helps primary care pediatricians better screen their patients for the heart problems that can lead to sudden death. Here's what parents need to understand and do.

What might cause sudden cardiac arrest or death in children or teens?

There are several heart conditions that can lead to a risk of sudden death. They include

  • Cardiomyopathies. These are problems with the muscle of the heart. There are a few different kinds, but the kind most likely to lead to sudden death is hypertrophic cardiomyopathy, in which the heart muscle becomes abnormally thick.
  • A problem with a coronary artery. The coronary arteries bring oxygenated blood to the heart muscle. If there is a problem with one or both arteries, the heart muscle may not get that needed blood supply. Called an anomalous coronary artery, this is the second leading cause of sudden death after hypertrophic cardiomyopathy.
  • Problems with the electrical conduction system of the heart. This is the system that causes the heart to contract and move blood through the body. Problems with this conduction system can lead to an arrhythmia — and the heart may not be able to move blood well or at all.
  • Congenital heart disease. When children are born with a heart defect, it puts them at higher risk of arrhythmia, either because of the defect itself or the surgery that was done to treat it.
  • Aortopathies. This is the medical term for having something wrong with the aorta that might lead it to balloon (aneurysm) and split open. (The aorta is the main blood vessel leading from the heart to the rest of the body.) Marfan's syndrome is one condition that can cause this, but there are others as well.
  • Four important screening questions can help identify cardiac risk

    Many of these conditions can and do go unrecognized for years. However, the AAP says that these four questions can help identify which children may be at risk:

  • Have you ever fainted, passed out, or had an unexplained seizure suddenly and without warning, especially during exercise or in response to sudden loud noises such as doorbells, alarm clocks, or ringing telephones?
  • Have you ever had exercise-related chest pain or shortness of breath? Most of the time, this is just from a pulled muscle or asthma. But it may be related to the heart, especially if the pain feels like pressure; radiates to the neck or arm; is associated with sweating, nausea, or fainting; or happens with exercise, straining, or stress.
  • Has anyone in your immediate family (parents, grandparents, siblings) or other more distant relatives (aunts, uncles, cousins) died of heart problems or had an unexpected sudden death before age 50? (This includes unexpected drownings, unexplained car accidents in which the relative was driving, and sudden infant death syndrome, or SIDS.)
  • Are you related to anyone with hypertrophic cardiomyopathy, hypertrophic obstructive cardiomyopathy, Marfan syndrome, arrhythmogenic cardiomyopathy, long QT syndrome, short QT syndrome, Brugada syndrome, catecholaminergic polymorphic ventricular tachycardia (CPVT), or anyone younger than 50 years with a pacemaker or implantable defibrillator?
  • The last question underlines the importance of knowing details of your family history. We don't always like to pry, but knowing the details can be crucial for the health of others in the family. So don't be afraid to ask family members about the exact diagnosis they have been given by a doctor — and then share that diagnosis with your doctor. This is true of all health problems, not just heart problems. Of course, some people may not have access to their family health information.

    How often should this screening be done?

    Ideally, according to the AAP, your child's doctor should ask these questions at routine checkups at least once every three years, or on entry to middle or junior high school and on entry to high school. If the answer is yes to any of the questions, the child should be referred to a cardiologist (or to a cardiologist that specializes in arrhythmias) for further evaluation. Until they are cleared, they shouldn't participate in sports.

    Families don't need to wait for a pediatrician to ask the questions, though. If the answer to any of them is yes, or might be yes, talk to your child's doctor right away. You could literally save your child's life.

    Source: Harvard Health Publishing

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    Price Of Eggs About To Hit N10,000 — Poultry Farmers
    ~1.4 mins read

    Poultry Association of Nigeria (PAN) has warned that if urgent steps are not taken to support poultry farmers, prices of eggs may increase from the current N5,500 to N10,000 per crate.

    They attributed the rising cost of the protein to high cost of transportation as a result of fuel subsidy removal as well as indiscriminate increase in prices of feed by the millers.

    The Secretary of PAN, FCT Chapter Musa Hakeem said this at a press briefing to commemorate the World Egg Day on Saturday, October 12, 2024,  in Abuja.

    Hakeem said the Federal Government must as a matter of urgency declare a State of emergency on Egg production in the country given the serious decline in protein intake, saying Nigerians can not afford to depend on importation of eggs.

