Diagnosis and management of junctional ectopic tachycardia in children

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 trauma. Genetic susceptibility and an intrinsic morpho...

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Main Authors: Navaneetha Sasikumar, Raman Krishna Kumar, Seshadri Balaji
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Annals of Pediatric Cardiology
Subjects:
Online Access:http://www.annalspc.com/article.asp?issn=0974-2069;year=2021;volume=14;issue=3;spage=372;epage=381;aulast=Sasikumar
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spelling doaj-03a9dc3118744c1bbf67fe7b791133f12021-09-07T14:28:28ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20692021-01-0114337238110.4103/apc.apc_35_21Diagnosis and management of junctional ectopic tachycardia in childrenNavaneetha SasikumarRaman Krishna KumarSeshadri BalajiJunctional 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 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 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.http://www.annalspc.com/article.asp?issn=0974-2069;year=2021;volume=14;issue=3;spage=372;epage=381;aulast=Sasikumarcongenital junctional ectopic tachycardiajunctional ectopic tachycardiapediatric cardiopulmonary bypasspostoperative arrhythmiapostoperative complications
collection DOAJ
language English
format Article
sources DOAJ
author Navaneetha Sasikumar
Raman Krishna Kumar
Seshadri Balaji
spellingShingle Navaneetha Sasikumar
Raman Krishna Kumar
Seshadri Balaji
Diagnosis and management of junctional ectopic tachycardia in children
Annals of Pediatric Cardiology
congenital junctional ectopic tachycardia
junctional ectopic tachycardia
pediatric cardiopulmonary bypass
postoperative arrhythmia
postoperative complications
author_facet Navaneetha Sasikumar
Raman Krishna Kumar
Seshadri Balaji
author_sort Navaneetha Sasikumar
title Diagnosis and management of junctional ectopic tachycardia in children
title_short Diagnosis and management of junctional ectopic tachycardia in children
title_full Diagnosis and management of junctional ectopic tachycardia in children
title_fullStr Diagnosis and management of junctional ectopic tachycardia in children
title_full_unstemmed Diagnosis and management of junctional ectopic tachycardia in children
title_sort diagnosis and management of junctional ectopic tachycardia in children
publisher Wolters Kluwer Medknow Publications
series Annals of Pediatric Cardiology
issn 0974-2069
publishDate 2021-01-01
description 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 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 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.
topic congenital junctional ectopic tachycardia
junctional ectopic tachycardia
pediatric cardiopulmonary bypass
postoperative arrhythmia
postoperative complications
url http://www.annalspc.com/article.asp?issn=0974-2069;year=2021;volume=14;issue=3;spage=372;epage=381;aulast=Sasikumar
work_keys_str_mv AT navaneethasasikumar diagnosisandmanagementofjunctionalectopictachycardiainchildren
AT ramankrishnakumar diagnosisandmanagementofjunctionalectopictachycardiainchildren
AT seshadribalaji diagnosisandmanagementofjunctionalectopictachycardiainchildren
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