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Pediatric Cardiology
Published in: Pediatric Cardiology 2/2012

01-02-2012 | Case Report

Multiple External Electrical Cardioversions for Refractory Neonatal Atrial Flutter

Authors: Simone Gulletta, Rosanna Rovelli, Rossana Fiori, Paolo Della Bella

Published in: Pediatric Cardiology | Issue 2/2012

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Abstract

This report describes a case of atrial flutter in a fetal/neonatal patient who did not respond to adenosine, a propafenone bolus, and three electrical external cardioversions. A fourth direct current cardioversion after propafenone premedication resolved the atrial flutter. The arrhythmia did not recur with propafenone therapy during a 12-month follow-up period.
Literature
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Casey FA, McCrindle BW, Hamilton RM, Gow RM (1997) Neonatal atrial flutter: significant early morbidity and excellent long-term prognosis. Am Heart J 133:302–306PubMedCrossRef
2.
Ceresnak SR, Starc TJ, Hordof AJ, Pass RH, Bonney WJ, Liberman L (2009) Elevated impedance during cardioversion in neonates with atrial flutter. Pediatr Cardiol 30:436–440 Epub 14 Apr 2009PubMedCrossRef
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Dunnigan A, Benson W Jr, Benditt DG (1985) Atrial flutter in infancy: diagnosis, clinical features, and treatment. Pediatrics 75:725–729PubMed
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Mendelsohn A, Dick M, Serwer GA (1991) Natural history of isolated atrial flutter in infancy. J Pediatr 119:386–391PubMedCrossRef
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Peng CC, Chen MR, Hou CJ, Hung HY, Kao HA, Hsu CH, Huang FY (1998) Atrial flutter in the neonate and early infancy. Jpn Heart J 39:287–295PubMedCrossRef
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Texter KM, Kertesz NJ, Friedman RA, Fenrich AL Jr (2006) Atrial flutter in infants. J Am Coll Cardiol 48:1040–1046PubMedCrossRef
Metadata
Title
Multiple External Electrical Cardioversions for Refractory Neonatal Atrial Flutter
Authors
Simone Gulletta
Rosanna Rovelli
Rossana Fiori
Paolo Della Bella
Publication date
01-02-2012
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 2/2012
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-011-0131-5

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