TREATMENT OF ATRIAL ECTOPIC TACHYCARDIA IN INFANTS LESS-THAN-6 MONTHS OLD

被引：30

作者：

BAUERSFELD, U ^{[1
]}

GOW, RM ^{[1
]}

HAMILTON, RM ^{[1
]}

IZUKAWA, T ^{[1
]}

机构：

[1] HOSP SICK CHILDREN,DEPT PAEDIAT,DIV CARDIOL,TORONTO,ON M5G 1X8,CANADA

来源：

AMERICAN HEART JOURNAL | 1995年 / 129卷 / 06期

关键词：

D O I：

10.1016/0002-8703(95)90396-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Nineteen infants <6 months old who had atrial ectopic tachycardia (AET) were treated with antiarrhythmic drugs. AET was controlled with digoxin in 1 patient, propafenone in 2, digoxin with propafenone in 9, digoxin with amiodarone in 4, and digoxin with propafenone and amiodarone in 2; radiofrequency ablation was performed in 1 drug-resistant case, AET resolved in 14 of 15 infants within 1 year. Drug side effects occurred in 5 patients, We conclude that AET in infants <6 months old can be successfully treated with antiarrhythmic drugs, and we recommend a three-step approach with digoxin, a class 1C antiarrhythmic drug, and a class 3 drug, Resolution of AET in infants is frequent.

引用

页码：1145 / 1148

页数：4

共 20 条

[1]

Keane, Plauth, Nadas, Chronic ectopic tachycardia of infancy and childhood, Am Heart J, 84, pp. 748-757, (1972)

[2]

Garson, Gillette, Electrophysiologic studies of supraventricular tachycardia in children. I. Clinical-electrophysiologic correlations, Am Heart J, 102, pp. 233-250, (1981)

[3]

Garson, Gillette, Electrophysiologic studies of supraventricular tachycardia in children. II. Prediction of specific mechanism by noninvasive features, Am Heart J, 102, pp. 383-388, (1981)

[4]

Gillette, Garson, Electrophysiologic and pharmacologic characteristics of automatic ectopic atrial tachycardia, Circulation, 56, pp. 571-575, (1977)

[5]

Mehta, Sanchez, Sacks, Casta, Dunn, Donner, Ectopic automatic atrial tachycardia in children: clinical characteristics, management and follow-up, J Am Coll Cardiol, 11, pp. 379-385, (1988)

[6]

Koike, Hesslein, Finlay, Williams, Izukawa, Freedom, Atrial automatic tachycardia in children, Am J Cardiol, 61, pp. 1127-1130, (1988)

[7]

Balaji, Sullivan, Deanfield, James, Moderate hypothermia in the management of resistant automatic tachycardias in children, Br Heart J, 66, pp. 221-224, (1991)

[8]

Garson, Smith, Moak, Judd, Ott, Cooley, Atrial automatic ectopic tachycardia in children, Atrial arrhythmias. Current concepts and management, pp. 282-287, (1990)

[9]

Garson, Gillette, Moak, Perry, Ott, Cooley, Supraventricular tachycardia due to multiple atrial ectopic foci: a relatively common problem, J Cardiovasc Electrophysiol, 1, pp. 132-138, (1990)

[10]

Walsh, Saul, Hulse, Rhodes, Hordorf, Mayer, Lock, Transcatheter ablation of ectopic atrial tachycardia in young patients using radiofrequency current, Circulation, 86, pp. 1138-1146, (1992)

← 1 2 →