Diagnosis and management of junctional ectopic tachycardia in children

Navaneetha Sasikumar, Raman Kumar, Seshadri Balaji

Research output: Contribution to journalReview articlepeer-review

2 Scopus citations

Abstract

Junctional 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 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.

Original languageEnglish (US)
Pages (from-to)372-381
Number of pages10
JournalAnnals of Pediatric Cardiology
Volume14
Issue number3
DOIs
StatePublished - Jul 1 2021

Keywords

  • Congenital junctional ectopic tachycardia
  • junctional ectopic tachycardia
  • pediatric cardiopulmonary bypass
  • postoperative arrhythmia
  • postoperative complications

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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