Long-term outcome of neonates and infants with permanent junctional reciprocating tachycardia. When cardiac ablation changes natural history.
dc.contributor.author
dc.date.accessioned
2024-02-01T09:22:05Z
dc.date.available
2024-02-01T09:22:05Z
dc.date.issued
2019-09
dc.identifier.issn
0022-0736
dc.identifier.uri
dc.description.abstract
Supraventricular tachycardias (SVT) are the most common arrhythmias in the perinatal period. Permanent junctional reciprocating tachycardia (PJRT) is a rare form of SVT, often incessant and refractory to pharmacological treatments. Our goal was to analyze the clinical features and treatment of PJRT in patients younger than 2 months and to describe their long-term outcomes. Methods Retrospective descriptive observational study of patients diagnosed between 2000 and 2015 in the NICU of a referral center for the treatment of pediatric arrhythmias. History of pregnancy, neonatal period, pharmacological treatment, electrophysiological study and long-term follow-up were reviewed. Results 129 of the 10.198 (1.26%) patients admitted to the NICU had SVT, sixteen of them (12.3%) being diagnosed as PJRT. Ten cases had a prenatal diagnosis. For those six patients postnatally diagnosed, the tachycardia was detected either during a routine check-up or because of acute hemodynamic instability. The majority of patients required combinations of drugs, despite that the tachycardia was poorly controlled. Fifteen patients underwent cardiac ablation, nine patients (60%) in the neonatal period and six during childhood. The procedure was completely effective in all cases. One patient had a transient complete AV block that resolved spontaneously 24 hours after the procedure. No other complications were seen. After a mean follow-up of 10.9 years, no patient has presented recurrence, cardiac dysfunction, signs of ischemia or EKG abnormalities, they all have a normal life. Conclusions When PJRT is refractory to multiple drugs, cardiac ablation should be taken into account at early stages even in very young patients
dc.format.extent
5 p.
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application/pdf
dc.language.iso
eng
dc.publisher
Elsevier
dc.relation.isformatof
Versió postprint del document publicat a: https://doi.org/10.1016/j.jelectrocard.2019.05.006
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© Journal of Electrocardiology, 2019, vol. 56, p. 85-89
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Articles publicats (D-CM)
dc.rights
Reconeixement-NoComercial-SenseObraDerivada 4.0 Internacional
dc.rights.uri
dc.source
Herranz Barbero, Ana Cesar, Sergi Martinez-Osorio, Johanna Margarit, Adriana Moreno, Julio Campuzano Larrea, Oscar Iglesias-Platas, Isabel Brugada Terradellas, Josep Sarquella Brugada, Geòrgia 2019 Long-term outcome of neonates and infants with permanent junctional reciprocating tachycardia. When cardiac ablation changes natural history. Journal of Electrocardiology 56 85 89
dc.subject
dc.title
Long-term outcome of neonates and infants with permanent junctional reciprocating tachycardia. When cardiac ablation changes natural history.
dc.type
info:eu-repo/semantics/article
dc.rights.accessRights
info:eu-repo/semantics/openAccess
dc.type.version
info:eu-repo/semantics/acceptedVersion
dc.identifier.doi
dc.identifier.idgrec
030100
dc.type.peerreviewed
peer-reviewed
dc.identifier.eissn
1532-8430