Management of paroxysmal ectopic atrial tachycardia with long sinus pauses in a teenager

Article English OPEN
Seshadri Balaji (2015)
  • Publisher: Elsevier
  • Journal: Indian Pacing and Electrophysiology Journal, volume 15, issue 5, pages 249-250 (issn: 0972-6292, eissn: 0972-6292)
  • Related identifiers: doi: 10.1016/j.ipej.2016.02.003, pmc: PMC4834423
  • Subject: RC666-701 | Diseases of the circulatory (Cardiovascular) system | Cardiology and Cardiovascular Medicine | Case Report | Supraventricular tachycardia | Catheter ablation | Physiology (medical) | Sinus node dysfunction
    mesheuropmc: cardiovascular system | education | otorhinolaryngologic diseases | cardiovascular diseases

Sinus pauses in the setting of supraventricular tachycardia is rare in children. We describe an asymptomatic teen with irregular heart rate detected during an incidental exam who was found to have short runs of a slow ectopic atrial tachycardia on electrocardiogram and prolonged sinus pauses on routine ambulatory ECG. Successful catheter ablation of the ectopic atrial tachycardia led to resolution of the sinus pauses.
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