Natural history and management strategies of automatic atrial tachycardia in children

From evaluation of this small series of patients, we conclude that normal sinus rhythm and normal cardiac function can be achieved and maintained after cessation of therapy in many patients with AAT using combination medical therapy. Patients with multiple tachycardia foci may be refractory to eithe...

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Bibliographic Details
Published in:The American journal of cardiology 1995-02, Vol.75 (5), p.405-407
Main Authors: Naheed, Zahra J., Strasburger, Janette F., Benson, D. Woodrow, Deal, Barbara J.
Format: Article
Language:English
Subjects:
Adolescent
Anti-Arrhythmia Agents - therapeutic use
Biological and medical sciences
Cardiac arrhythmia
Cardiac dysrhythmias
Cardiology. Vascular system
Catheter Ablation
Child
Child, Preschool
Children & youth
Drug therapy
Drug Therapy, Combination
Electrocardiography
Female
Heart
Humans
Infant
Male
Medical research
Medical sciences
Tachycardia, Ectopic Atrial - drug therapy
Tachycardia, Ectopic Atrial - physiopathology
Tachycardia, Ectopic Atrial - surgery
Treatment Outcome
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Description
Summary:From evaluation of this small series of patients, we conclude that normal sinus rhythm and normal cardiac function can be achieved and maintained after cessation of therapy in many patients with AAT using combination medical therapy. Patients with multiple tachycardia foci may be refractory to either medical or ablation therapy. Given the spontaneous resolution of AAT in as many as 75% of patients after medical therapy, an analysis of the cost-effectiveness of ablation versus short-term drug treatment would be useful to decide the optimal approach.
ISSN:0002-9149
1879-1913
DOI:10.1016/S0002-9149(99)80567-0