Letter to the Editor
Radiofrequency ablation and predictors for faster recovery for tachycardia-induced cardiomyopathy in the pediatric population
Ablação de radiofrequência e os preditores para uma recuperação mais rápida para miocardiopatia induzida por taquicardia na população pediátrica
Mustafa Gulgun
, Fatih Alparslan Genç, Muzaffer Kursat Fidanci
Autor para correspondência
Gulhane Education and Research Hospital, Division of Pediatric Cardiology, Ankara, Turkey
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"subdocumento" => "" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:1 [ "total" => 0 ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2174204916302033?idApp=UINPBA00004E" ] ] "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0870255116301937?idApp=UINPBA00004E" "url" => "/08702551/0000003500000011/v1_201610280519/S0870255116301937/v1_201610280519/en/main.assets" ] ] "en" => array:13 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Letter to the Editor</span>" "titulo" => "Radiofrequency ablation and predictors for faster recovery for tachycardia-induced cardiomyopathy in the pediatric population" "tieneTextoCompleto" => true "saludo" => "Dear Editor," "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "629" "paginaFinal" => "630" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Mustafa Gulgun, Fatih Alparslan Genç, Muzaffer Kursat Fidanci" "autores" => array:3 [ 0 => array:4 [ "nombre" => "Mustafa" "apellidos" => "Gulgun" "email" => array:2 [ 0 => "mgulgun@gata.edu.tr" 1 => "mustafagulgun@yahoo.com" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "Fatih Alparslan" "apellidos" => "Genç" ] 2 => array:2 [ "nombre" => "Muzaffer Kursat" "apellidos" => "Fidanci" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Gulhane Education and Research Hospital, Division of Pediatric Cardiology, Ankara, Turkey" "identificador" => "aff0005" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "pt" => array:1 [ "titulo" => "Ablação de radiofrequência e os preditores para uma recuperação mais rápida para miocardiopatia induzida por taquicardia na população pediátrica" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We read with great interest the paper by Rodríguez-Mañero et al.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">1</span></a> entitled “Permanent junctional reciprocating tachycardia in a patient with an atypically located accessory pathway in the left lateral mitral annulus” published in the January 2016 issue of the <span class="elsevierStyleItalic">Journal</span>. We congratulate the authors on the successful management of this patient.</p><p id="par0010" class="elsevierStylePara elsevierViewall">We had an experience with a premature newborn who had multi-drug resistant permanent junctional reciprocating tachycardia (PJRT) resulting in tachycardia-induced cardiomyopathy. At the age of 29 days, she underwent radiofrequency ablation, after which sinus rhythm was established. Ablation was repeated at the age of 56 days because of recurrence. Medical treatment including amiodarone, propranolol and propafenone was stopped after the ablation. The patient has had no symptoms or medication for two years.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">2</span></a></p><p id="par0015" class="elsevierStylePara elsevierViewall">PJRT is a rare form of reentrant supraventricular tachycardia featuring a long R-P interval and incessant tachycardia ranging from 120 to 250 bpm. Inverted P waves in the inferior leads on the surface electrogram and an accessory pathway with slow, decremental retrograde conduction can be seen on electrophysiological study during the tachycardia.<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">3</span></a> The diagnosis of PJRT is usually incidental or due to tachycardia-induced cardiomyopathy, as in our case. PJRT usually does not respond to antiarrhythmic drugs. Femenia et al.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">4</span></a> described successful radiofrequency ablation of PJRT in a newborn. Vaksmann et al.<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">5</span></a> reported 85 pediatric patients (<21 years old) with PJRT, of whom 24 (28%) had heart failure at admission. In their study, 18/85 (21%) patients underwent radiofrequency ablation.</p><p id="par0020" class="elsevierStylePara elsevierViewall">Recently, Moore et al.<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">6</span></a> described 81 children with tachycardia-induced cardiomyopathy, 23% of whom were diagnosed with PJRT. In this study, the authors listed the predictors of left ventricular systolic functional recovery as younger age, higher heart rate or ejection fraction at admission, and use of mechanical circulatory support including extracorporeal membrane oxygenation or ventricular assist device. Baseline left ventricular end-diastolic diameter was the only predictor for normalization of left ventricular dimensions. This study shows the importance of early diagnosis, especially before the onset of left ventricular systolic dysfunction, and of proper mechanical circulatory intervention in tachycardia-induced cardiomyopathy.