PACES/HRS Expert Consensus Statement on the Evaluation and Management of Ventricular Arrhythmias in the Child With a Structurally Normal Heart

Crosson, Jane E.; Callans, David J.; Bradley, David J.; Dubin, Anne M.; Epstein, Michael; Etheridge, Susan P.; Papez, Andrew L.; Phillips, John R.; Rhodes, Larry A.; Saul, Philip J.; Stephenson, Elizabeth A.; Stevenson, William G.; Zimmerman, Frank

doi:10.1016/j.hrthm.2014.05.010

Cited by 93 publications

(92 citation statements)

References 188 publications

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“…Sustained VT is typically defined as ventricular rhythm at a rate faster than 120 beats per minute for more than 30 s. However, it is relatively rare in children, with an incidence of approximately 1.1 in 100 000 children 2. VT can be further categorised into VT with associated heart disease and VT without associated anomaly, which is defined as idiopathic VT 3. Studies of VT in the paediatric population are few.…”

Section: Introductionmentioning

confidence: 99%

Primary ventricular tachycardia in paediatric population in a tertiary centre

Chiu

et al. 2017

Arch Dis Child

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Section: Introductionmentioning

confidence: 99%

Primary ventricular tachycardia in paediatric population in a tertiary centre

Chiu

et al. 2017

Arch Dis Child

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“…(6) Sustained VT is rare in children with an estimated incidence of between 0.2 and 0.8 per 10 000 children. (7) In patients with CHD the arrhythmia may be associated with the underlying abnormality or with surgical intervention which provides a highly favourable substrate for re-entrant arrhythmias. (8) …”

Section: Tachycardia Substrates In Childrenmentioning

confidence: 99%

“…(7) In addition to these recommendations, RFCA may also be considered in patients with asymptomatic preexcitation and CHD before surgery that might limit access for future catheter based procedures. (10) The success and complication rates reported by the Paediatric Radiofrequency Catheter Ablation Registry and the Paediatric Electrophysiology Society (PACES) are similar to those in adults.…”

Section: Radiofrequency Catheter Ablationmentioning

confidence: 99%

Radiofrequency catheter ablation in infants and children

Greyling¹,

Ector²,

Garweg³

2017

SAHJ

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(mean of 16.5kg). The average screening time was 33min (SD ± 22.7).Echocardiography was normal in 32 (72.7%) of cases. Abnormalities on echocardiography were: Epstein's with perimembranous VSD, a secundum ASD, hypertrophic cardiomyopathy, tricuspid atresia with right ventricular outflow tract conduit and percutaneous Melody valve, tetralogy of Fallot, double outlet right ventricle (DORV), hypoplastic left heart (HLH) syndrome and premature closure of the ductus arteriosus.Diagnosis at invasive electrophysiology study was atrioventricular reentry tachycardia (AVRT) in 26 (50.9%), ectopic atrial tachycardia (EAT) in 7 (13.7%), intraatrial re-entry tachycardia (IART) in 5 (9.8%), atrioventricular nodal reentry tachycardia in 11 (21.6%) and ventricular tachycardia (VT) in 2 (3.9%) patients. The 2 cases of VT were left ventricular outflow tract

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“…Nonsustained ventricular tachycardia in otherwise healthy individuals without structural heart disease is often benign, but in those with certain structural heart abnormalities and specific forms of cardiomyopathy represents a risk factor for sudden death . The prognostic significance of this arrhythmia in those with isolated AV block is unknown.…”

Section: Editorial Commentmentioning

confidence: 99%