<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1683-9803</journal-id>
<journal-title><![CDATA[Pediatría (Asunción)]]></journal-title>
<abbrev-journal-title><![CDATA[Pediatr. (Asunción)]]></abbrev-journal-title>
<issn>1683-9803</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Pediatría]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1683-98032019000300179</article-id>
<article-id pub-id-type="doi">10.31698/ped.46032019005</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hallazgos clínicos y electrocardiográficos en pacientes pediátricos con comunicación interauricular]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical and electrocardiographic findings in pediatric patients with atrial septal defects]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Suh]]></surname>
<given-names><![CDATA[Dong Chin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Greco]]></surname>
<given-names><![CDATA[Junior]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero]]></surname>
<given-names><![CDATA[Fátima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Spinzi]]></surname>
<given-names><![CDATA[Lorena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Real]]></surname>
<given-names><![CDATA[Chantal]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vargas-Peña]]></surname>
<given-names><![CDATA[Milagros]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Jarolín]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Departamento de Cardiología Pediátrica]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>46</volume>
<numero>3</numero>
<fpage>179</fpage>
<lpage>184</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1683-98032019000300179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1683-98032019000300179&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1683-98032019000300179&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  La comunicación interauricular (CIA) es una cardiopatía congénita frecuente, cuyo diagnóstico es difícil en pacientes paucisintomáticos. Sin tratamiento, puede complicarse con insuficiencia cardiaca, arritmias e hipertensión pulmonar. El electrocardiograma puede proporcionar indicios de esta cardiopatía.  Objetivo:  Describir los hallazgos clínicos y electrocardiográficos de pacientes portadores de CIA.  Materiales y Métodos:  Trabajo retrospectivo, de pacientes menores de 18 años, evaluados cardiológicamente de enero 2008 a diciembre de 2013. Se describen las variables electrocardiográficas y semiológicas sugestivas de CIA.  Resultados:  Hubo 77 pacientes con CIA. Los motivos de consulta más frecuentes entre los pacientes con CIA fueron el soplo cardiaco, el síndrome de Down y la disnea. En el examen físico de los pacientes con CIA: soplo sistólico en 69% y R2 desdoblado en 56%. En el electrocardiograma, los pacientes tuvieron QRS de 79 ms, eje eléctrico desviado hacia la derecha, BIRD y notch. Los criterios de sobrecarga ventricular derecha (SVD) más frecuentes fueron la onda S profunda en V6 y la onda R alta en V1. La auscultación de un R2 desdoblado en el examen físico, así como la SVD y el patrón notch fueron los hallazgos más frecuentes en pacientes con CIA.  Conclusión:  el electrocardiograma constituye una herramienta válida en la evaluación de pacientes con sospecha de CIA pero precisa de la combinación de hallazgos clínicos para llegar al diagnóstico.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Atrial Septal Defect (ASD) is a frequent congenital heart disease, the diagnosis of which is difficult in paucisymptomatic patients. Without treatment, it can lead to heart failure, arrhythmias and pulmonary hypertension. The electrocardiogram may provide evidence of this condition.  Objective:  To describe the clinical and electrocardiographic findings of patients with ASD.  Materials and Methods:  This was a retrospective study of patients under age 18 who underwent cardiac evaluation from January 2008 to December 2013. The electrocardiographic and clinical finding variables suggestive of ASD are described.  Results:  There were 77 patients with ASD. The most frequent reasons for consultation among patients with ASD were heart murmur, Down syndrome and dyspnea. Findings on physical examination of patients with ASD were: systolic murmur in 69% and S2 split in 56%. On the electrocardiogram, the patients had QRS of 79 ms, electric axis deviated to the right, Incomplete Right Bundle Branch and notch pattern. The most frequent right ventricular volume overload (RVVO) criteria were the deep S wave in V6 and the high R wave in V1. Auscultation of a split S2 on the physical examination, as well as the RVVO and the notch pattern were the most frequent findings in patients with ASD.  Conclusion:  the electrocardiogram is a valid tool in the evaluation of patients with suspected ASD but requires the combination of clinical findings to reach the diagnosis.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[comunicación interauricular]]></kwd>
<kwd lng="es"><![CDATA[electrocardiograma]]></kwd>
<kwd lng="es"><![CDATA[bloqueo incompleto de rama derecha]]></kwd>
<kwd lng="es"><![CDATA[notch]]></kwd>
<kwd lng="en"><![CDATA[Atrial septal defect]]></kwd>
<kwd lng="en"><![CDATA[electrocardiogram]]></kwd>
<kwd lng="en"><![CDATA[incomplete right bundle branch block]]></kwd>
<kwd lng="en"><![CDATA[notch]]></kwd>
</kwd-group>
</article-meta>
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