Junctional automatic ectopic tachycardia: New proposed treatment by transcatheter His bundle ablation
Three infants with junctional automatic ectopic tachycardia (JET) were seen over an 8-month period. Each had decreased left ventricular function. Two were treated with amiodarone, which together with propranolol reduced the tachycardia rate 10 to 40 bpm, but did not result in sinus rhythm. One patie...
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| Veröffentlicht in: | The American heart journal 1983-10, Vol.106 (4), p.619-623 |
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| container_title | The American heart journal |
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| creator | Gillette, Paul C. Garson, Arthur Co-burn, J.Porter Ott, David McVey, Pat Zinner, Alex Blair, Henry |
| description | Three infants with junctional automatic ectopic tachycardia (JET) were seen over an 8-month period. Each had decreased left ventricular function. Two were treated with amiodarone, which together with propranolol reduced the tachycardia rate 10 to 40 bpm, but did not result in sinus rhythm. One patient died suddenly at home, as had 50% of our patients with JET treated with conventional medication. Two patients were treated by transcatheter ablation of the bundle of His and implantation of an atrial synchronous pacemaker. Neither has had subsequent tachycardia or required drugs. One patient resumed sinus rhythm and does not use his pacemaker. The other patient has complete AV block and continues to use her pacemaker. This aggressive approach to this lethal dysrhythmia offers hope for prevention of the former bad prognosis. |
| doi_str_mv | 10.1016/0002-8703(83)90077-7 |
| format | Article |
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Each had decreased left ventricular function. Two were treated with amiodarone, which together with propranolol reduced the tachycardia rate 10 to 40 bpm, but did not result in sinus rhythm. One patient died suddenly at home, as had 50% of our patients with JET treated with conventional medication. Two patients were treated by transcatheter ablation of the bundle of His and implantation of an atrial synchronous pacemaker. Neither has had subsequent tachycardia or required drugs. One patient resumed sinus rhythm and does not use his pacemaker. The other patient has complete AV block and continues to use her pacemaker. This aggressive approach to this lethal dysrhythmia offers hope for prevention of the former bad prognosis.</description><identifier>ISSN: 0002-8703</identifier><identifier>EISSN: 1097-6744</identifier><identifier>DOI: 10.1016/0002-8703(83)90077-7</identifier><identifier>PMID: 6613805</identifier><identifier>CODEN: AHJOA2</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Amiodarone - therapeutic use ; Benzofurans - therapeutic use ; Biological and medical sciences ; Bundle of His - surgery ; Cardiac Catheterization - methods ; Cardiac dysrhythmias ; Cardiology. Vascular system ; Electrocardiography ; Heart ; Heart Conduction System - surgery ; Humans ; Infant ; Medical sciences ; Pacemaker, Artificial ; Tachycardia - drug therapy ; Tachycardia - surgery ; Tachycardia - therapy</subject><ispartof>The American heart journal, 1983-10, Vol.106 (4), p.619-623</ispartof><rights>1983</rights><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-1b43a98967fbeb240903821728a431824a6ef7feaf0585bbed2df00a1a950b563</citedby><cites>FETCH-LOGICAL-c452t-1b43a98967fbeb240903821728a431824a6ef7feaf0585bbed2df00a1a950b563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-8703(83)90077-7$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9364971$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6613805$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gillette, Paul C.</creatorcontrib><creatorcontrib>Garson, Arthur</creatorcontrib><creatorcontrib>Co-burn, J.Porter</creatorcontrib><creatorcontrib>Ott, David</creatorcontrib><creatorcontrib>McVey, Pat</creatorcontrib><creatorcontrib>Zinner, Alex</creatorcontrib><creatorcontrib>Blair, Henry</creatorcontrib><title>Junctional automatic ectopic tachycardia: New proposed treatment by transcatheter His bundle ablation</title><title>The American heart journal</title><addtitle>Am Heart J</addtitle><description>Three infants with junctional automatic ectopic tachycardia (JET) were seen over an 8-month period. Each had decreased left ventricular function. Two were treated with amiodarone, which together with propranolol reduced the tachycardia rate 10 to 40 bpm, but did not result in sinus rhythm. One patient died suddenly at home, as had 50% of our patients with JET treated with conventional medication. Two patients were treated by transcatheter ablation of the bundle of His and implantation of an atrial synchronous pacemaker. Neither has had subsequent tachycardia or required drugs. One patient resumed sinus rhythm and does not use his pacemaker. The other patient has complete AV block and continues to use her pacemaker. This aggressive approach to this lethal dysrhythmia offers hope for prevention of the former bad prognosis.