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Automatic Atrial and Junctional Tachycardias in the Pediatric Patient: Strategies for Diagnosis and Management

1993; Wiley; Volume: 16; Issue: 6 Linguagem: Inglês

10.1111/j.1540-8159.1993.tb01719.x

1540-8159

Christopher L. Case, Paul C. Gillette,

Cardiac pacing and defibrillation studies

Unlike supraventricular arrhythmias secondary to reentry, automatic rhylhm disturbances in children are rare and more resislant to standard pharmacological therapy. This article reviews strategies for the diagnosis and managemenl of two of the more common pediatric auto‐matic rhylhm disliirbances, that is, atrial ectopic tachycardia, and junlional ectopic tachycardia. The place of nevver nonpharmacological therapy, such as catheter ablation, in the treatment of these entities is beginning to be explored, yet has not been fully delineated. Despite these iimitalions, there is enough experience ivith these difficult tachycardias in the pediatric age group to formulate some strategies for optimal diagnosis and management.