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Supraventricular Arrhythmias in Children and Young Adults with Implantable Cardioverter Defibrillators by BARRY A. LOVE; KATHLEEN S. BARRETT; MARK E. ALEXANDER; LAURA M. BEVILACQUA; MICHAEL R. EPSTEIN; JOHN K. TRIEDMAN; EDWARD P. WALSH; CHARLES I. BERUL is a Medicine article available to read on EtoBox.
What is Supraventricular Arrhythmias in Children and Young Adults with Implantable Cardioverter Defibrillators about?
**SVT in Pediatric ICD Recipients.** __Introduction:__ Rapidly conducted supraventricular tachycardias (SVTs) can lead to inappropriate device therapy in implantable cardioverter defibrillator (ICD) patients. We sought to determine the incidence of SVTs and the occurrence of inappropriate ICD therapy due to SVT in a pediatric and young adult population. __Methods and Results:__ We undertook a retrospective review of clinical course, Holter monitoring, and ICD interrogations of patients receiving ICD follow‐up at our institution between March 1992 and December 1999. Of 81 new ICD implantations, 54 eligible patients (median age 16.5 years, range 1 to 48) were identified. Implantation indications included syncope and/or spontaneous/inducible ventricular arrhythmia with congenital heart disease (30), long QT syndrome (9), structurally normal heart (ventricular tachycardia/ventricular fibrillation [VT/VF]) (7), and cardiomyopathies (7). Sixteen patients (30%) received a dual‐chamber ICD. SVT was recognized in 16 patients, with 12 of 16 having inducible or spontaneous atrial tachycardias. Eighteen patients (33%) received ≥ 1 appropriate shock(s) for VT/VF; 8 patients (15%) received inapp
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It is typically read by researchers, students, and practitioners in Medicine.
- Author
- BARRY A. LOVE; KATHLEEN S. BARRETT; MARK E. ALEXANDER; LAURA M. BEVILACQUA; MICHAEL R. EPSTEIN; JOHN K. TRIEDMAN; EDWARD P. WALSH; CHARLES I. BERUL
- Publisher
- John Wiley and Sons; Wiley (Blackwell Publishing); Futura Publishing Company, Inc; Blackwell Publishing Inc.; Wiley (ISSN 1540-8167)
- Published
- 2001
- Language
- EN
- Field
- Medicine (Health Sciences)