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Congenital junctional ectopic tachycardia in the paediatric emergency department

Published online by Cambridge University Press:  14 January 2022

Danyal Memon*
Affiliation:
Department of Paediatrics, Our Lady of Lourdes Hospital, Drogheda, Ireland
Elizabeth Larkin
Affiliation:
Department of Paediatrics, Our Lady of Lourdes Hospital, Drogheda, Ireland
Mathew Varghese
Affiliation:
Department of Paediatrics, Our Lady of Lourdes Hospital, Drogheda, Ireland
*
Author for correspondence: Dr D. Memon, BMBS, Department of Paediatrics, Our Lady of Lourdes Hospital, Windmill Road, Moneymore, Drogheda, Co. Louth, Ireland. Tel: 00353877820822. E-mail: [email protected]

Abstract

Congenital junctional ectopic tachycardia is a rare but serious cardiac arrhythmia seen in neonates and young infants. It is frequently resistant and refractory to first-line treatment options such as cardioversion with adenosine and direct current shock, and it carries a high morbidity and mortality rate. The aim of this article is to present the case of congenital junctional ectopic tachycardia observed in a 14-day-old neonate, highlighting the role of ivabradine in the management, followed by a discussion about current approaches to treatment.

Type
Brief Report
Copyright
© The Author(s), 2022. Published by Cambridge University Press

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