Successful Treatment of Atrial Flutter with Propafenone and Synchronized Cardioversion in a Newborn

Konak, Murat; Alp, Hayrullah; Tarakçı, Nuriye; Baysal, Tamer; Örs, Rahmi

doi:10.1007/s12098-013-1224-3

Cited by 4 publications

(12 citation statements)

References 4 publications

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“…[10][11][12] New drugs, most of which have already been used in adults and children, are being studied, such as ibutilide and propafenone, and there have been reports of their use in newborns. [13][14] When there is no response to pharmacological treatment, therapy may require synchronized cardioversion or transesophageal atrial pacing, with high probability of sinus rhythm conversion. 1-13-14 In cases with hemodynamic instability, electrical cardioversion should be preferably used, as in the case reported here.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic atrial flutter AFL in neonates (Case Report)

Kuçi¹,

Ibrahimi²,

Llazo³

et al. 2020

ALST

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Atrial flutter AFL is a rare arrhythmia in the neonate and early infants. Here we report the case of a term female infant (A.K), with a birth weight of 3000 g, who was delivered by Cesarian section of a 26-year-old primiparous mother (I.K) in "Queen Geraldine" Maternity in Tirana. The APGAR scores were 9 and 10 at 1 st and 5 th minute, respectively. In prenatal history, no fetal arrhythmia was present. After waters breaks, a fetal arrhythmia was detected. Then the infant was delivered by an urgent C section. The infant was treated by medical treatment, which resulted unsuccessful. In the 16 th day of life, the DC shock was applied and a sinus rhythm was detected immediately.

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Section: Discussionmentioning

confidence: 99%

Idiopathic atrial flutter AFL in neonates (Case Report)

Kuçi¹,

Ibrahimi²,

Llazo³

et al. 2020

ALST

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“…– 20 However, adenosine administration can help identify atrial flutter, as it produces a transient atrioventricular block, demonstrating the arrhythmia-characteristic wave in the ECG 1819 New drugs, most of which have already been used in adults and children, are being studied, such as ibutilide and propafenone, and there have been reports of their use in newborns 2122 When there is no response to pharmacological treatment, therapy may require synchronized cardioversion or transesophageal atrial pacing, with high probability of sinus rhythm conversion 1…”

Section: Discussionmentioning

confidence: 99%

Flutter atrial neonatal após inserção de cateter umbilical intracardíaco

Almeida

Tavares

Furtado

et al. 2016

Revista Paulista de Pediatria

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The association between atrial arrhythmias and misplaced umbilical catheters has been described in the literature, but in this case, it is noteworthy that the patient was an infant born to a diabetic mother, which consists in another risk factor for heart arrhythmias. Isolated atrial flutter is a rare tachyarrhythmia in the neonatal period and its identification is essential to establish early treatment and prevent systemic complications and even death.

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“… 18 , 19 New drugs, most of which have already been used in adults and children, are being studied, such as ibutilide and propafenone, and there have been reports of their use in newborns. 21 , 22 When there is no response to pharmacological treatment, therapy may require synchronized cardioversion or transesophageal atrial pacing, with high probability of sinus rhythm conversion. 1 , 21 – 24 In cases with hemodynamic instability, electrical cardioversion should be preferably used, as in the case reported here.…”

Section: Discussionmentioning

confidence: 99%

“… 21 , 22 When there is no response to pharmacological treatment, therapy may require synchronized cardioversion or transesophageal atrial pacing, with high probability of sinus rhythm conversion. 1 , 21 – 24 In cases with hemodynamic instability, electrical cardioversion should be preferably used, as in the case reported here.…”

Section: Discussionmentioning

confidence: 99%

“…Há relatos de casos de seu uso em recém-nascidos. 21 , 22 Quando não há resposta ao tratamento farmacológico, a terapêutica pode requerer a cardioversão sincronizada ou a estimulação atrial transesofágica, com grande probabilidade de conversão ao ritmo sinusal. 1 , 21 - 24 Nos casos com instabilidade hemodinâmica, a cardioversão elétrica deve ser usada preferencialmente, como ocorreu no caso aqui relatado.…”

Section: Discussionunclassified

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Neonatal atrial flutter after insertion of an intracardiac umbilical venous catheter

Almeida

Tavares

Furtado

et al. 2016

Revista Paulista de Pediatria (English Edition)

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Objective:To describe a case of neonatal atrial flutter after the insertion of an intracardiac umbilical venous catheter, reporting the clinical presentation and reviewing the literature on this subject.Case description:A late-preterm newborn, born at 35 weeks of gestational age to a diabetic mother and large for gestational age, with respiratory distress and rule-out sepsis, required an umbilical venous access. After the insertion of the umbilical venous catheter, the patient presented with tachycardia. Chest radiography showed that the catheter was placed in the position that corresponds to the left atrium, and traction was applied. The patient persisted with tachycardia, and an electrocardiogram showed atrial flutter. As the patient was hemodynamically unstable, electric cardioversion was successfully applied.Comments:The association between atrial arrhythmias and misplaced umbilical catheters has been described in the literature, but in this case, it is noteworthy that the patient was an infant born to a diabetic mother, which consists in another risk factor for heart arrhythmias. Isolated atrial flutter is a rare tachyarrhythmia in the neonatal period and its identification is essential to establish early treatment and prevent systemic complications and even death.

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Successful Treatment of Atrial Flutter with Propafenone and Synchronized Cardioversion in a Newborn

Cited by 4 publications

References 4 publications

Idiopathic atrial flutter AFL in neonates (Case Report)

Idiopathic atrial flutter AFL in neonates (Case Report)

Flutter atrial neonatal após inserção de cateter umbilical intracardíaco

Neonatal atrial flutter after insertion of an intracardiac umbilical venous catheter

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