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Published in: Pediatric Cardiology 4/2008

01-07-2008 | Case Report

Patient-Activated Antitachycardia Pacing to Terminate Atrial Tachycardias with 1:1 Atrioventricular Conduction in Congenital Heart Disease

Author: Anjan S. Batra

Published in: Pediatric Cardiology | Issue 4/2008

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Abstract

A young girl with complex congenital heart disease and a Fontan procedure presented with frequent episodes of atrial tachycardias with 1:1 atrioventricular conduction. The patient underwent placement of a dual-chamber AT500 pacemaker with epicardial leads but because of the detection algorithm requiring ≥2:1 AV relation, she received no antitachycardia therapy. Installation of special software AT500 TPARx v2.1 allowed use of patient-activated antitachycardia pacing for 1:1 atrial tachycardias. Since the installation of this application, the patient has successfully pace-terminated her tachycardia multiple times.
Literature
1.
go back to reference Campbell RM, Dick M, Jenkins JM, et al. (1985) Atrial overdrive pacing for conversion of atrial flutter in children. Pediatrics 75:730–736PubMed Campbell RM, Dick M, Jenkins JM, et al. (1985) Atrial overdrive pacing for conversion of atrial flutter in children. Pediatrics 75:730–736PubMed
2.
go back to reference Collins KK, Love BA, Walsh EP, Saul JP, Epstein MR Triedman JK (2000) Location of acutely successful radiofrequency catheter ablation of intraatrial reentrant tachycardia in patients with congenital heart disease. Am J Cardiol 86:969–974PubMedCrossRef Collins KK, Love BA, Walsh EP, Saul JP, Epstein MR Triedman JK (2000) Location of acutely successful radiofrequency catheter ablation of intraatrial reentrant tachycardia in patients with congenital heart disease. Am J Cardiol 86:969–974PubMedCrossRef
3.
go back to reference Deal BJ, Mavroudis C, Backer CL, Johnsrude CL, Rocchini AP (1999) Impact of arrhythmia circuit cryoablation during Fontan conversion for refractory atrial tachycardia. Am J Cardiol 83:563–568PubMedCrossRef Deal BJ, Mavroudis C, Backer CL, Johnsrude CL, Rocchini AP (1999) Impact of arrhythmia circuit cryoablation during Fontan conversion for refractory atrial tachycardia. Am J Cardiol 83:563–568PubMedCrossRef
4.
go back to reference Garson A, Bink-Boelkens M, et al. (1985) Atrial flutter in the young: a collaborative study of 380 cases. J Am Coll Cardiol 6:871–878PubMedCrossRef Garson A, Bink-Boelkens M, et al. (1985) Atrial flutter in the young: a collaborative study of 380 cases. J Am Coll Cardiol 6:871–878PubMedCrossRef
5.
go back to reference Gelatt M, Hamilton RM, McCrindle BW, et al. (1994) Risk factors for atrial tachyarrhythmias after the Fontan operation. J Am Coll Cardiol 24:1735–1741PubMed Gelatt M, Hamilton RM, McCrindle BW, et al. (1994) Risk factors for atrial tachyarrhythmias after the Fontan operation. J Am Coll Cardiol 24:1735–1741PubMed
6.
go back to reference Gewillig M, Wyse RK, de Leval MR, Deanfield JE (1992) Early and late arrhythmias after the Fontan operation: predisposing factors and clinical consequences. Br Heart J 67:72–79PubMedCrossRef Gewillig M, Wyse RK, de Leval MR, Deanfield JE (1992) Early and late arrhythmias after the Fontan operation: predisposing factors and clinical consequences. Br Heart J 67:72–79PubMedCrossRef
7.
go back to reference Gillette PC, Zeigler VL, Case CL, Harold M, Buckles DS (1991) Atrial antitachycardia pacing in children and young adults. Am Heart J 122:844–849PubMedCrossRef Gillette PC, Zeigler VL, Case CL, Harold M, Buckles DS (1991) Atrial antitachycardia pacing in children and young adults. Am Heart J 122:844–849PubMedCrossRef
8.
go back to reference Guarnerio M, Furlanello F, Del Greco M, Vergara G, Inama G, Disertori M (1989) Transesophageal atrial pacing: a first-choice technique in atrial flutter therapy. Am Heart J 117:1241–1252PubMedCrossRef Guarnerio M, Furlanello F, Del Greco M, Vergara G, Inama G, Disertori M (1989) Transesophageal atrial pacing: a first-choice technique in atrial flutter therapy. Am Heart J 117:1241–1252PubMedCrossRef
9.
go back to reference Marcelletti CF, Hanley FL, Mavroudis C, et al. (2000) Revision of previous Fontan connections to total extracardiac cavopulmonary anastomosis: a multicenter experience. J Thorac Cardiovasc Surg 119:340–346PubMedCrossRef Marcelletti CF, Hanley FL, Mavroudis C, et al. (2000) Revision of previous Fontan connections to total extracardiac cavopulmonary anastomosis: a multicenter experience. J Thorac Cardiovasc Surg 119:340–346PubMedCrossRef
10.
go back to reference Puley G, Siu S, Connelly M, Harrison D, Webb G, Williams WG, Harris L (1999) Arrhythmia and survival in patients >18 years of age after the Mustard procedure for complete transposition of the great arteries. Am J Cardiol 83:1080–1084PubMedCrossRef Puley G, Siu S, Connelly M, Harrison D, Webb G, Williams WG, Harris L (1999) Arrhythmia and survival in patients >18 years of age after the Mustard procedure for complete transposition of the great arteries. Am J Cardiol 83:1080–1084PubMedCrossRef
11.
go back to reference Rhodes LA, Walsh EP, Gamble WJ, Triedman JK, Saul JP (1995) Benefits and potential risks of atrial antitachycardia pacing after repair of congenital heart disease. Pacing Clin Electrophysiol 18:1005–1016PubMedCrossRef Rhodes LA, Walsh EP, Gamble WJ, Triedman JK, Saul JP (1995) Benefits and potential risks of atrial antitachycardia pacing after repair of congenital heart disease. Pacing Clin Electrophysiol 18:1005–1016PubMedCrossRef
12.
go back to reference Triedman JK, Bergau DM, Saul JP, Epstein MR Walsh EP (1997) Efficacy of radiofrequency ablation for control of intraatrial reentrant tachycardia in patients with congenital heart disease. J Am Coll Cardiol 30:1032–1038PubMedCrossRef Triedman JK, Bergau DM, Saul JP, Epstein MR Walsh EP (1997) Efficacy of radiofrequency ablation for control of intraatrial reentrant tachycardia in patients with congenital heart disease. J Am Coll Cardiol 30:1032–1038PubMedCrossRef
Metadata
Title
Patient-Activated Antitachycardia Pacing to Terminate Atrial Tachycardias with 1:1 Atrioventricular Conduction in Congenital Heart Disease
Author
Anjan S. Batra
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 4/2008
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-007-9179-7

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