Document Detail


Catheter ablation of primary supraventricular tachycardia substrate presenting as atrial fibrillation in adolescents.
MedLine Citation:
PMID:  21087435     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Atrial fibrillation is rarely encountered in children and adolescents, and these cases are usually secondary to myocardial diseases, electrical abnormalities, or scar related in postoperative congenital heart disease patients. Untreated sustained atrial fibrillation may lead to tachycardia-induced cardiomyopathy and/or systemic thromboembolization.
OBJECTIVE: The objective here is to describe our findings in four adolescent patients presenting with recurrent atrial fibrillation.
DESIGN: We report here the results of the findings in four patients who presented with recurrent clinical atrial fibrillation.
RESULTS: Each of the four underwent electrophysiologic study that revealed a primary reentry or automatic supraventricular tachycardia (SVT) substrate, which was able to be treated with radiofrequency ablation. In three of the four cases, elimination of the primary substrate prevented subsequent recurrence of SVT symptoms or documented SVT and/or atrial fibrillation.
CONCLUSION: Children and adolescents presenting with atrial fibrillation warrant an exhaustive search for a treatable primary cause of myocardial or electrical disease. If present, a primary SVT substrate may be successfully ablated to prevent recurrence of atrial fibrillation and any associated complications. Pulmonary vein isolation is rarely indicated in adolescents and should be avoided.
Authors:
Margaret J Strieper; Patrick Frias; Peter Fischbach; Lynne Costello; Robert M Campbell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Congenital heart disease     Volume:  5     ISSN:  1747-0803     ISO Abbreviation:  Congenit Heart Dis     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-11-22     Completed Date:  2011-03-04     Revised Date:  2011-05-05    
Medline Journal Info:
Nlm Unique ID:  101256510     Medline TA:  Congenit Heart Dis     Country:  United States    
Other Details:
Languages:  eng     Pagination:  465-9     Citation Subset:  IM    
Affiliation:
Children's Healthcare of Atlanta Sibley Heart Center, Emory University School of Medicine, Atlanta, Georgia 30341, USA. strieperp@kidsheart.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Anti-Arrhythmia Agents / therapeutic use
Atrial Fibrillation / etiology,  surgery*
Catheter Ablation*
Electrocardiography
Electrophysiologic Techniques, Cardiac
Female
Humans
Male
Recurrence
Tachycardia, Supraventricular / complications,  diagnosis,  surgery*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Arrhythmia Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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