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Abstract One hundred and thirteen patients were included in this study, 62 were males and 51 were females. 44 cases were diagnosed to have supra-ventricular arrhythmias of which 34 cases had supra-ventricular tachycardia (SVT), 5 cases had atrial fibrillation (AF), 3 cases had sick sinus syndrome (SSS) and 2 cases had atrial flutter. Regarding the etiology of this type of arrhythmias: In cases of supra-ventricular tachycardia, 18 cases were idiopathic, 3 cases had ventricular septal defect, 3 cases had cardiomyopathy 2 of them were obstructive and one was congestive, 3 cases had mitral valve prolapse, 3 cases had myocarditis, one case had single ventricle, one case with secundum type of atrial septal defect, one case with patent ductus arteriosus and one case with aortic stenosis (sub-valvular type). 5 cases were diagnosed to have atrial fibrillation, 3 cases were male and 2 cases were females. Of these cases, one of them was diagnosed to have congestive cardiomyopathy, another case with rheumatic heart disease mitral insufficiency, one case with ventricular septal defect and a case with thyrotoxicosis . (226) 3 cases had Sick Sinus syndrome, 2 females and 1 male, 2 of these cases were due to post operative· correction of ,. ,J congenital heart lesions. One was D-type of transposition of the great arteries and one case was after closure of atrial septal defect of secundum type. The last one was due to myocarditis. Two cases were diagnosed to be atrial flutter, one was male and the other was female. The main etiologic factors of this disorder were as follows : 1 case had rheumatic heart disease (mitral incompetence and mitral stenosis) and one case was due to post operative closure of primum type of atrial septal defect. Regarding the conduction disorders we have: 42 cases with atrio-ventricular block 9 cases with intra-ventricular block 7 cases with pre-excitation In the cases of atria-ventricular block: 21 cases have first degree A- V block 7 cases have second degree A-V block 14 cases have third degree A- Vblock Of the group of first degree A-V block, 8 cases were found to be of idiopathic etiology, 6 cases were due to rheumatic fever,3 (227) cases with complete A-V canal, 2 cases with primum type of atrial septal defect, one case was due to Ebstein’s anomaly of the tricuspid valve and one case due to patent ductus arteriosus. Patients with second degree A-V block were 7 in number, 4 males and 3 females and age range from 1-13 years. The main etiology of these cases was as follows : 3 cases were due to rheumatic fever, one case due to congestive cardiomyopathy, one case due to digitalis toxicity, one case due to secundum type of atrial septal defect and the last case was of idiopathic etiology. Regarding cases of third degree A-V block, 14 cases were diagnosed to have this disorder. 7 were males and at the same time 7 were females.The age range of this group was 1 day to 13 years old. 6 cases were diagnosed to had congenital heart disease, 3 of them have L-transposition of the great arteries, 1 case with ventricular septal defect,one case with primum type of atrial septal defect and one case with patent ductus arteriosus. |