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Pediatric Atrial Ectopic Tachycardia

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Adverse event rate during inpatient sotalol initiation for the management of supraventricular and ventricular tachycardia in the pediatric and young adult population.

Stephanie F Chandler, Esther Chu, Robert D Whitehill, Laura M Bevilacqua, Vassilios J Bezzerides, Elizabeth S DeWitt, Mark E Alexander, Dominic J Abrams, John K Triedman, Edward P Walsh, Douglas Y Mah,

BACKGROUND:Sotalol is an important antiarrhythmic drug in the pediatric population. Given the risk of proarrhythmia, sotalol is initiated in inpatient settings, with adult studies as recent as 2015 supporting this practice. OBJECTIVE:The purpose of this study was to determine the frequency of adverse events (AEs) during sotalol initiation for the ... Read more >>

Heart Rhythm (Heart rhythm)
[2020, :]

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Quality of life assessment in children before and after a successful ablation for supraventricular tachycardia.

M Cecilia Gonzalez Corcia, Laura Peters, Thierry Sluysmans, Stephane Moniotte, Karlien Carbonez, Catherine Barrea, Christophe Vo, Laetitia Vanhoutte, Christophe Scavee,

BACKGROUND AND OBJECTIVES:Young patients suffering from rhythm disorders have a negative impact in their quality of life. In recent years, ablation has become the first-line therapy for supraventricular arrhythmias in children. In the light of the current expertise and advancement in the field, we decided to evaluate the quality of ... Read more >>

Cardiol Young (Cardiology in the young)
[2020, 30(3):413-417]

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Successful Ablation of Atrial Tachycardia Originating from Inside the Single Atrium and Conduit After a Fontan Operation.

Hitoshi Mori, Naokata Sumitomo, Shota Muraji, Tomohiko Imamura, Noriyuki Iwashita, Toshiki Kobayashi,

An 18-year-old male who had a past medical history of an intracardiac total cavopulmonary connection (TCPC) operation was referred to our hospital for radiofrequency catheter ablation (RFCA) of supraventricular tachycardia (SVT). Two types of SVTs were induced, and 3-dimensional (3D) maps were created using an ultra-high-density 3-dimensional mapping system (Rhythmia). ... Read more >>

Int Heart J (International heart journal)
[2020, 61(1):174-177]

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Pediatrics and GUCHs.

J Arrhythm (Journal of Arrhythmia)
[2019, 35(Suppl 1):693-711]

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Two case reports of fetal alcohol syndrome: broadening into the spectrum of cardiac disease to personalize and to improve clinical assessment.

R Onesimo, C De Rose, A B Delogu, A Battista, C Leoni, S Veltri, G De Rosa, G Zampino,

BACKGROUND:Fetal alcohol spectrum disorder (FASD) refers to a broad spectrum of disabilities, in infants and children, resulting from moderate to excessive prenatal alcohol exposure. Significant associations with alcohol exposure were already reported with congenital structural heart defects: i.e. ventricular septal defects, atrial septal defects, conotruncal defects. CASES PRESENTATION:We describe two ... Read more >>

Ital J Pediatr (Italian journal of pediatrics)
[2019, 45(1):167]

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Neonatal supraventricular tachycardia.

Chandra Srinivasan, Seshadri Balaji,

Supraventricular tachycardia (SVT) is one of the most common conditions requiring emergency cardiac care in neonates. Atrioventricular reentrant tachycardia utilizing an atrioventricular bypass tract is the most common form of SVT presenting in the neonatal period. There is high likelihood for spontaneous resolution for most of the common arrhythmia substrates ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2019, 19(6):222-231]

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Fever-Associated Supraventricular Tachycardia after 4CMenB Vaccination in an Infant.

