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Thursday, June 11, 1998 Published at 11:26 GMT 12:26 UK


Health

Abnormal heart rate could cause cot deaths

Research could help a third of babies at risk of cot death

More than a third of cot deaths could be caused by an abnormal heartbeat, according to a wide-ranging, 19-year research project.

The New England Journal of Medicine says scientists in Italy have identified that babies with a longer interval between contractions in different parts of their hearts could have a 41-fold increased risk of sudden infant death syndrome (SIDS).

This would make it highter than other traditional risk factors such as putting babies to sleep face down in their cots.

Abnormal heartbeat

The scientists, from the University of Pavia, studied more than 34,000 newborn babies over 19 years. Twenty-four died from SIDS and the researchers found that almost half had the abnormal heart rhythm.

SIDS is the main cause of death among apparently healthy babies in their first year of life, although it is relatively rare. It kills only 0.05 to 0.2% of newborn babies a year.

Electrocardiagram

The abnormal heart rhythm can be identified on an electrocardiagram, but the researchers have warned against introducing routine screening for babies.


[ image: It may be too early for routine screening]
It may be too early for routine screening
They say many children with the abnormal heartbeat do not die of SIDS so other factors must be responsible, and require extra research.

Unless children at risk are more clearly identified, the benefits of treating the abnormality could be outweighed by the dangers.

Only 2.5% of babies are thought to have the defect and doctors are not agreed on how to treat it. The favoured option is beta blockers, but it is unclear what the side effects are for newborn babies.



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