Permanent junctional reciprocating tachycardia in children: A multicenter experience

Kang, Kristopher T.; Potts, James E.; Radbill, Andrew E.; Page, Martin J. La; Papagiannis, John; Garnreiter, Jason M.; Kubuš, Petr; Kantoch, Michal J.; Bergen, Nicholas H. Von; Fournier, Anne; Côté, Jean Marc; Paul, Thomas; Anderson, C.; Cannon, Bryan C.; Miyake, Christina Y.; Blaufox, Andrew D.; Etheridge, Susan P.; Sanatani, Shubhayan

doi:10.1016/j.hrthm.2014.04.033

Cited by 66 publications

(74 citation statements)

References 14 publications

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“…5,9 In our study of a pediatric population, however, less than half (42%) of DAP patients exhibited clinical PJRT, while the majority was considered to have typical SVT prior to the EPS. Although unexpected decremental properties have been seen anecdotally, the finding that less than half of our DAPs were clinically anticipated was surprising.…”

Section: Discussionmentioning

confidence: 73%

Characteristics of Decremental Accessory Pathways in Children

Hill

Silka

Wee

et al. 2016

Circ: Arrhythmia and Electrophysiology

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Background-Although retrograde decremental accessory pathways (DAPs) are thought to typically present as permanent junctional reciprocating tachycardia (permanent junctional reciprocating tachycardia), they may also be diagnosed unexpectedly during electrophysiology study. We aimed to compare the clinical and electrophysiological characteristics of patients with DAPs to an age-matched cohort with nondecremental accessory pathways. Data CollectionClinical presentation, including age at diagnosis, age at onset of symptoms, presenting symptoms, orthodromic atrio-ventricular tachycardia (ORT) rate, emergency room visits, presence of ventricular dysfunction at any point in their care, and medication management prior to EPS were recorded. Furthermore, the medical record was queried to determine whether the patient was suspected of having clinical PJRT (defined in definitions section below) based on the evaluation of the pediatric electrophysiologist before the EPS. EPS data were reviewed to identify the location and electrophysiological properties of the accessory pathways and the electrophysiological properties of the AV node. This included measurements of the ventriculo-atrial (VA) conduction times during ventricular pacing and ORT. Ablation modality, outcome, and associated complications were recorded.

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Section: Discussionmentioning

confidence: 73%

Characteristics of Decremental Accessory Pathways in Children

Hill

Silka

Wee

et al. 2016

Circ: Arrhythmia and Electrophysiology

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“…The most important complication of PJRT is the development of tachycardia-induced cardiomyopathy (9). During PJRTinduced tachycardia the cardiac stimuli conduct antegrade through the AV node and return retrograde through a slowly conducting accessory pathway that is usually located near the ostium of the coronary sinus.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the patients finally require catheter ablation procedures. Although there is a disagreement regarding the most useful therapeutic regimen, most of the studies support catheter ablation (9). Because the heart rate of infants and children with PJRT decreases with age, some reports suggest to postpone catheter ablation i older ages and to try medical regimes before ablation (10).…”

Section: Discussionmentioning

confidence: 99%

Permanent Junctional Reciprocating Tachycardia-induced Dilated Cardiomyopathy: A Case Report

Battal¹,

Yıldırım²,

Aylanç³

et al. 2017

Haseki

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We present a four-year-old girl who was admitted to our hospital with the complaints of dyspnea, tachypnea, cough, excess sweating and fatigue. Electrocardiogram (ECG) in the tachycardic girl showed inverted P waves in leads 2, 3 and aVF along with a P-R interval of 0.16 sec and an R-P interval of 0.28 sec. Transthoracic echocardiography revealed an enlarged and spherical left ventricle with diminished systolic functions. Holter ECG confirmed long R-P tachycardia with a rate of 140-160 beats/minute. She was diagnosed as having permanent junctional reciprocating tachycardia-induced dilated cardiomyopathy and successfully treated with catheter ablation and flecainide. Keywords:Electrocardiography, child, catheter ablationBu olgu sunumunda hastanemize dispne, takipne, öksürük, aşırı terleme ve yorgunluk yakınması ile başvuran dört yaşında kız olgu sunduk. Taşikardik olan hastanın elektrokardiyografisinde (EKG) V2, V3 ve aVF derivasyonlarında ters P dalgaları ile birlikte 0,16 sn P-R aralığı ve 0,28 sn R-P aralığı mevcuttu. Transtorasik ekokardiyografide sistolik fonksiyonları azalmış, geniş ve sferik sol ventrikül saptandı. Holter EKG'de kalp hızı 140-160/dk olan uzun R-P intervalli taşikardi konfirme edildi. Hastaya permanent resiprokan kavşak taşikardisine bağlı dilate kardiyomiyopati tanısı kondu ve hasta kateter ablasyonu ve flekainamid tedavisi ile başarılı bir şekilde tedavi edildi.

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“…Эпикардиальное расположение обусловливает трудности, возникающие при проведении РЧА в данной зоне (наи-более часто эффективные воздействия наносятся из сред-ней вены сердца, либо из дивертикула коронарного сину-са) [9,19]. По разным данным, эффективность процедуры составляет от 71 до 90% [14,15,22], а частота рецидивов достигает 11% [12].…”

Section: клинический пример №3unclassified

Antiarrhythmic therapy in patients with additional atrioventricular connective pathways: should we remember about it in the era of catheter ablation?

Царегородцев¹,

Vasyukov²,

Sedov³

et al. 2016

Kardiol. serdechno-sosud. khir.

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Ключевые слова: антиаритмическая терапия, катетерная радиочастотная абляция.catheter radiofrequency ablation (rFa) is preferable treatment for patients with ventricular pre-excitation syndromes. its efficiency is currently exceeds 95%. however, in some cases there is need for prophylactic antiarrhythmic therapy. as a rule, need for it arises for a limited period of time (from diagnosis to intervention or between procedures in case of arrhythmia recurrence) or in case of rFa failure. Specific situations of antiarrhythmic therapy for Wolff-parkinson-White syndrome, frequency and effectiveness of drugs from different classes are analyzed in the article. choice of antiarrhythmic drug is shown based on electrophysiological properties of additional atrioventricular connections.

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Permanent junctional reciprocating tachycardia in children: A multicenter experience

Cited by 66 publications

References 14 publications

Characteristics of Decremental Accessory Pathways in Children

Characteristics of Decremental Accessory Pathways in Children

Permanent Junctional Reciprocating Tachycardia-induced Dilated Cardiomyopathy: A Case Report

Antiarrhythmic therapy in patients with additional atrioventricular connective pathways: should we remember about it in the era of catheter ablation?

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