Abstract
Atrial flatter yenidoğan ve bebeklerde nadir görülen bir aritmidir. Anne karnında, perinatal dönemde ve bebeklik süresince ortaya çıkabilir. Atriyal flatter, yenidoğanlarda sıklıkla asemptomatiktir. Atriyal flatterli yenidoğan hastaların % 20’si kalp yetmezliği tablosunda başvururken, hastaların çoğu asemptomatik taşikardi ile başvurmaktadırlar. Hastaları sinüs ritmine döndürmek için ilaç tedavisi, senkronize kardiyoversiyon, kalp pili gibi tedavi yöntemleri kullanılmaktadır. Çoğu olgu dijitalizasyon veya elektriksel kardiyoversiyon ile kolaylıkla sinüs ritmine döndürülebilir. Elektriksel kardiyoversiyon yenidoğanlardaki persistan atrial flatter için iyi bir tedavi yöntemidir. Elektriksel kardiyoversiyona cevap veren atriyal flatterli bir yenidoğan olgusunu sunduk.
Keywords
References
- Texter KM, Kertesz NJ, Friedman RA, Fenrich AL. Atrial flutter in infants. J Am Coll Cardiol 2006;48:1040-6.
- Casey FA, McCrindle BW, Hamilton RM, Gow RM. Neonatal atrial flutter: Significant early morbidity and excellent long-term prognosis. Am Heart J 1997;133:302-6.
- Suzumura H, Nitta A, Ono M, Arisaka O. Neonatal intractable atrial flutter successfully treated with intravenous flecainide. Pediatr Cardiol 2004;25:154-6.
- Paç A, Çeliker A, Bilgiç A. Yenidoğanda kardiyoversiyon ile tedavi edilen atriyal flatter olgusu. Türkiye Klinikleri J Cardiology 1993;6:169-71.
- Lown B, Amarasingham R, Neuman J. New method for terminating cardiac arrhythmias. Use of synchronized capacitor discharge. JAMA 1962;182:548-55.
- Hassenrueck A, Chojnacki B, Barker HJ. Cardioversion of auricular flutter in a newborn infant. Am J Cardiol 1965;15:726-31.
- Knirsch W, Kretschmar O, Vogel M, Uhlemann F, Bauersfeld U. Successful treatment of atrial flutter with amiodarone in a premature neonate: Case report and literature review. Advances in Neonatal Care 2007;7:113-21.
- Lisowski LA, Verheijen PM, Benatar AA, Soyeur DJ, Stoutenbeek P, Brenner JI, et al. Atrial flutter in the perinatal age group: Diagnosis, management and outcome. J Am Coll Cardiol 2000;35:771-7.
- Garson A Jr, Bink-Boelkens M, Hesslein PS, Hordof AJ, Keane JF, Neches WH, et al. Atrial flutter in the young: A collaborative study of 380 cases. J Am Coll Cardiol 1985;6:871-8.
- Ceresnak SR, Starc TJ, Hordof AJ, Pass RH, Bonney WJ, Liberman L. Elevated impedance during cardioversion in neonates with atrial flutter. Pediatr Cardiol 2009; 30:436-40.
Abstract
Atrial flutter is an uncommon arrhythmia in newborns and infants. It may manifest in the intrauterine, perinatal periods or during infancy. Newborns with atrial flutter are frequently asymptomatic, and in most patients it begins as asymptomatic tachycardia, although in up to 20% it may present with heart failure. Drugs, synchronized cardioversion or pacemakers are used for the conversion to sinus rhythm in these patients. In most cases, it is easily converted to sinus rhythm by electrical cardioversion or digitalization. Electrical cardioversion is a good treatment modality for neonates with sustained atrial flutter. We have presented a neonate with atrial flutter who responded to electrical cardioversion
Keywords
References
- Texter KM, Kertesz NJ, Friedman RA, Fenrich AL. Atrial flutter in infants. J Am Coll Cardiol 2006;48:1040-6.
- Casey FA, McCrindle BW, Hamilton RM, Gow RM. Neonatal atrial flutter: Significant early morbidity and excellent long-term prognosis. Am Heart J 1997;133:302-6.
- Suzumura H, Nitta A, Ono M, Arisaka O. Neonatal intractable atrial flutter successfully treated with intravenous flecainide. Pediatr Cardiol 2004;25:154-6.
- Paç A, Çeliker A, Bilgiç A. Yenidoğanda kardiyoversiyon ile tedavi edilen atriyal flatter olgusu. Türkiye Klinikleri J Cardiology 1993;6:169-71.
- Lown B, Amarasingham R, Neuman J. New method for terminating cardiac arrhythmias. Use of synchronized capacitor discharge. JAMA 1962;182:548-55.
- Hassenrueck A, Chojnacki B, Barker HJ. Cardioversion of auricular flutter in a newborn infant. Am J Cardiol 1965;15:726-31.
- Knirsch W, Kretschmar O, Vogel M, Uhlemann F, Bauersfeld U. Successful treatment of atrial flutter with amiodarone in a premature neonate: Case report and literature review. Advances in Neonatal Care 2007;7:113-21.
- Lisowski LA, Verheijen PM, Benatar AA, Soyeur DJ, Stoutenbeek P, Brenner JI, et al. Atrial flutter in the perinatal age group: Diagnosis, management and outcome. J Am Coll Cardiol 2000;35:771-7.
- Garson A Jr, Bink-Boelkens M, Hesslein PS, Hordof AJ, Keane JF, Neches WH, et al. Atrial flutter in the young: A collaborative study of 380 cases. J Am Coll Cardiol 1985;6:871-8.
- Ceresnak SR, Starc TJ, Hordof AJ, Pass RH, Bonney WJ, Liberman L. Elevated impedance during cardioversion in neonates with atrial flutter. Pediatr Cardiol 2009; 30:436-40.
Details
| Other ID | JA24ZK23MJ |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | April 1, 2013 |
| Submission Date | April 1, 2013 |
| Published in Issue | Year 2013 Volume: 7 Issue: 1 |
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The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
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