J Pediatr Intensive Care 2021; 10(04): 317-322
DOI: 10.1055/s-0040-1713676
Case Report

Treatment of Permanent Junctional Reciprocating Tachycardia in a Preterm Neonate: Case Report

Ozkan Ilhan
1   Department of Pediatrics, Division of Neonatology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
,
Nilay Hakan
1   Department of Pediatrics, Division of Neonatology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
,
Hulya Kayilioglu
2   Department of Pediatrics, Division of Pediatric Neurology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
,
Ulviye Kirli
3   Department of Pediatrics, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
,
Mehmet Karacan
4   Department of Pediatrics, Division of Pediatric Cardiology, Istanbul Umraniye Training and Research Hospital, Istanbul, Turkey
,
Hasim Olgun
5   Department of Pediatrics, Division of Pediatric Cardiology, Faculty of Medicine, Mugla Sitki Kocman University, Mugla, Turkey
› Author Affiliations

Abstract

Permanent junctional reciprocating tachycardia (PJRT) is most often observed in infants and children and can lead to incessant tachycardia. PJRT is usually refractory to medical treatment. Tachycardia may infrequently occur in the fetus in which case fetal tachycardia transplacental treatment should be started immediately. Term delivery is recommended for fetuses with tachycardia in the absence of significant clinical compromise to avoid complications of preterm birth. Herein, a 36-week preterm neonate presented with PJRT. He had tachycardia in the fetal period and was treated with digoxin, amiodaron, and esmolol therapy after birth without undergoing the catheter ablation procedure.



Publication History

Received: 30 April 2020

Accepted: 24 May 2020

Article published online:
15 July 2020

© 2020. Thieme. All rights reserved.

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