Atrial Flutter Conversion in Infants and Children Using Transesophageal Atrial Pacing
Journal of the Korean Pediatric Society
;
: 969-975, 1994.
Article
in Korean
| WPRIM
| ID: wpr-88803
ABSTRACT
Atrial flutter is and infrequent, but potentially unstable tachyarrythmia that occurs in pediatric ages. Transesophageal atrial pacing was used for treatment of 10 episodes of atrial flutter in 7 patients. At the time of atrial flutter conversion, patients were 6 days to 14 years old. 6 patients had associated with congenital heart disease. The atrial cycle length of atrial flutter ranged from 140 to 280 msec with variable atrioventricular conduction. Transesophageal atrial pacing was performed using a bipolar 4 F transesophageal electrode catheter. Atrial flutter conversion was accomplished with stimulation bursts using about 5 seconds of stimuli, 10 msec in duration at 20 to 27 mA. Pacing cycle length was 45 to 110 msec less than the atrial cycle length of tachycardia in 6 episodes. But in a neonate, underdrive pacing converted atrial flutter to sinus rhythm. Conversion attempts were unsuccessful on 2 occasions. Transesophageal atrial pacing is a safe and effective, minimally invasive technique for treatment of atrial flutter in infants and children.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Atrial Flutter
/
Tachycardia
/
Electrodes
/
Catheters
/
Heart Defects, Congenital
Limits:
Adolescent
/
Child
/
Humans
/
Infant
/
Infant, Newborn
Language:
Korean
Journal:
Journal of the Korean Pediatric Society
Year:
1994
Type:
Article
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