Diagnosis and management of junctional ectopic tachycardia in children

Diagnosis and management of junctional ectopic tachycardia in children

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Junctional guest check pad holder ectopic tachycardia (JET) is more common in its postoperative form.A thorough understanding of its etiology, pathophysiology, and management strategies is essential.Classically, postoperative JET is considered to arise from surgical trauma.Genetic susceptibility and an intrinsic morphologic/functional defect in the conduction system inherent in congenital heart diseases likely play a significant role.The devastating effects on postoperative hemodynamics warrant prompt attention.

A multipronged management approach with general measures, pharmacotherapy, and pacing has decreased morbidity 2005 honda accord intake manifold and mortality.Amiodarone and procainamide remain the preferred drugs, while ivabradine appears promising.Carefully planned randomized trials can go a long way in developing a systematic management protocol for postoperative JET.