Cardiac Arrhythmias Requiring Electric Countershock during the Neonatal Period—A Systematic Review
Background: In neonates, cardiac arrhythmias are rare. Electric countershock therapy is an effective alternative to drug therapy for neonatal arrhythmias. There are no randomized controlled studies investigating electric countershock therapy in neonates. Objective: To identify all studies and public...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-05-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/10/5/838 |
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| author | Nathalie Oeffl Marlies Krainer Stefan Kurath-Koller Martin Koestenberger Bernhard Schwaberger Berndt Urlesberger Lukas P. Mileder |
| author_facet | Nathalie Oeffl Marlies Krainer Stefan Kurath-Koller Martin Koestenberger Bernhard Schwaberger Berndt Urlesberger Lukas P. Mileder |
| author_sort | Nathalie Oeffl |
| collection | DOAJ |
| description | Background: In neonates, cardiac arrhythmias are rare. Electric countershock therapy is an effective alternative to drug therapy for neonatal arrhythmias. There are no randomized controlled studies investigating electric countershock therapy in neonates. Objective: To identify all studies and publications describing electric countershock therapy (including defibrillation, cardioversion, and pacing) in newborn infants within 28 days after birth, and to provide a comprehensive review of this treatment modality and associated outcomes. Methods: For this systematic review we searched MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), and Cumulative Index to Nursing and Allied Health Literature (CINAHL). All articles reporting electric countershock therapy in newborn infants within 28 days after birth were included. Results: In terms of figures, 113 neonates who received electric countershock due to arrhythmias were reported. Atrial flutter (76.1%) was the most common arrhythmia, followed by supraventricular tachycardia (13.3%). Others were ventricular tachycardia (9.7%) and torsade de pointes (0.9%). The main type of electric countershock therapy was synchronized cardioversion (79.6%). Transesophageal pacing was used in twenty neonates (17.7%), and defibrillation was used in five neonates (4.4%). Conclusion: Electric countershock therapy is an effective treatment option in the neonatal period. In atrial flutter especially, excellent outcomes are reported with direct synchronized electric cardioversion. |
| first_indexed | 2024-03-11T03:50:32Z |
| format | Article |
| id | doaj.art-40cac3f29f8749d8b44e622d828cff01 |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-11T03:50:32Z |
| publishDate | 2023-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-40cac3f29f8749d8b44e622d828cff012023-11-18T00:55:39ZengMDPI AGChildren2227-90672023-05-0110583810.3390/children10050838Cardiac Arrhythmias Requiring Electric Countershock during the Neonatal Period—A Systematic ReviewNathalie Oeffl0Marlies Krainer1Stefan Kurath-Koller2Martin Koestenberger3Bernhard Schwaberger4Berndt Urlesberger5Lukas P. Mileder6Division of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, AustriaDivision of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, AustriaDivision of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, AustriaDivision of Pediatric Cardiology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, AustriaDivision of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, AustriaDivision of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, AustriaDivision of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, 8036 Graz, AustriaBackground: In neonates, cardiac arrhythmias are rare. Electric countershock therapy is an effective alternative to drug therapy for neonatal arrhythmias. There are no randomized controlled studies investigating electric countershock therapy in neonates. Objective: To identify all studies and publications describing electric countershock therapy (including defibrillation, cardioversion, and pacing) in newborn infants within 28 days after birth, and to provide a comprehensive review of this treatment modality and associated outcomes. Methods: For this systematic review we searched MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials (CENTRAL), and Cumulative Index to Nursing and Allied Health Literature (CINAHL). All articles reporting electric countershock therapy in newborn infants within 28 days after birth were included. Results: In terms of figures, 113 neonates who received electric countershock due to arrhythmias were reported. Atrial flutter (76.1%) was the most common arrhythmia, followed by supraventricular tachycardia (13.3%). Others were ventricular tachycardia (9.7%) and torsade de pointes (0.9%). The main type of electric countershock therapy was synchronized cardioversion (79.6%). Transesophageal pacing was used in twenty neonates (17.7%), and defibrillation was used in five neonates (4.4%). Conclusion: Electric countershock therapy is an effective treatment option in the neonatal period. In atrial flutter especially, excellent outcomes are reported with direct synchronized electric cardioversion.https://www.mdpi.com/2227-9067/10/5/838neonatepretermatrial flutterventricular tachycardiasupraventricular tachycardiaventricular fibrillation |
| spellingShingle | Nathalie Oeffl Marlies Krainer Stefan Kurath-Koller Martin Koestenberger Bernhard Schwaberger Berndt Urlesberger Lukas P. Mileder Cardiac Arrhythmias Requiring Electric Countershock during the Neonatal Period—A Systematic Review Children neonate preterm atrial flutter ventricular tachycardia supraventricular tachycardia ventricular fibrillation |
| title | Cardiac Arrhythmias Requiring Electric Countershock during the Neonatal Period—A Systematic Review |
| title_full | Cardiac Arrhythmias Requiring Electric Countershock during the Neonatal Period—A Systematic Review |
| title_fullStr | Cardiac Arrhythmias Requiring Electric Countershock during the Neonatal Period—A Systematic Review |
| title_full_unstemmed | Cardiac Arrhythmias Requiring Electric Countershock during the Neonatal Period—A Systematic Review |
| title_short | Cardiac Arrhythmias Requiring Electric Countershock during the Neonatal Period—A Systematic Review |
| title_sort | cardiac arrhythmias requiring electric countershock during the neonatal period a systematic review |
| topic | neonate preterm atrial flutter ventricular tachycardia supraventricular tachycardia ventricular fibrillation |
| url | https://www.mdpi.com/2227-9067/10/5/838 |
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