Neonatal Atrial Flutter Approach: A Case Series
Objective: This study set out to analyze the therapeutic options of patients with neonatal atrial flutter (AFL), considering the diagnostic methods available and the prognosis of these patients. Methodology: A retrospective study was performed by reviewing the medical records of a series of seven pa...
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| Format: | Article |
| Language: | English |
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Linceu Editorial
2020-04-01
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| Series: | Journal of Cardiac Arrhythmias |
| Subjects: | |
| Online Access: | https://jca.emnuvens.com.br/jca/article/view/3375 |
| _version_ | 1811218739445628928 |
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| author | Fernanda Pessa Valente Gustavo Henrique Belarmino Góes Caroline Bernardi Fabro Afonso Luiz Tavares Albuquerque Dário Celestino Sobral Filho |
| author_facet | Fernanda Pessa Valente Gustavo Henrique Belarmino Góes Caroline Bernardi Fabro Afonso Luiz Tavares Albuquerque Dário Celestino Sobral Filho |
| author_sort | Fernanda Pessa Valente |
| collection | DOAJ |
| description | Objective: This study set out to analyze the therapeutic options of patients with neonatal atrial flutter (AFL), considering the diagnostic methods available and the prognosis of these patients. Methodology: A retrospective study was performed by reviewing the medical records of a series of seven patients with atrial fibrillation (AF) diagnosed during fetal or neonatal period. The follow-up time of these patients ranged from 7 months to 3 years and 8 months (mean: 1 year). The clinical data for the diagnosis included sustained heart rate greater than 180 bpm, which was confirmed in all patients by a 12-lead electrocardiogram. Results: Four (57.1%) of the 7 patients studied were male. Most of the patients revealed cardiac arrhythmia during the intrauterine period when screened by fetal ultrasound in the third trimester of gestation (5 patients, i.e. 71.2%). Only the mother of Patient 2 was administered digoxin before childbirth. The atrial rate of the tachyarrhythmia revealed a mean of 375 bpm, with an increase of up to 500 bpm. Atrioventricular conduction presented a 2:1 ratio in all patients, with variations of 3:1 and 4:1 observed in Patients 1, 3 and 6. The ventricular rate ranged from 188 to 250 bpm. All patients revealed typical and counter-clockwise electrocardiogram characteristics. Synchronized electrical cardioversion was the treatment of choice in 6 patients (85.7%), with a dose of 1 J/kg. Conclusion: Early diagnosis, prior treatment, and synchronized electrical cardioversion indicate an excellent prognosis, and prolonged maintenance treatment may be unnecessary.
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| first_indexed | 2024-04-12T07:14:29Z |
| format | Article |
| id | doaj.art-fc6a500b37244d7ebc30a5c984a9ae12 |
| institution | Directory Open Access Journal |
| issn | 2674-7472 |
| language | English |
| last_indexed | 2024-04-12T07:14:29Z |
| publishDate | 2020-04-01 |
| publisher | Linceu Editorial |
| record_format | Article |
| series | Journal of Cardiac Arrhythmias |
| spelling | doaj.art-fc6a500b37244d7ebc30a5c984a9ae122022-12-22T03:42:32ZengLinceu EditorialJournal of Cardiac Arrhythmias2674-74722020-04-01324Neonatal Atrial Flutter Approach: A Case SeriesFernanda Pessa Valente0Gustavo Henrique Belarmino Góes1Caroline Bernardi Fabro2Afonso Luiz Tavares Albuquerque3Dário Celestino Sobral Filho4Instituto de Medicina Integral Professor Fernando Figueira – Recife (PE), Brazil.Universidade de Pernambuco – Faculdade de Ciências Médicas – Recife (PE), Brazil.Universidade de Pernambuco – Faculdade de Ciências Médicas – Recife (PE), Brazil.Pronto Socorro Cardiológico de Pernambuco – Recife (PE), Brazil.Universidade de Pernambuco – Faculdade de Ciências Médicas – Recife (PE), Brazil.Objective: This study set out to analyze the therapeutic options of patients with neonatal atrial flutter (AFL), considering the diagnostic methods available and the prognosis of these patients. Methodology: A retrospective study was performed by reviewing the medical records of a series of seven patients with atrial fibrillation (AF) diagnosed during fetal or neonatal period. The follow-up time of these patients ranged from 7 months to 3 years and 8 months (mean: 1 year). The clinical data for the diagnosis included sustained heart rate greater than 180 bpm, which was confirmed in all patients by a 12-lead electrocardiogram. Results: Four (57.1%) of the 7 patients studied were male. Most of the patients revealed cardiac arrhythmia during the intrauterine period when screened by fetal ultrasound in the third trimester of gestation (5 patients, i.e. 71.2%). Only the mother of Patient 2 was administered digoxin before childbirth. The atrial rate of the tachyarrhythmia revealed a mean of 375 bpm, with an increase of up to 500 bpm. Atrioventricular conduction presented a 2:1 ratio in all patients, with variations of 3:1 and 4:1 observed in Patients 1, 3 and 6. The ventricular rate ranged from 188 to 250 bpm. All patients revealed typical and counter-clockwise electrocardiogram characteristics. Synchronized electrical cardioversion was the treatment of choice in 6 patients (85.7%), with a dose of 1 J/kg. Conclusion: Early diagnosis, prior treatment, and synchronized electrical cardioversion indicate an excellent prognosis, and prolonged maintenance treatment may be unnecessary. https://jca.emnuvens.com.br/jca/article/view/3375Cardiac arrhythmiaSupraventricularNeonatal |
| spellingShingle | Fernanda Pessa Valente Gustavo Henrique Belarmino Góes Caroline Bernardi Fabro Afonso Luiz Tavares Albuquerque Dário Celestino Sobral Filho Neonatal Atrial Flutter Approach: A Case Series Journal of Cardiac Arrhythmias Cardiac arrhythmia Supraventricular Neonatal |
| title | Neonatal Atrial Flutter Approach: A Case Series |
| title_full | Neonatal Atrial Flutter Approach: A Case Series |
| title_fullStr | Neonatal Atrial Flutter Approach: A Case Series |
| title_full_unstemmed | Neonatal Atrial Flutter Approach: A Case Series |
| title_short | Neonatal Atrial Flutter Approach: A Case Series |
| title_sort | neonatal atrial flutter approach a case series |
| topic | Cardiac arrhythmia Supraventricular Neonatal |
| url | https://jca.emnuvens.com.br/jca/article/view/3375 |
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