Congenital Junctional Ectopic Tachycardia in a 6-month-old boy treated with Ivabradine: A Case Report

IF 0.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Nepalese Heart Journal Pub Date : 2023-06-10 DOI:10.3126/njh.v20i1.55039
Dinesh Upreti, Samir Shakya, Ratna Mani Gajurel, Hemant Shrestha, Sanjeev Thapa, Manju Sharma
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Abstract

Congenital junctional ectopic tachycardia (JET) is a rare tachyarrhythmia found in young infants and is often difficult to treat. JET is characterized by incessant tachycardia which causes ventricular dysfunction, heart failure and high mortality. Ivabradine is one of the newer antiarrhythmic drugs with special indications in decreasing heart rate in adults with chronic heart failure. It has shown promising role in congenital JET. However, there are no guidelines recommending ivabradine as a first-line agent for congenital JET. We report an infant with congenital JET who was successfully treated with ivabradine.
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伊伐布雷定治疗6个月男婴先天性结性异位性心动过速1例
先天性结性异位性心动过速(JET)是一种罕见的婴幼儿过速性心律失常,通常难以治疗。JET的特点是持续的心动过速,导致心室功能障碍,心力衰竭和高死亡率。伊伐布雷定是一种较新的抗心律失常药物,具有降低成人慢性心力衰竭患者心率的特殊适应症。它在先天性JET中显示出良好的作用。然而,没有指南推荐伊伐布雷定作为先天性JET的一线药物。我们报告一个婴儿先天性JET谁是成功地治疗伊伐布雷定。
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来源期刊
Nepalese Heart Journal
Nepalese Heart Journal CARDIAC & CARDIOVASCULAR SYSTEMS-
自引率
50.00%
发文量
16
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