Induction of nonsustained atrial flutter by programmed atrial stimulation in children: Incidence, mechanisms, and clinical implications

Casta, Alfonso; Wolff, Grace S.; Mehta, Ashok V.; Tamer, Dolores; Pickoff, Arthur S.; Gelband, Henry

doi:10.1016/0002-8703(84)90084-x

Cited by 6 publications

(2 citation statements)

References 19 publications

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“…Recently, nonsustained atrial flutter was induced in 6 of 137 children with preoperative heart defects who were free of arrhythmias (Casta et al, 1984). The described patient differs from these in that there was no structural heart disease.…”

Section: Discussionmentioning

confidence: 85%

“…Clinical atrial flutter has been reproduced in the electrophysiologic laboratory by programmed atrial stimulation and by rapid atrial pacing (Watson and Josephson, 1980). Recently, nonsustained atrial flutter was induced in 6 of 137 children with preoperative heart defects who were free of arrhythmias (Casta et al, 1984). The described patient differs from these in that there was no structural heart disease.…”

Section: Discussionmentioning

confidence: 99%

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Nonsustained atrial flutter in a child without congenital heart disease

Casta

1985

Clinical Cardiology

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Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Nonsustained atrial flutter in a child without congenital heart disease

Casta

1985

Clinical Cardiology

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Atrial tachycardia in infants and children: Electrocardiographic classification and its significance

Mehta

Ewing

1993

Pediatr Cardiol

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An electrocardiographic classification of atrial tachycardia and its significance in children has not been reported. We reviewed the clinical histories and 12-lead surface electro-cardiograms (ECG) of 21 children with atrial tachycardia. Atrial rate and P-wave axis were determined for each patient. Some patients had features of typical atrial flutter (AF). Tachycardia was classified by atrial rate < 340/min or atrial rate > 340/min. Children with atrial tachycardia rate > 340/min consistently responded to conservative treatment (digoxin and/or cardioversion) without recurrences (p < 0.05 and p > 0.025); whereas in children with atrial rate < 340/min, only one case responded to conservative therapy. P-wave axis had no prognostic significance for either group. Additionally, high atrial rate (> 340/min) during tachycardia was noted in early infancy, compared to older children and adults, and probably represents the function of age. Classification of atrial tachycardia by rate is clinically useful for planning therapy and predicting response in children.

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Occult arrhythmias and syncope in children

Sapire

Wolf

1985

American Heart Journal

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Induction of nonsustained atrial flutter by programmed atrial stimulation in children: Incidence, mechanisms, and clinical implications

Cited by 6 publications

References 19 publications

Nonsustained atrial flutter in a child without congenital heart disease

Nonsustained atrial flutter in a child without congenital heart disease

Atrial tachycardia in infants and children: Electrocardiographic classification and its significance

Occult arrhythmias and syncope in children

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