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Congenital junctional ectopic tachycardia in the paediatric emergency department

Published online by Cambridge University Press:  14 January 2022

Danyal Memon*
Affiliation:
Department of Paediatrics, Our Lady of Lourdes Hospital, Drogheda, Ireland
Elizabeth Larkin
Affiliation:
Department of Paediatrics, Our Lady of Lourdes Hospital, Drogheda, Ireland
Mathew Varghese
Affiliation:
Department of Paediatrics, Our Lady of Lourdes Hospital, Drogheda, Ireland
*
Author for correspondence: Dr D. Memon, BMBS, Department of Paediatrics, Our Lady of Lourdes Hospital, Windmill Road, Moneymore, Drogheda, Co. Louth, Ireland. Tel: 00353877820822. E-mail: dr.dmemon@outlook.com

Abstract

Congenital junctional ectopic tachycardia is a rare but serious cardiac arrhythmia seen in neonates and young infants. It is frequently resistant and refractory to first-line treatment options such as cardioversion with adenosine and direct current shock, and it carries a high morbidity and mortality rate. The aim of this article is to present the case of congenital junctional ectopic tachycardia observed in a 14-day-old neonate, highlighting the role of ivabradine in the management, followed by a discussion about current approaches to treatment.

Type
Brief Report
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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References

Kylat, RI, Samson, RA. Junctional ectopic tachycardia in infants and children. J Arrhythm 2020; 36: 5966. DOI 10.1002/joa3.12282.CrossRefGoogle ScholarPubMed
Villain, E, Vetter, VL, Garcia, JM, Herre, J, Cifarelli, A, Garson, A. Evolving concepts in the management of congenital junctional ectopic tachycardia. A multicenter study 2020. Retrieved from http://ahajournals.org Google Scholar
Collins, KK, van Hare, GF, Kertesz, NJ, et al. Pediatric nonpost-operative junctional ectopic tachycardia. Medical management and interventional therapies. J Am Coll Cardiol 2009; 53: 690697.CrossRefGoogle ScholarPubMed
Liu, CF, Ip, JE, Markowitz, SM, Lerman, BB. Junctional tachycardia. In: Zipes, D, alife, J, Stevenson, W (eds). Cardiac Electrophysiology: From Cell to Bedside, 7th edn. Elsevier, Philadelphia, PA, 2018: 768–775.Google Scholar
Benjamín, MN, Infante, J, Olmedo, J, Abello, M, Moltedo, JM. Congenital junctional ectopic tachycardia: drug treatment in the first year of life. Medicine (Buenos Aires) 2011; 71: 521524. Retrieved from http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025-76802011000800003 Google Scholar
Imamura, T, Tanaka, Y, Ninomiya, Y, Yoshinaga, M. Combination of flecainide and propranolol for congenital junctional ectopic tachycardia. Pediatr Int 2015; 57: 716718. Retrieved from https://pubmed.ncbi.nlm.nih.gov/25809220/ CrossRefGoogle ScholarPubMed
Ergul, Y, Ozturk, E, Ozgur, S, Ozyurt, A, Cilsal, E, Guzeltas, A. Ivabradine is an effective antiarrhythmic therapy for congenital junctional ectopic tachycardia-induced cardiomyopathy during infancy: case studies. Pacing Clin Electrophysiol 2018; 41: 13721377. DOI 10.1111/pace.13402.CrossRefGoogle ScholarPubMed
Kothari, S, Kidambi, B, Juneja, R. Ivabradine for Congenital Junctional Ectopic Tachycardia in Siblings. Vol. 11, Annals of Pediatric Cardiology. Medknow Publications, Mumbai, 2018: 226228. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5963246/ Google Scholar
Dieks, JK, Klehs, S, Müller, MJ, Paul, T, Krause, U. Adjunctive ivabradine in combination with amiodarone: a novel therapy for pediatric congenital junctional ectopic tachycardia. Heart Rhythm 2016; 13: 12971302.CrossRefGoogle ScholarPubMed
Al-Ghamdi, S, Al-Fayyadh, MI, Hamilton, RM. Potential new indication for ivabradine: treatment of a patient with congenital junctional ectopic tachycardia. J Cardiovasc Electrophysiol 2013; 24: 822824. DOI 10.1111/jce.12081.Google ScholarPubMed
Fishberger, SB, Rossi, AF, Messina, JJ, Saul, JP. Successful radiofrequency catheter ablation of congenital junctional ectopic tachycardia with preservation of atrioventricular conduction in a 9-month-old infant. Pacing Clin Electrophysiol 1998; 21: 21322135. Retrieved from https://pubmed.ncbi.nlm.nih.gov/9826867/ CrossRefGoogle Scholar