Diagnosis and management of junctional ectopic tachycardia in children

Diagnosis and management of junctional ectopic tachycardia in children

Blog Article

Junctional ectopic tachycardia (JET) is more common in its postoperative form.A thorough understanding of its etiology, pathophysiology, and management strategies is essential.Classically, postoperative JET is considered to arise from surgical obermeyer perseus bib pants trauma.Genetic susceptibility and an intrinsic morphologic/functional defect in the conduction system inherent in congenital heart diseases likely play a significant role.

The devastating effects on postoperative hemodynamics warrant prompt attention.A multipronged management approach with general halloween cookie card measures, pharmacotherapy, and pacing has decreased morbidity and mortality.Amiodarone and procainamide remain the preferred drugs, while ivabradine appears promising.Carefully planned randomized trials can go a long way in developing a systematic management protocol for postoperative JET.