Erdem Gönüllü, Burcu Topçu, Naci Öner, Ahmet Soysal, Metin Karaböcüoğlu,

Meningococcal serogroup B vaccine 4CMenB (Bexsero) is a new four-component protein vaccine developed to prevent Neisseria meningitidis serogroup B infections. Case. We report a girl with fever and supraventricular tachycardia (SVT) 6-8 hours after the second dose of 4CMenB. SVT was unresponsive to the first dose of adenosine but terminated ... Read more >>

Case Rep Pediatr (Case reports in pediatrics)
[2019, 2019:4591964]

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Junctional ectopic tachycardia in infants and children.

Ranjit I Kylat, Ricardo A Samson,

Tachyarrhythmias originating in the atrioventricular (AV) node and AV junction including the bundle of His complex (BH) are called junctional tachycardia (JT) or junctional ectopic tachycardia (JET). Congenital JET (CJET) is a rare arrhythmia that occurs in patients without a preceding cardiac surgery and can be refractory to medical therapy ... Read more >>

J Arrhythm (Journal of arrhythmia)
[2020, 36(1):59-66]

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Ivabradine as an Adjunct for Refractory Junctional Ectopic Tachycardia Following Pediatric Cardiac Surgery: A Preliminary Study.

Vivek Kumar, Gaurav Kumar, Nikhil Tiwari, Sajan Joshi, Vipul Sharma, Ravi Ramamurthy,

OBJECTIVES:Junctional ectopic tachycardia (JET) is a relatively common narrow complex rhythm typically characterized by atrioventricular dissociation or retrograde atrial conduction in a 1:1 pattern. Junctional ectopic tachycardia can be a life-threatening disorder, causing severe hemodynamic compromise and increased morbidity and mortality. The treatment of refractory JET can be very difficult, ... Read more >>

World J Pediatr Congenit Heart Surg (World journal for pediatric & congenital heart surgery)
[2019, 10(6):709-714]

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Effects of perioperative transcutaneous electrical acupoint stimulation on monocytic HLA-DR expression in patients undergoing coronary artery bypass grafting with cardiopulmonary bypass: study protocol for a double-blind randomized controlled trial.

Wen-Ting Chen, Jin-Feng Wei, Lan Wang, Deng-Wen Zhang, Wei Tang, Jian Wang, Yue Yong, Jing Wang, Ya-Lan Zhou, Lan Yuan, Guo-Qiang Fu, Sheng Wang, Jian-Gang Song,

BACKGROUND:Cardiac surgery involving cardiopulmonary bypass (CPB) is known to be associated with a transient postoperative immunosuppression. When severe and persistent, this immune dysfunction predisposes patients to infectious complications, which contributes to a prolonged stay in the intensive care unit (ICU), and even mortality. Effective prevention and treatment methods are still ... Read more >>

Trials (Trials)
[2019, 20(1):789]

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Zero Fluoroscopy During Ablation of Right-Sided Supraventricular Tachycardia Substrates in a Pediatric Population - Initial Experience in Taiwan.

Wei-Chieh Tseng, Mei-Hwan Wu, Chun-Wei Lu, Kun-Lang Wu, Jou-Kou Wang, Ming-Tai Lin, Chun-An Chen, Shuenn-Nan Chiu,

Background:Zero fluoroscopy during ablation of arrhythmias has been introduced to reduce radiation exposure. However, the safety, feasibility and efficacy of the technique in pediatric populations have yet to be delineated. Objectives:To investigate the safety, feasibility and effectiveness of zero fluoroscopic-guided transcatheter ablation of right-sided supraventricular tachycardia substrates in a pediatric ... Read more >>

Acta Cardiol Sin (Acta Cardiologica Sinica)
[2019, 35(5):476-483]

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Diagnosis and treatment of abnormal left coronary artery originating from the pulmonary artery: A single-center experience.

Kahraman Yakut, Niyazi Kursad Tokel, Murat Ozkan, Birgul Varan, Ilkay Erdogan, Mehmet Sait Aslamaci,

OBJECTIVE:We aimed to review symptoms, findings, surgical treatment options, short- and mid-term outcomes, and reoperation rate of patients diagnosed with of left coronary artery from the pulmonary artery (ALCAPA) of an anomalous origin in our institution. METHODS:From May 2000 to March 2018, 33 patients who had left coronary artery originating ... Read more >>

Anatol J Cardiol (Anatolian journal of cardiology)
[2019, 22(6):325-331]

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Arrhythmia and/or Cardiomyopathy Related to Maternal Autoantibodies: Descriptive Analysis of a Series of 16 Cases From a Single Center.