    “If we should go by the proportional increase in the prices of these factors mentioned earlier, we will be buying eggs at N10,000 per create, but because we wanted to be compassionate, coupled with the important of eggs for health, we left the price at the current price of N5,500.

    To the best of my knowledge, the last time we received any grains intervention from the government was three years ago saying other respite by the government to cushion the high prices of food are only read on the pages of the newspaper,” he said.

    He called on the government to ensure that they carry PAN along in their intervention activities as they have the data of all the poultry farmers in the FCT.

    He lamented that the government is not paying the required attention to the poultry subsector as it has been neglected over time, saying business owners have been operating in their own volition and hoped that the industry does not cr@sh.

    An Agro Dealer, Jude Arikogu, also lamented the indiscriminate increase in prices of feed by millers and also the low measurement of the feeds saying “A 25kg bag of feed is hardly up to 23kg when put on our scale.”

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    Just In: Former Governor’s Son Di£s In Kaduna Road Accid£nt
    ~0.6 mins read

    Faisal Ahmed Mohammed Makarfi, son of former Governor of Kaduna state, Ahmed Mohammed Makarfi, is d£ad.

    A family source who did not want to be mentioned confirmed his death to Daily Trust correspondent, saying the deceased was involved in an accident.

    Daily Trust gathered that the accident happened along Kaduna-Zaria highway on Saturday evening. “The accident occurred along the Kaduna-Zaria highway this evening. He was taken to an undisclosed hospital where he was declared dead. His father was at the hospital; his corpse has been conveyed home for burial arrangements.

    A civil engineer by training, Faisal attended Kaduna International School and then proceeded to Adesoye College, Offa, Kwara State for his secondary education. He attended the University of Greenwich, London, for undergraduate and master’s degree and enrolled for PhD at the same institution.

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    Abroad-based Nigerian Man Reportedly Hospitalized After Discovering He Isn’t The Biological Father Of His Three Children
    ~0.3 mins read

    An abroad-based Nigerian man has reportedly been hospitalized after discovering he isn’t the biological father of his three children.

    The friend of the man suggested that DNA should be compulsory in every hospital after the man is battling with his life at the hospital after finding out that all his 3kids are not for him after so many years in abroad.

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    Beauty With Brains! Lady Celebrated For Her Incredible Academic Achievements In Medicine And Surgery
    ~0.3 mins read

    A lady was celebrated for her incredible academic achievements in Medicine and Surgery.

    The lady by the name Akinola O T finished medical school in Ondo state as best in pathology, distinction in Obstetrics and Gynecology, distinction in Paediatrics, best in Paediatrics, distinction in Community medicine, distinction in Medicine, distinction in Surgery, best in Medicine and best in Surgery.

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    “Money Or No Money, A Life Free Of Crime Is The Best Life. Despite Many Benefiting From Him, Nobody Wants To Associate With Him Now,” Says Delta State Governor’s Aide, Osaai Success, As Hushpuppi Turn
    ~1.0 mins read

    Delta State Governor’s aide, Osaai Success, has said money or no money, a life free of crime is the best life. as Hushpuppi turns a year older without receiving shoutouts from celebrities or designer brands.

    He said Huspuppi would have gifted himself latest cars, designers to mark his 42nd birthday. He has been abandoned by his beneficiaries as nobody wants to celebrate him on his birthday. Gucci failed to celebrate Hushpuppi at 42.

    Family, friends, fans abandoned Huspuppi 42nd birthday. Huspuppi empty 42nd birthday should be an eye opener. He just visited Huspuppi page on Instagram and found out that in 2020, Italian high-end luxury fashion house Gucci recognised the flamboyant Nigerian big boy Huspuppi as a regular buyer of their luxury product and surprised him with a Gucci-Branded cake. Fans also Celebrated his 28th birthday and over 100,000 persons celebrated him on his page with wishes and gifts.

    All these where before he was known to be a fra¥dster and was arrested. Fast forward to 2024, today is his 42nd birthday. Gucci couldn’t send him a wish or post him or deliver a birthday cake to him in prison despite investing in their brand. Social media wasn’t agog because he is a known fra¥dster and currently in prison. Friends didn’t celebrate him because he is a fra¥dster. Family refused to post him online to celebrate him because he is in prison.

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