Junctional ectopic tachycardia in infants and children

Journal of Arrhythmia

Ricardo A. Samson¹  Ranjit I. Kylat² 

[1] Children's Heart Center of Nevada Las Vegas NV USA;Department of Pediatrics College of Medicine University of Arizona Tucson AZ USA;

关键词: amiodarone;    cardiomyopathy;    catheter ablation;    dilated;    ectopic junctional;    electrophysiology;   

DOI  :  10.1002/joa3.12282

来源: DOAJ

【 摘 要 】

Abstract Tachyarrhythmias originating in the atrioventricular (AV) node and AV junction including the bundle of His complex (BH) are called junctional tachycardia (JT) or junctional ectopic tachycardia (JET). Congenital JET (CJET) is a rare arrhythmia that occurs in patients without a preceding cardiac surgery and can be refractory to medical therapy and associated with high morbidity and mortality. CJET has a high rate of morbidity and mortality with death occurring in 35% of cases. JET occurring within 72 hours after cardiac surgery is referred to as postoperative JET (POJET) and caused by direct trauma, ischemic, or stretch injury to the AV conduction tissues during surgical repair of congenital heart defects. Focal junctional tachycardia (FJT) is also known as automatic junctional tachycardia and includes paroxysmal or non‐paroxysmal forms. We discuss a staged approach to therapy with improved pharmacological therapies and the use of catheter‐based therapies.

【 授权许可】

Unknown