Unlabelled: Permanent junctional reciprocating tachycardia is an infrequent form of reentrant supraventricular tachycardia but is the commonest incessant tachycardia in childhood. The persistent nature of the tachycardia can lead to heart failure secondary to left ventricular dysfunction and the arrhythmia is often refractory to drug control.
Study Objective: To review the main clinical features and therapeutic options currently available for this arrhythmia.
Design: Retrospective study.
Patients: A group of 5 children with a diagnosis of permanent junctional reciprocating tachycardia.
Results: Age at presentation ranged between 14 days and 12 years. Three were asymptomatic. The first echocardiogram displayed left ventricular dilation and decreased shortening fraction in one child. Pharmacological therapy was initially successful in all. During follow-up (0.2-4.5 years) the arrhythmia became resistant to medication in one case and radiofrequency ablation was carried out.
Conclusions: Permanent junctional reciprocating tachycardia has a wide range of clinical presentations. Pharmacological therapy is recommended, but radiofrequency ablation is the definitive treatment and only depends on patient age.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Isolated atrial infarction complicated by sick sinus syndrome and atrial fibrillation: a case report.
Eur Heart J Case Rep
January 2025
Department of Cardiology, Hyogo Prefectural Awaji Medical Center, Sumoto, Japan.
Background: Atrial infarction is a complication of myocardial infarction with ventricular infarction; however, isolated atrial infarction (IAI) has rarely been reported. Herein, we report a case of IAI associated with sick sinus syndrome and atrial fibrillation (AF).
Case Summary: An 83-year-old woman was brought to the emergency department with a complaint of general malaise.
Prevalence of Crown Resorption in Amelogenesis Imperfecta due to Junctional Epidermolysis Bullosa.
Oral Dis
January 2025
Facultad de Odontología, Universidad de Chile, Santiago, Chile.
Introduction: Junctional epidermolysis bullosa (JEB) is a rare genetic disease manifesting with skin and mucosal blistering. As part of the JEB, patients present with syndromic amelogenesis imperfecta (AI). Reports have described external crown resorption (ECR) in the teeth of patients with JEB, but its prevalence is unknown.
View Article and Find Full Text PDFRelative contributions of genetic and environmental factors to palatal morphology: a longitudinal twin study.
Eur J Orthod
December 2024
Adelaide Dental School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5000, Australia.
Article Synopsis
- The study investigated how genetics and environment affect changes in palatal (roof of the mouth) shape during tooth development.
- Using 3D digital models of dental casts from 228 twin pairs, researchers measured different dimensions of the palate at various dental stages and analyzed the data with genetic modeling techniques.
- Results showed that while most palatal dimensions increased over time, genetic factors played a significant role, especially in the posterior region, and non-shared environmental factors were also important throughout development.
Vestibular epilepsy: clinical and electroencephalographic characteristics with the proposed diagnostic criteria.
J Neurol
December 2024
Epileptology and Cerebral Rhythmology, APHM, Timone Hospital, Marseille, France.
Background: Focal seizures may encompass vestibular sensations in their symptomatology. When these manifestations occur in isolation or constitute the predominant symptom, they prompt consideration for diagnosing recurrent paroxysmal vertigo. However, the characterization of "vestibular epilepsy" remains debated and underexplored.
View Article and Find Full Text PDFAcute Heart Failure and Complete Heart Block in a Patient with Recurrent Diffuse Large B-Cell Lymphoma: A Case Report.
Am J Case Rep
December 2024
Division of Academic Affairs, Orlando Regional Medical Center, Orlando, FL, USA.
BACKGROUND Cardiac tumors are divided into 2 categories: primary, originating from the heart, and metastatic, which spread to the heart from a different location, with metastatic tumors representing the vast majority. Cardiac tumors, depending on the size and location, can predispose patients to arrhythmic or hemodynamic complications. We present a patient with a history of B-cell lymphoma (DLBCL) in remission for 3 years who developed acute onset congestive heart failure and complete heart block secondary to DLBCL invasion of the myocardium.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!