Neonatal supraventricular tachycardia: outcomes over a 27‐year period at a single institution
Identifieur interne : 000D37 ( Main/Exploration ); précédent : 000D36; suivant : 000D38Neonatal supraventricular tachycardia: outcomes over a 27‐year period at a single institution
Auteurs : Thomas Gilljam [Canada] ; Edgar Jaeggi [Canada] ; Robert M. Gow [Canada]Source :
- Acta Pædiatrica [ 0803-5253 ] ; 2008-08.
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Abstract
Aim: To establish prognosis in neonatal supraventricular tachycardia. Methods: All 109 patients <30 days with supraventricular tachycardia due to accessory atrioventricular or atrioventricular nodal reentry from 1971 to 1997 at one institution were retrospectively reviewed. Results: There were seven deaths (6%): five cardiac failure, two not related to arrhythmia. Freedom from arrhythmia, antiarrhythmic medication or late recurrence of arrhythmia was 52% at 1 year, 82% at 5 years and 83% at 10 years. At 10 years 31% of patients with ventricular preexcitation on electrocardiogram had symptoms or medication compared to 6% in those with concealed pathways (p < 0.0001). In patients who needed multiple drugs or more than 6 days to obtain initial arrhythmia control, 50% had arrhythmias at 10 years, compared to 10% of more easily treated cases (p = 0.001). Conclusion: Ventricular preexcitation and initial treatment difficulties, but not foetal presentation, were significant risk factors for prolonged arrhythmia, as confirmed by multivariate analysis. In the remainder, arrhythmia resolved in approximately 90%.
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DOI: 10.1111/j.1651-2227.2008.00823.x
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Methods: All 109 patients <30 days with supraventricular tachycardia due to accessory atrioventricular or atrioventricular nodal reentry from 1971 to 1997 at one institution were retrospectively reviewed. Results: There were seven deaths (6%): five cardiac failure, two not related to arrhythmia. Freedom from arrhythmia, antiarrhythmic medication or late recurrence of arrhythmia was 52% at 1 year, 82% at 5 years and 83% at 10 years. At 10 years 31% of patients with ventricular preexcitation on electrocardiogram had symptoms or medication compared to 6% in those with concealed pathways (p < 0.0001). In patients who needed multiple drugs or more than 6 days to obtain initial arrhythmia control, 50% had arrhythmias at 10 years, compared to 10% of more easily treated cases (p = 0.001). Conclusion: Ventricular preexcitation and initial treatment difficulties, but not foetal presentation, were significant risk factors for prolonged arrhythmia, as confirmed by multivariate analysis. In the remainder, arrhythmia resolved in approximately 90%.</div></front></TEI><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Gilljam, Thomas" sort="Gilljam, Thomas" uniqKey="Gilljam T" first="Thomas" last="Gilljam">Thomas Gilljam</name></region><name sortKey="Gow, Robert M" sort="Gow, Robert M" uniqKey="Gow R" first="Robert M" last="Gow">Robert M. Gow</name><name sortKey="Jaeggi, Edgar" sort="Jaeggi, Edgar" uniqKey="Jaeggi E" first="Edgar" last="Jaeggi">Edgar Jaeggi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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