Skip to main content
Erschienen in: Pediatric Cardiology 8/2011

01.12.2011 | Original Article

Transesophageal Electrophysiological Evaluation of Children with a History of Supraventricular Tachycardia in Infancy

verfasst von: Andrew D. Blaufox, Irfan Warsy, Marise D’Souza, Ronald Kanter

Erschienen in: Pediatric Cardiology | Ausgabe 8/2011

Einloggen, um Zugang zu erhalten

Abstract

Supraventricular tachycardia (SVT) presenting in the neonatal period may resolve by 1 year of age. Predicting which patients require therapy beyond 1 year of age is desirable. Pediatric electrophysiology databases from two institutions were reviewed for patients with a history of infant SVT who underwent transesophageal electrophysiology study (TEEPS) after initial SVT and before 2 years of age. All patients were tested off medications and followed for clinical recurrence. Forty-two patients presented with SVT at median age of 4 days (0–300 days). Initial control was achieved with one drug in 31 patients and multiple drugs in 11 patients. Prior to TEEPS, nine patients had clinical recurrence in the first year of life after initial control had been previously achieved. For all patients, TEEPS was performed, without complications, at median 13 months (9–22 months) of age and at median of 13 months (6–22 months) following the initial SVT episode. SVT was inducible in 27/42: 8 atrio-ventricular nodal reentry tachycardia (AVNRT) and 19 atrio-ventricular reciprocating tachycardia (AVRT). Inducibility was not associated with age at presentation, age at TEEPS, ventricular dysfunction at presentation, presence of structural congenital heart disease, number of drugs required to initially control SVT, or SVT recurrence after initial control. Of 15 not inducible at TEEPS, none had known SVT recurrence off medications at median follow-up of 27 months (6–37 months). In conclusion, among patients having SVT in early infancy, (1) TEEPS results are not associated with clinical variables, (2) non-inducibility is a good indicator of lack of clinical recurrence at intermediate follow-up, and (3) AVNRT may be more prevalent in infancy than previously reported.
Literatur
1.
Zurück zum Zitat Benson DW, Dunnigan A, Sterba R, Benditt DG (1983) Atrial pacing from the esophagus in the diagnosis and management of palpitations. J Pediatr 102:40–46PubMedCrossRef Benson DW, Dunnigan A, Sterba R, Benditt DG (1983) Atrial pacing from the esophagus in the diagnosis and management of palpitations. J Pediatr 102:40–46PubMedCrossRef
2.
Zurück zum Zitat Blaufox AD, Rhodes JF, Fishberger SB (2000) Age related changes in dual AV nodal physiology. Pacing Clin Electrophysiol 23:477–480PubMedCrossRef Blaufox AD, Rhodes JF, Fishberger SB (2000) Age related changes in dual AV nodal physiology. Pacing Clin Electrophysiol 23:477–480PubMedCrossRef
3.
Zurück zum Zitat Deal BJ, Keane JF, Gillette PC, Garson A Jr (1985) Wolff-Parkinson-White syndrome and supraventricular tachycardia during infancy: management and follow-up. J Am Coll Cardiol 5(1):130–135PubMedCrossRef Deal BJ, Keane JF, Gillette PC, Garson A Jr (1985) Wolff-Parkinson-White syndrome and supraventricular tachycardia during infancy: management and follow-up. J Am Coll Cardiol 5(1):130–135PubMedCrossRef
4.
Zurück zum Zitat Gallagher JJ, Kasell J, Smith WM, Grant AO, Bcnson DW Jr (1980) Use of the esophageal lead in the diagnosis of mechanisms of reciprocating supraventricular tachycardia. PACE 3:440–451PubMed Gallagher JJ, Kasell J, Smith WM, Grant AO, Bcnson DW Jr (1980) Use of the esophageal lead in the diagnosis of mechanisms of reciprocating supraventricular tachycardia. PACE 3:440–451PubMed
5.
Zurück zum Zitat Keane JF, Plauth WH, Nadas AS (1972) Chronic ectopic tachycardia in infancy and childhood. Am Heart J 84:748–757CrossRef Keane JF, Plauth WH, Nadas AS (1972) Chronic ectopic tachycardia in infancy and childhood. Am Heart J 84:748–757CrossRef
6.
Zurück zum Zitat Ko JK, Deal BJ, Strasburger JF, Benson DW Jr (1992) Supraventricular tachycardia mechanisms and their age distribution in pediatric patients. Am J Cardiol 69:1028–1032PubMedCrossRef Ko JK, Deal BJ, Strasburger JF, Benson DW Jr (1992) Supraventricular tachycardia mechanisms and their age distribution in pediatric patients. Am J Cardiol 69:1028–1032PubMedCrossRef
7.
Zurück zum Zitat Mantakas ME, McCue CM, Miller WW (1978) Natural history of Wolff-Parkinson-White syndrome discovered in infancy. Am J Cardiol 41:1097–1103PubMedCrossRef Mantakas ME, McCue CM, Miller WW (1978) Natural history of Wolff-Parkinson-White syndrome discovered in infancy. Am J Cardiol 41:1097–1103PubMedCrossRef
8.
Zurück zum Zitat Moss AJ, Zareba W, Hall WJ, Klein H, Wilber DJ, Cannom DS, Daubert JP, Higgins SL, Brown MW, Andrews ML, For the Multicenter Automatic Defibrillator Implantation Trial II Investigators (2002) Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction. N Eng J Med 346:877–883CrossRef Moss AJ, Zareba W, Hall WJ, Klein H, Wilber DJ, Cannom DS, Daubert JP, Higgins SL, Brown MW, Andrews ML, For the Multicenter Automatic Defibrillator Implantation Trial II Investigators (2002) Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction. N Eng J Med 346:877–883CrossRef
9.
Zurück zum Zitat Perry JC, Garson A Jr (1990) Supraventricular tachycardia due to Wolff-Parkinson-White syndrome in children: early disappearance and late recurrence. J Am Coll Cardiol 16(5):1215–1220PubMedCrossRef Perry JC, Garson A Jr (1990) Supraventricular tachycardia due to Wolff-Parkinson-White syndrome in children: early disappearance and late recurrence. J Am Coll Cardiol 16(5):1215–1220PubMedCrossRef
10.
Zurück zum Zitat Rhodes LA, Walsh EP, Saul JP (1994) Programmed atrial stimulation via the esophagus for management of supraventricular arrhythmias in infants and children. Am J Cardiol 74(4):353–356PubMedCrossRef Rhodes LA, Walsh EP, Saul JP (1994) Programmed atrial stimulation via the esophagus for management of supraventricular arrhythmias in infants and children. Am J Cardiol 74(4):353–356PubMedCrossRef
11.
Zurück zum Zitat Samson RA, Deal BJ, Strasburger JF, Benson DW (1995) Comparison of transesophageal and intracardiac electrophysiologic studies in characterization of supraventricular tachycardia in pediatric patients. JACC 26:159–163PubMed Samson RA, Deal BJ, Strasburger JF, Benson DW (1995) Comparison of transesophageal and intracardiac electrophysiologic studies in characterization of supraventricular tachycardia in pediatric patients. JACC 26:159–163PubMed
Metadaten
Titel
Transesophageal Electrophysiological Evaluation of Children with a History of Supraventricular Tachycardia in Infancy
verfasst von
Andrew D. Blaufox
Irfan Warsy
Marise D’Souza
Ronald Kanter
Publikationsdatum
01.12.2011
Verlag
Springer-Verlag
Erschienen in
Pediatric Cardiology / Ausgabe 8/2011
Print ISSN: 0172-0643
Elektronische ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-011-9987-7