Benzhen Wang, Sujuan Hu, Degong Shi, Zhen Bing, Zipu Li,

Objective: To describe the clinical characteristics of maternal autoantibody-mediated arrhythmia and/or cardiomyopathy, and to explore the therapeutic role of glucocorticoids in these diseases. Methods: This was a retrospective observational study of 2 fetuses and 14 children who presented with autoantibody-mediated arrhythmia and/or cardiomyopathy in our hospital from September 2010 to ... Read more >>

Front Pediatr (Frontiers in pediatrics)
[2019, 7:465]

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The many faces of early repolarization syndrome: A single-center case series.

Aleksandr Voskoboinik, Henry Hsia, Joshua Moss, Vasanth Vedantham, Ronn E Tanel, Akash Patel, Julianne Wojciak, Natalie Downs, Melvin M Scheinman,

BACKGROUND:Early repolarization syndrome (ERS) is a rare but increasingly recognized cause of malignant ventricular arrhythmias. OBJECTIVE:The purpose of this study was to characterize the presentations and treatments of ERS at our institution. METHODS:We performed a retrospective chart review of all patients presenting to our institution between 2008 and 2019 with ... Read more >>

Heart Rhythm (Heart rhythm)
[2020, 17(2):273-281]

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Dexmedetomidine Exerted Anti-arrhythmic Effects in Rat With Ischemic Cardiomyopathy via Upregulation of Connexin 43 and Reduction of Fibrosis and Inflammation.

Shu-Jie Wu, Zhong-Hao Lin, Yuan-Zheng Lin, Zhi-Heng Rao, Jia-Feng Lin, Lian-Pin Wu, Lei Li,

Background:Persistent myocardial ischemia post-myocardial infarction can lead to fatal ventricular arrhythmias such as ventricular tachycardia and fibrillation, both of which carry high mortality rates. Dexmedetomidine (Dex) is a highly selective α2-agonist used in surgery for congenital cardiac disease because of its antiarrhythmic properties. Dex has previously been reported to prevent ... Read more >>

Front Physiol (Frontiers in physiology)
[2020, 11:33]

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Feasibility and performance of catheter ablation with zero-fluoroscopy approach for regular supraventricular tachycardia in patients with structural and/or congenital heart disease.

Aleksandra Morka, Janusz Śledź, Karol Deutsch, Bartosz Ludwik, Magdalena Zagrodzka, Lesław Szydłowski, Sebastian Stec,

Patients with structural heart disease (SHD) are more difficult to ablate than those with a structurally healthy heart. The reason may be technical problems. We compared periprocedural data in unselected patients (including SHD group) recruited for zero-fluoroscopy catheter ablation (ZF-CA) of supraventricular arrhythmias (SVTs).Consecutive adult patients with atrioventricular nodal reentry ... Read more >>

Medicine (Baltimore) (Medicine)
[2019, 98(41):e17333]

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Mapping of low-voltage bridges with a high-density multipolar catheter in a child with atrioventricular nodal reentry tachycardia.

Fabrizio Drago, Camilla Calvieri, Greta Allegretti, Massimo Stefano Silvetti,

HeartRhythm Case Rep (HeartRhythm case reports)
[2020, 6(1):8-10]

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Low-Cost Fetal Magnetocardiography: A Comparison of Superconducting Quantum Interference Device and Optically Pumped Magnetometers.

Sarah Strand, William Lutter, Janette F Strasburger, Vishal Shah, Oswaldo Baffa, Ronald T Wakai,

Background Fetal magnetocardiography (fMCG) is a highly effective technique for evaluation of fetuses with life-threatening arrhythmia, but its dissemination has been constrained by the high cost and complexity of Superconducting Quantum Interference Device (SQUID) instrumentation. Optically pumped magnetometers (OPMs) are a promising new technology that can replace SQUIDs for many applications. ... Read more >>

J Am Heart Assoc (Journal of the American Heart Association)
[2019, 8(16):e013436]

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Non-fluoroscopic catheter ablation: A randomized trial.

