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[Fast atrial rhythms (author's transl)]

A Cabrera, E Vigil, E Pastor

    Anales Espanoles De Pediatria
    |May 1, 1978
    PubMed
    Summary
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    Fast atrial rhythms in infants can cause heart failure but often have a good prognosis. Verapamil is a useful pharmacological treatment for reentrant tachycardia at the atrioventricular junction.

    Area of Science:

    • Pediatric Cardiology
    • Electrophysiology
    • Pharmacology

    Context:

    • Focuses on fast atrial rhythms in neonates and infants.
    • Studies fourteen patients within the first three months of life.
    • Highlights congestive heart failure in nine patients.

    Purpose:

    • To discuss the electrophysiological basis of reentrant tachycardia at the atrioventricular (AV) junction.
    • To review pharmacological treatments, specifically verapamil.
    • To comment on the prognosis of these fast atrial rhythms.

    Summary:

    • Investigated fast atrial rhythms in 14 infants (<3 months old), with 9 experiencing congestive heart failure.
    • Explored the electrophysiological mechanisms of atrioventricular junction reentrant tachycardia.

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  • Reviewed verapamil's efficacy in pharmacological management.

    • Impact:

    • Emphasizes the generally good prognosis for fast atrial rhythms if congenital heart disease is absent.
    • Provides insights into managing supraventricular tachycardia in infants.
    • Suggests verapamil as a key therapeutic option.