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Reentry Tachycardia in Children: Adenosine Can Make It Worse.

Identifieur interne : 000076 ( PubMed/Corpus ); précédent : 000075; suivant : 000077

Reentry Tachycardia in Children: Adenosine Can Make It Worse.

Auteurs : Maximilian D. Hien ; Fernando Benito Castro ; Philippe Fournier ; Anne Filleron ; Tu-Anh Tran

Source :

RBID : pubmed:27753716

Abstract

We report on a rare but severe complication of adenosine use in a child with reentry tachycardia.

DOI: 10.1097/PEC.0000000000000951
PubMed: 27753716

Links to Exploration step

pubmed:27753716

Le document en format XML

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<title xml:lang="en">Reentry Tachycardia in Children: Adenosine Can Make It Worse.</title>
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<name sortKey="Hien, Maximilian D" sort="Hien, Maximilian D" uniqKey="Hien M" first="Maximilian D" last="Hien">Maximilian D. Hien</name>
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<nlm:affiliation>From the *Department of Pediatrics, Heidelberg University Children's Hospital, Heidelberg, Germany; and †Department of Pediatrics, Nîmes University Hospital, Nîmes, France.</nlm:affiliation>
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<name sortKey="Benito Castro, Fernando" sort="Benito Castro, Fernando" uniqKey="Benito Castro F" first="Fernando" last="Benito Castro">Fernando Benito Castro</name>
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<name sortKey="Fournier, Philippe" sort="Fournier, Philippe" uniqKey="Fournier P" first="Philippe" last="Fournier">Philippe Fournier</name>
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<name sortKey="Filleron, Anne" sort="Filleron, Anne" uniqKey="Filleron A" first="Anne" last="Filleron">Anne Filleron</name>
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<name sortKey="Tran, Tu Anh" sort="Tran, Tu Anh" uniqKey="Tran T" first="Tu-Anh" last="Tran">Tu-Anh Tran</name>
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<title xml:lang="en">Reentry Tachycardia in Children: Adenosine Can Make It Worse.</title>
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<name sortKey="Hien, Maximilian D" sort="Hien, Maximilian D" uniqKey="Hien M" first="Maximilian D" last="Hien">Maximilian D. Hien</name>
<affiliation>
<nlm:affiliation>From the *Department of Pediatrics, Heidelberg University Children's Hospital, Heidelberg, Germany; and †Department of Pediatrics, Nîmes University Hospital, Nîmes, France.</nlm:affiliation>
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<author>
<name sortKey="Benito Castro, Fernando" sort="Benito Castro, Fernando" uniqKey="Benito Castro F" first="Fernando" last="Benito Castro">Fernando Benito Castro</name>
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<name sortKey="Fournier, Philippe" sort="Fournier, Philippe" uniqKey="Fournier P" first="Philippe" last="Fournier">Philippe Fournier</name>
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<name sortKey="Filleron, Anne" sort="Filleron, Anne" uniqKey="Filleron A" first="Anne" last="Filleron">Anne Filleron</name>
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<name sortKey="Tran, Tu Anh" sort="Tran, Tu Anh" uniqKey="Tran T" first="Tu-Anh" last="Tran">Tu-Anh Tran</name>
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<title level="j">Pediatric emergency care</title>
<idno type="eISSN">1535-1815</idno>
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<date when="2016" type="published">2016</date>
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<div type="abstract" xml:lang="en">We report on a rare but severe complication of adenosine use in a child with reentry tachycardia.</div>
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<PMID Version="1">27753716</PMID>
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<Year>2016</Year>
<Month>10</Month>
<Day>18</Day>
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<Title>Pediatric emergency care</Title>
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<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">We report on a rare but severe complication of adenosine use in a child with reentry tachycardia.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">Treatment with adenosine, which is the standard medical therapy of atrioventricular reentry tachycardia, led to the development of an irregular wide complex tachycardia, caused by rapid ventricular response to atrial fibrillation. The girl was finally stabilized with electrical cardioversion. We analyze the pathomechanism and discuss possible treatment options.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Atrial fibrillation, as well as its conduction to the ventricles, can be caused by adenosine. Rapid ventricular response in children with Wolff-Parkinson-White syndrome is more frequent than previously believed. A patient history of atrial fibrillation is a contraindication for cardioversion with adenosine and needs to be assessed in children with reentry tachycardia. High-risk patients may potentially profit from prophylactic comedication with antiarrhythmic agents, such as flecainide, ibutilide, or vernakalant, before adenosine administration.</AbstractText>
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<LastName>Hien</LastName>
<ForeName>Maximilian D</ForeName>
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<Affiliation>From the *Department of Pediatrics, Heidelberg University Children's Hospital, Heidelberg, Germany; and †Department of Pediatrics, Nîmes University Hospital, Nîmes, France.</Affiliation>
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