</description><subject>Amiodarone - therapeutic use</subject><subject>Benzofurans - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Bundle of His - surgery</subject><subject>Cardiac Catheterization - methods</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. Vascular system</subject><subject>Electrocardiography</subject><subject>Heart</subject><subject>Heart Conduction System - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Medical sciences</subject><subject>Pacemaker, Artificial</subject><subject>Tachycardia - drug therapy</subject><subject>Tachycardia - surgery</subject><subject>Tachycardia - therapy</subject><issn>0002-8703</issn><issn>1097-6744</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE2LFDEQhoMo6-zqP1DIQUQPvVa600nagyDLuuuy6EXPoZKuZiP9MSZpZf69GWeY456Kop73pXgYeyXgUoBQHwCgroyG5p1p3ncAWlf6CdsI6HSltJRP2eaEPGfnKf0qq6qNOmNnSonGQLthdLfOPodlxpHjmpcJc_CcfF62ZWb0DzuPsQ_4kX-jv3wbl-2SqOc5EuaJ5szdriw4J4_5gTJFfhsSd-vcj8TRjbgvf8GeDTgmenmcF-znl-sfV7fV_febr1ef7ysv2zpXwskGO9MpPThytYQOGlMLXRuUjTC1REWDHggHaE3rHPV1PwCgwK4F16rmgr099JY_f6-Usp1C8jSOONOyJmtAybYoKKA8gD4uKUUa7DaGCePOCrB7u3avzu7VWdPY_3atLrHXx_7VTdSfQked5f7meMfiYxyKFx_SCesaJTstCvbpgFFx8SdQtMkHmj31IRb1tl_C43_8Ay9GlvA</recordid><startdate>198310</startdate><enddate>198310</enddate><creator>Gillette, Paul C.</creator><creator>Garson, Arthur</creator><creator>Co-burn, J.Porter</creator><creator>Ott, David</creator><creator>McVey, Pat</creator><creator>Zinner, Alex</creator><creator>Blair, Henry</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198310</creationdate><title>Junctional automatic ectopic tachycardia: New proposed treatment by transcatheter His bundle ablation</title><author>Gillette, Paul C. ; Garson, Arthur ; Co-burn, J.Porter ; Ott, David ; McVey, Pat ; Zinner, Alex ; Blair, Henry</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c452t-1b43a98967fbeb240903821728a431824a6ef7feaf0585bbed2df00a1a950b563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Amiodarone - therapeutic use</topic><topic>Benzofurans - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Bundle of His - surgery</topic><topic>Cardiac Catheterization - methods</topic><topic>Cardiac dysrhythmias</topic><topic>Cardiology. Vascular system</topic><topic>Electrocardiography</topic><topic>Heart</topic><topic>Heart Conduction System - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Medical sciences</topic><topic>Pacemaker, Artificial</topic><topic>Tachycardia - drug therapy</topic><topic>Tachycardia - surgery</topic><topic>Tachycardia - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gillette, Paul C.</creatorcontrib><creatorcontrib>Garson, Arthur</creatorcontrib><creatorcontrib>Co-burn, J.Porter</creatorcontrib><creatorcontrib>Ott, David</creatorcontrib><creatorcontrib>McVey, Pat</creatorcontrib><creatorcontrib>Zinner, Alex</creatorcontrib><creatorcontrib>Blair, Henry</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American heart journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gillette, Paul C.</au><au>Garson, Arthur</au><au>Co-burn, J.Porter</au><au>Ott, David</au><au>McVey, Pat</au><au>Zinner, Alex</au><au>Blair, Henry</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Junctional automatic ectopic tachycardia: New proposed treatment by transcatheter His bundle ablation</atitle><jtitle>The American heart journal</jtitle><addtitle>Am Heart J</addtitle><date>1983-10</date><risdate>1983</risdate><volume>106</volume><issue>4</issue><spage>619</spage><epage>623</epage><pages>619-623</pages><issn>0002-8703</issn><eissn>1097-6744</eissn><coden>AHJOA2</coden><abstract>Three infants with junctional automatic ectopic tachycardia (JET) were seen over an 8-month period. Each had decreased left ventricular function. Two were treated with amiodarone, which together with propranolol reduced the tachycardia rate 10 to 40 bpm, but did not result in sinus rhythm. One patient died suddenly at home, as had 50% of our patients with JET treated with conventional medication. Two patients were treated by transcatheter ablation of the bundle of His and implantation of an atrial synchronous pacemaker. Neither has had subsequent tachycardia or required drugs. One patient resumed sinus rhythm and does not use his pacemaker. The other patient has complete AV block and continues to use her pacemaker. This aggressive approach to this lethal dysrhythmia offers hope for prevention of the former bad prognosis.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>6613805</pmid><doi>10.1016/0002-8703(83)90077-7</doi><tpages>5</tpages></addata></record> |
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| identifier | ISSN: 0002-8703 |
| ispartof | The American heart journal, 1983-10, Vol.106 (4), p.619-623 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Amiodarone - therapeutic use Benzofurans - therapeutic use Biological and medical sciences Bundle of His - surgery Cardiac Catheterization - methods Cardiac dysrhythmias Cardiology. Vascular system Electrocardiography Heart Heart Conduction System - surgery Humans Infant Medical sciences Pacemaker, Artificial Tachycardia - drug therapy Tachycardia - surgery Tachycardia - therapy |
| title | Junctional automatic ectopic tachycardia: New proposed treatment by transcatheter His bundle ablation |
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