Atrial flutter without structural heart disease in pediatrics: a retrospective review of cases in the Hospital Infantil Miguel Servet, Zaragoza, Spain
Background: Atrial flutter is a rare condition in pediatrics that usually occurs as a late complication after surgery for congenital heart diseases, although it can also appear in structurally normal hearts. Clinical cases: We conducted a retrospective study of cases of atrial flutter with no struct...
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| Format: | Article |
| Language: | English |
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Permanyer
2022-01-01
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| Series: | Boletín Médico del Hospital Infantil de México |
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| Online Access: | https://www.bmhim.com/frame_esp.php?id=331 |
| _version_ | 1798006614156902400 |
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| author | Tamara Moliner-Morón Rebeca Santiago-Cortés Ariadna Ayerza-Casas Marcos Clavero-Adell Lorenzo Jiménez-Montañés Daniel Palanca-Arias |
| author_facet | Tamara Moliner-Morón Rebeca Santiago-Cortés Ariadna Ayerza-Casas Marcos Clavero-Adell Lorenzo Jiménez-Montañés Daniel Palanca-Arias |
| author_sort | Tamara Moliner-Morón |
| collection | DOAJ |
| description | Background: Atrial flutter is a rare condition in pediatrics that usually occurs as a late complication after surgery for congenital heart diseases, although it can also appear in structurally normal hearts. Clinical cases: We conducted a retrospective study of cases of atrial flutter with no structural heart disease diagnosed in a pediatric population (between 0 and 15 years of age) during 2015-2021 in a tertiary hospital. A total of seven cases were diagnosed, with a clear predominance of males (6/7). Of the seven patients, five debuted in the perinatal period: two were diagnosed at 20 and 36 hours of life, and three, prenatally. Among these perinatal cases, more than half (3/5) were preterm. The treatment was electrical cardioversion. The evolution was satisfactory in these cases, and there were no tachycardias in their subsequent development. In contrast, when the debut occurred at a later age (5-7 years), it was associated with channelopathy (Brugada syndrome and catecholaminergic polymorphic ventricular tachycardia), and electrical ablation of the ectopic focus was required due to poor response to pharmacological treatment. Conclusions: This study confirms the low incidence of this pathology in pediatrics and the benignity and good prognosis of neonatal flutter in most cases. The prognosis worsens when atrial flutter is diagnosed in older children, and the probability of concomitant associated heart disease increases.
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| first_indexed | 2024-04-11T12:58:30Z |
| format | Article |
| id | doaj.art-a16a9b6f50464c2a96b20507e15b1562 |
| institution | Directory Open Access Journal |
| issn | 0539-6115 |
| language | English |
| last_indexed | 2024-04-11T12:58:30Z |
| publishDate | 2022-01-01 |
| publisher | Permanyer |
| record_format | Article |
| series | Boletín Médico del Hospital Infantil de México |
| spelling | doaj.art-a16a9b6f50464c2a96b20507e15b15622022-12-22T04:23:01ZengPermanyerBoletín Médico del Hospital Infantil de México0539-61152022-01-0179510.24875/BMHIM.21000202Atrial flutter without structural heart disease in pediatrics: a retrospective review of cases in the Hospital Infantil Miguel Servet, Zaragoza, SpainTamara Moliner-Morón0Rebeca Santiago-Cortés1Ariadna Ayerza-Casas2Marcos Clavero-Adell3Lorenzo Jiménez-Montañés4Daniel Palanca-Arias5Servicio de Pediatría, Hospital Infantil Miguel Servet, Zaragoza. SpainServicio de Pediatría, Hospital Infantil Miguel Servet, Zaragoza. SpainUnidad de Cardiología Pediátrica, Servicio de Pediatría. Hospital Infantil Miguel Servet, Zaragoza. SpainUnidad de Cardiología Pediátrica, Servicio de Pediatría. Hospital Infantil Miguel Servet, Zaragoza. SpainUnidad de Cardiología Pediátrica, Servicio de Pediatría. Hospital Infantil Miguel Servet, Zaragoza. SpainUnidad de Cardiología Pediátrica, Servicio de Pediatría. Hospital Infantil Miguel Servet, Zaragoza. SpainBackground: Atrial flutter is a rare condition in pediatrics that usually occurs as a late complication after surgery for congenital heart diseases, although it can also appear in structurally normal hearts. Clinical cases: We conducted a retrospective study of cases of atrial flutter with no structural heart disease diagnosed in a pediatric population (between 0 and 15 years of age) during 2015-2021 in a tertiary hospital. A total of seven cases were diagnosed, with a clear predominance of males (6/7). Of the seven patients, five debuted in the perinatal period: two were diagnosed at 20 and 36 hours of life, and three, prenatally. Among these perinatal cases, more than half (3/5) were preterm. The treatment was electrical cardioversion. The evolution was satisfactory in these cases, and there were no tachycardias in their subsequent development. In contrast, when the debut occurred at a later age (5-7 years), it was associated with channelopathy (Brugada syndrome and catecholaminergic polymorphic ventricular tachycardia), and electrical ablation of the ectopic focus was required due to poor response to pharmacological treatment. Conclusions: This study confirms the low incidence of this pathology in pediatrics and the benignity and good prognosis of neonatal flutter in most cases. The prognosis worsens when atrial flutter is diagnosed in older children, and the probability of concomitant associated heart disease increases. https://www.bmhim.com/frame_esp.php?id=331Flutter. Heart disease. Arrhythmia. Cardioversion. |
| spellingShingle | Tamara Moliner-Morón Rebeca Santiago-Cortés Ariadna Ayerza-Casas Marcos Clavero-Adell Lorenzo Jiménez-Montañés Daniel Palanca-Arias Atrial flutter without structural heart disease in pediatrics: a retrospective review of cases in the Hospital Infantil Miguel Servet, Zaragoza, Spain Boletín Médico del Hospital Infantil de México Flutter. Heart disease. Arrhythmia. Cardioversion. |
| title | Atrial flutter without structural heart disease in pediatrics: a retrospective review of cases in the Hospital Infantil Miguel Servet, Zaragoza, Spain |
| title_full | Atrial flutter without structural heart disease in pediatrics: a retrospective review of cases in the Hospital Infantil Miguel Servet, Zaragoza, Spain |
| title_fullStr | Atrial flutter without structural heart disease in pediatrics: a retrospective review of cases in the Hospital Infantil Miguel Servet, Zaragoza, Spain |
| title_full_unstemmed | Atrial flutter without structural heart disease in pediatrics: a retrospective review of cases in the Hospital Infantil Miguel Servet, Zaragoza, Spain |
| title_short | Atrial flutter without structural heart disease in pediatrics: a retrospective review of cases in the Hospital Infantil Miguel Servet, Zaragoza, Spain |
| title_sort | atrial flutter without structural heart disease in pediatrics a retrospective review of cases in the hospital infantil miguel servet zaragoza spain |
| topic | Flutter. Heart disease. Arrhythmia. Cardioversion. |
| url | https://www.bmhim.com/frame_esp.php?id=331 |
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