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Andersons pediatric cardiology 573

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Society(PACES)andtheHeartRhythmSociety
(HRS).HeartRhythm.2012;9(6):1006–1024.
ThisconsensusstatementbythePediatricand
CongenialElectrophysiologyStudy(Cohen
etal.)reviewsthenaturalhistoryofWolffParkinson-WhiteSyndromeinasymptomaticand
symptomaticpatientsandprovidesa
managementalgorithmforanoninvasiveand
invasiveevaluationinthosechildrenwhowere
incidentallydiscoveredtohavemanifest
preexcitation..
BlaufoxAD,PaulT,SaulJP.Radiofrequency
catheterablationinsmallchildren:relationship
ofcomplicationstoapplicationdose.Pacing
ClinElectrophysiol.2004;27(2):224–229.
Thissingle-centerexperiencereviewstheoutcomes
ofcatheterablation(RFCA)forarrhythmiasin
14children<15kg(18totalprocedures).RFCA
successwas9/9inorthodromicsupraventricular
tachycardia,6/7inventriculartachycardia,and
0/2inchaoticatrialtachycardia.Complications
werepericardialeffusioninonepatient,mild
mitralregurgitationinone,andmyocardial
infarctioninonepatient.Thus,thedecisionto
proceedwithRFCA,andtheapplication
durationandnumbershouldbeguidedby
patientsize,balancedagainsttherisksofthe


arrhythmia,andreservedfordire
circumstances..
BatraAS,etal.Aprospectiveanalysisofthe


incidenceandriskfactorsassociatedwith
junctionalectopictachycardiafollowingsurgery
forcongenitalheartdisease.PediatrCardiol.
2006;27(1):51–55.
Thisprospectivestudyevaluatedtheincidenceand
riskfactorsassociatedwiththeoccurrenceof
junctionalectopictachycardia(JET)inpatients
aftercongenitalheartsurgery.Amongthe336
consecutivepatientsundergoingsurgeryfor
congenitalheartdiseasetheincidenceofJET
was8%.Repairswiththehighestincidenceof
JETwerearterialswitchoperation,
atrioventricularcanalrepair,andNorwood
repair.PatientswithJETweremorelikelytobe
younger,havehadlongercardiopulmonary
bypasstimes,andhaveahigherinotropescore.
Thedataaresimilartotheearlierpublished
datafromTimHoffmanMDatTheChildren's
HospitalofPhiladelphia..
CrossonJE,etal.PACES/HRSexpertconsensus
statementontheevaluationandmanagementof
ventriculararrhythmiasinthechildwitha
structurallynormalheart.HeartRhythm.
2014;11(9):e55–e78.


Theconsensusstatementprovidescurrent
recommendationsontheevaluationand
treatmentofventriculartachycardia(VT)in
childrenwithstructurallynormalheartsorwhat

hasbeenlabeledfrequentlyasidiopathicVT.
IdiopathicVTisusuallybenignandoften
resolvesspontaneouslywithouttreatment;
however,itisessentialtodistinguishthis
problemfrompotentiallylife-threatening
conditionsthatcanoccurwithabsentor
minimalstructuralheartdiseaseincludingmany
ofthechannelopathies..
PrioriSG,etal.HRS/EHRA/APHRSexpert
consensusstatementonthediagnosisand
managementofpatientswithinheritedprimary
arrhythmiasyndromes.HeartRhythm.
2013;10(12):1932–1963.
Anexcellentreviewwithnationallyand
internationallyknownscientificexpertsonthe
fieldofchannelopthiesandinherited
arrhythmias.Thisreviewfocusesonthe
diagnosis,managementandgenetictestingfor
theevaluationofchildrenandadolescents
believedtobeatriskofsuddencardiacdeath
secondarytoaninheritedarrhythmia..
JanousekJ,etal.Cardiacresynchronisation
therapyinpaediatricandcongenitalheart



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