Leonardo Martins Pires, Tiago Luiz Luz Leiria, Marcelo Lapa Kruse, Gustavo Glotz de Lima,

BACKGROUND:Catheter ablation provides curative treatment for tachyarrhythmias. Fluoroscopy, the method used for this, presents several risks. The electroanatomical mapping (MEA) presents a three-dimensional image without using X-rays, and may be adjunct to fluoroscopy. OBJECTIVES:We evaluated the possibility of performing catheter ablation with the exclusive use of electroanatomical mapping (MEA), dispensing ... Read more >>

Indian Pacing Electrophysiol J (Indian pacing and electrophysiology journal)
[2019, 19(5):189-194]

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Ivabradine for treatment of tachyarrhythmias in children and young adults.

Christopher M Janson, Reina Bianca Tan, V Ramesh Iyer, R Lee Vogel, Victoria L Vetter, Maully J Shah,

HeartRhythm Case Rep (HeartRhythm case reports)
[2019, 5(6):333-337]

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Risk Factors for Major Adverse Events after Surgical Closure of Ventricular Septal Defect in Patients Less than 1 Year of Age: A Single-Center Retrospective.

Servet Ergün, Serhat Bahadır Genç, Okan Yildiz, Erkut Öztürk, Hasan Candaş Kafalı, Pelin Ayyıldız, Sertaç Haydin,

OBJECTIVE:To reveal the risk factors that can lead to a complicated course and an increased morbidity in patients < 1 year old after surgical ventricular septal defect (VSD) closure. METHODS:We reviewed a consecutive series of patients who were admitted to our institution for surgical VSD closure who were under one ... Read more >>

Braz J Cardiovasc Surg (Brazilian journal of cardiovascular surgery)
[2019, 34(3):335-343]

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Incidence, Risk Factors, and Outcome of Cardiac Arrhythmia Postcardiac Surgery in Children.

Akanksha Jain, Shahzad Alam, S Kiran Viralam, Tanzila Sharique, Saurabh Kapoor,

Objective:To study the incidence of postoperative cardiac arrhythmias in children undergoing cardiac surgery and to evaluate the risk factors and outcome of these patients. Materials and Methods:This retrospective observational study was conducted in the cardiac pediatric intensive care unit and included children <18 years of age. Children were monitored in ... Read more >>

Heart Views (Heart views : the official journal of the Gulf Heart Association)
[2019, 20(2):47-52]

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Ventricular Tachycardia.

J Arrhythm (Journal of Arrhythmia)
[2019, 35(Suppl 1):542-596]

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A comparison of oral flecainide and amiodarone for the treatment of recurrent supraventricular tachycardia in children.

Allison C Hill, Michael J Silka, Yaniv Bar-Cohen,

BACKGROUND:Supraventricular tachycardia (SVT) in children can be difficult to treat when first-line therapies (beta-blockade or digoxin) are not effective. Both flecainide and amiodarone are used as second-line therapies. We sought to compare the efficacy and safety of flecainide and amiodarone in pediatric patients with recurrent SVT. METHODS:Pediatric patients treated with ... Read more >>

Pacing Clin Electrophysiol (Pacing and clinical electrophysiology : PACE)
[2019, 42(6):670-677]

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Neonatal Cardiac ECMO in 2019 and Beyond.

Peter Paul Roeleveld, Malaika Mendonca,

Worldwide, the use of Extracorporeal Membrane Oxygenation (ECMO) for cardiac failure has been steadily increasing in the neonatal population and has become a widely accepted modality. Especially in centers caring for children with (congenital) heart disease, ECMO is now an essential part of care available for those with severe heart ... Read more >>

Front Pediatr (Frontiers in Pediatrics)
[2019, 7:327]

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