Atrioventricular nodal reentrant tachycardia in children

Fabrizio Drago, Giorgia Grutter, Massimo S. Silvetti, Antonella De Santis, Vincenzo Di Ciommo

Research output: Contribution to journalArticle

Abstract

The purpose of this study was to identify the clinical and electrophysiological characteristics of children with atrioventricular reentry tachycardia (AVNRT) and to define the prognosis and the treatment strategy. Sixty-two children (28 males and 34 females mean age, 10.2 ± 3.2 years) with AVNRT ("slow-fast" type) were included in the study. Patients were divided into two groups: 47 patients with severe symptoms (group A) and 15 with mild symptoms (group B). The severity of the symptoms was not related to the electrophysiological parameters. Females were more symptomatic than males. Patients in group B did not receive any treatment (except 1 because of parents' choice) nor did they develop symptoms, and 5 patients had resolution of palpitations. Forty-one of 46 patients in group A were successfully treated with medical therapy as initial treatment. Thirty-one patients in group A underwent slow pathway ablation. There were late recurrences of AVNRT in 6 patients. Typical AVNRT in young patients does not appear to be life threatening. Patients with mild or no symptoms do well without therapy. Medical therapy and slow pathway ablation appear to be effective in the more symptomatic patients. Age and electrophysiological variables are not related to the symptoms or response to treatment. Females with AVNRT are more symptomatic and more likely to present with syncope.

Original languageEnglish
Pages (from-to)454-459
Number of pages6
JournalPediatric Cardiology
Volume27
Issue number4
DOIs
Publication statusPublished - Aug 2006

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Keywords

  • Antiarrhythmic drugs
  • Atrioventricular nodal reentrant tachycardia
  • Radiofrequency ablation

ASJC Scopus subject areas

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

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