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Management of paroxysmal ectopic atrial tachycardia with long sinus pauses in a teenager.

Balaji S - Indian Pacing Electrophysiol J (2016)

Bottom Line: Sinus pauses in the setting of supraventricular tachycardia is rare in children.We describe an asymptomatic teen with irregular heart rate detected during an incidental exam who was found to have short runs of a slow ectopic atrial tachycardia on electrocardiogram and prolonged sinus pauses on routine ambulatory ECG.Successful catheter ablation of the ectopic atrial tachycardia led to resolution of the sinus pauses.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA.

ABSTRACT
Sinus pauses in the setting of supraventricular tachycardia is rare in children. We describe an asymptomatic teen with irregular heart rate detected during an incidental exam who was found to have short runs of a slow ectopic atrial tachycardia on electrocardiogram and prolonged sinus pauses on routine ambulatory ECG. Successful catheter ablation of the ectopic atrial tachycardia led to resolution of the sinus pauses.

No MeSH data available.


Related in: MedlinePlus

Shows a sinus pause of about 5 s seen in a Holter monitor.
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fig2: Shows a sinus pause of about 5 s seen in a Holter monitor.

Mentions: An asymptomatic 14 year old boy was referred for evaluation of an irregular heart rhythm noted during a routine checkup. A standard 12–lead electrocardiogram revealed short runs of an atrial tachycardia (Fig. 1). The tachycardia rate was around 150 beats per minute. An ambulatory 24 hour Holter monitor done to assess the frequency and behavior of the tachycardia showed frequent sinus pauses (Fig. 2) with a longest pause around 5 s. The pauses were mostly (but not always) associated with termination of the SVT.


Management of paroxysmal ectopic atrial tachycardia with long sinus pauses in a teenager.

Balaji S - Indian Pacing Electrophysiol J (2016)

Shows a sinus pause of about 5 s seen in a Holter monitor.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4834423&req=5

fig2: Shows a sinus pause of about 5 s seen in a Holter monitor.
Mentions: An asymptomatic 14 year old boy was referred for evaluation of an irregular heart rhythm noted during a routine checkup. A standard 12–lead electrocardiogram revealed short runs of an atrial tachycardia (Fig. 1). The tachycardia rate was around 150 beats per minute. An ambulatory 24 hour Holter monitor done to assess the frequency and behavior of the tachycardia showed frequent sinus pauses (Fig. 2) with a longest pause around 5 s. The pauses were mostly (but not always) associated with termination of the SVT.

Bottom Line: Sinus pauses in the setting of supraventricular tachycardia is rare in children.We describe an asymptomatic teen with irregular heart rate detected during an incidental exam who was found to have short runs of a slow ectopic atrial tachycardia on electrocardiogram and prolonged sinus pauses on routine ambulatory ECG.Successful catheter ablation of the ectopic atrial tachycardia led to resolution of the sinus pauses.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Oregon Health & Science University, Portland, OR, USA.

ABSTRACT
Sinus pauses in the setting of supraventricular tachycardia is rare in children. We describe an asymptomatic teen with irregular heart rate detected during an incidental exam who was found to have short runs of a slow ectopic atrial tachycardia on electrocardiogram and prolonged sinus pauses on routine ambulatory ECG. Successful catheter ablation of the ectopic atrial tachycardia led to resolution of the sinus pauses.

No MeSH data available.


Related in: MedlinePlus