Weitere Artikel der Ausgabe 8/2011

Pediatric Cardiology 8/2011 Zur Ausgabe

Screening-Mammografie offenbart erhöhtes Herz-Kreislauf-Risiko

26.04.2024 Mammografie Nachrichten

Routinemäßige Mammografien helfen, Brustkrebs frühzeitig zu erkennen. Anhand der Röntgenuntersuchung lassen sich aber auch kardiovaskuläre Risikopatientinnen identifizieren. Als zuverlässiger Anhaltspunkt gilt die Verkalkung der Brustarterien.

Niedriger diastolischer Blutdruck erhöht Risiko für schwere kardiovaskuläre Komplikationen

25.04.2024 Hypotonie Nachrichten

Wenn unter einer medikamentösen Hochdrucktherapie der diastolische Blutdruck in den Keller geht, steigt das Risiko für schwere kardiovaskuläre Ereignisse: Darauf deutet eine Sekundäranalyse der SPRINT-Studie hin.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Adipositas-Medikament auch gegen Schlafapnoe wirksam

24.04.2024 Adipositas Nachrichten

Der als Antidiabetikum sowie zum Gewichtsmanagement zugelassene Wirkstoff Tirzepatid hat in Studien bei adipösen Patienten auch schlafbezogene Atmungsstörungen deutlich reduziert, informiert der Hersteller in einer Vorab-Meldung zum Studienausgang.

Update Kardiologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.