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Clinicians should consider tachycardia-induced cardiomyopathy due to PJRT in children and adults with low ejection fraction. Radiofrequency ablation may be a curative treatment for this tachycardia and improvement in left ventricular systolic function is possible after ablation.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflicts of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflicts of interest" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:6 [ 0 => array:3 [ "identificador" => "bib0035" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Permanent junctional reciprocating tachycardia in a patient with an atypically located accessory pathway in the left lateral mitral annulus" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "M. Rodríguez-Mañero" 1 => "X.A. Fernández-López" 2 => "L. González-Melchor" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.repc.2015.09.018" "Revista" => array:6 [ "tituloSerie" => "Rev Port Cardiol" "fecha" => "2016" "volumen" => "35" "paginaInicial" => "59.e1" "paginaFinal" => "59.e5" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/26839009" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0040" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Transjugular approach for radiofrequency ablation of permanent junctional reciprocal tachycardia in a newborn with bilateral femoral vein thrombosis" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:3 [ 0 => "M. Gülgün" 1 => "T. Karagöz" 2 => "H.H. 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| Ano/Mês | Html | Total | |
|---|---|---|---|
| 2024 Novembro | 7 | 5 | 12 |
| 2024 Outubro | 64 | 28 | 92 |
| 2024 Setembro | 67 | 24 | 91 |
| 2024 Agosto | 58 | 23 | 81 |
| 2024 Julho | 49 | 34 | 83 |
| 2024 Junho | 39 | 27 | 66 |
| 2024 Maio | 49 | 24 | 73 |
| 2024 Abril | 49 | 27 | 76 |
| 2024 Maro | 37 | 22 | 59 |
| 2024 Fevereiro | 38 | 20 | 58 |
| 2024 Janeiro | 37 | 25 | 62 |
| 2023 Dezembro | 33 | 26 | 59 |
| 2023 Novembro | 42 | 32 | 74 |
| 2023 Outubro | 20 | 17 | 37 |
| 2023 Setembro | 34 | 19 | 53 |
| 2023 Agosto | 45 | 26 | 71 |
| 2023 Julho | 26 | 8 | 34 |
| 2023 Junho | 31 | 19 | 50 |
| 2023 Maio | 41 | 25 | 66 |
| 2023 Abril | 24 | 3 | 27 |
| 2023 Maro | 32 | 30 | 62 |
| 2023 Fevereiro | 26 | 21 | 47 |
| 2023 Janeiro | 21 | 15 | 36 |
| 2022 Dezembro | 34 | 14 | 48 |
| 2022 Novembro | 33 | 42 | 75 |
| 2022 Outubro | 33 | 19 | 52 |
| 2022 Setembro | 21 | 29 | 50 |
| 2022 Agosto | 30 | 24 | 54 |
| 2022 Julho | 37 | 35 | 72 |
| 2022 Junho | 22 | 12 | 34 |
| 2022 Maio | 33 | 31 | 64 |
| 2022 Abril | 41 | 30 | 71 |
| 2022 Maro | 32 | 34 | 66 |
| 2022 Fevereiro | 30 | 29 | 59 |
| 2022 Janeiro | 25 | 19 | 44 |
| 2021 Dezembro | 20 | 26 | 46 |
| 2021 Novembro | 43 | 40 | 83 |
| 2021 Outubro | 26 | 48 | 74 |
| 2021 Setembro | 29 | 28 | 57 |
| 2021 Agosto | 35 | 29 | 64 |
| 2021 Julho | 24 | 27 | 51 |
| 2021 Junho | 26 | 16 | 42 |
| 2021 Maio | 29 | 29 | 58 |
| 2021 Abril | 38 | 33 | 71 |
| 2021 Maro | 58 | 22 | 80 |
| 2021 Fevereiro | 63 | 15 | 78 |
| 2021 Janeiro | 30 | 12 | 42 |
| 2020 Dezembro | 34 | 13 | 47 |
| 2020 Novembro | 46 | 25 | 71 |
| 2020 Outubro | 22 | 14 | 36 |
| 2020 Setembro | 62 | 25 | 87 |
| 2020 Agosto | 16 | 6 | 22 |
| 2020 Julho | 29 | 12 | 41 |
| 2020 Junho | 47 | 11 | 58 |
| 2020 Maio | 23 | 5 | 28 |
| 2020 Abril | 41 | 8 | 49 |
| 2020 Maro | 33 | 9 | 42 |
| 2020 Fevereiro | 89 | 13 | 102 |
| 2020 Janeiro | 29 | 5 | 34 |
| 2019 Dezembro | 35 | 10 | 45 |
| 2019 Novembro | 36 | 11 | 47 |
| 2019 Outubro | 35 | 2 | 37 |
| 2019 Setembro | 17 | 4 | 21 |
| 2019 Agosto | 43 | 7 | 50 |
| 2019 Julho | 38 | 8 | 46 |
| 2019 Junho | 23 | 11 | 34 |
| 2019 Maio | 39 | 11 | 50 |
| 2019 Abril | 18 | 15 | 33 |
| 2019 Maro | 58 | 8 | 66 |
| 2019 Fevereiro | 52 | 12 | 64 |
| 2019 Janeiro | 38 | 13 | 51 |
| 2018 Dezembro | 56 | 22 | 78 |
| 2018 Novembro | 87 | 9 | 96 |
| 2018 Outubro | 156 | 11 | 167 |
| 2018 Setembro | 36 | 9 | 45 |
| 2018 Agosto | 36 | 13 | 49 |
| 2018 Julho | 24 | 5 | 29 |
| 2018 Junho | 25 | 5 | 30 |
| 2018 Maio | 33 | 8 | 41 |
| 2018 Abril | 39 | 4 | 43 |
| 2018 Maro | 73 | 15 | 88 |
| 2018 Fevereiro | 18 | 4 | 22 |
| 2018 Janeiro | 30 | 7 | 37 |
| 2017 Dezembro | 43 | 6 | 49 |
| 2017 Novembro | 52 | 12 | 64 |
| 2017 Outubro | 37 | 16 | 53 |
| 2017 Setembro | 34 | 9 | 43 |
| 2017 Agosto | 41 | 12 | 53 |
| 2017 Julho | 35 | 11 | 46 |
| 2017 Junho | 35 | 6 | 41 |
| 2017 Maio | 34 | 17 | 51 |
| 2017 Abril | 29 | 9 | 38 |
| 2017 Maro | 31 | 10 | 41 |
| 2017 Fevereiro | 23 | 7 | 30 |
| 2017 Janeiro | 28 | 6 | 34 |
| 2016 Dezembro | 54 | 24 | 78 |
| 2016 Novembro | 61 | 56 | 117 |
| 2016 Outubro | 31 | 30 | 61 |
| 2016 Setembro | 1 | 2 | 3 |
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