Van Hare G F, Velvis H, Langberg J J
Department of Pediatrics, University of California, San Francisco 94143-0632.
Pacing Clin Electrophysiol. 1990 Jun;13(6):730-5. doi: 10.1111/j.1540-8159.1990.tb02099.x.
Congenital junctional tachycardia is a difficult-to-control rhythm in children which has a high mortality rate with current management. A 10-month-old child followed since birth with the diagnosis of congenital junctional ectopic tachycardia is reported. He failed treatment with multiple antiarrhythmic agents, and underwent an electrophysiology study. The junctional focus was successfully ablated using transcatheter radiofrequency energy. This technique may be safer than high voltage DC shock ablation, particularly in small children.
先天性交界性心动过速是儿童中一种难以控制的心律失常，目前的治疗方法死亡率很高。本文报告了一名自出生起就被诊断为先天性交界性异位心动过速并接受随访的10个月大儿童。他使用多种抗心律失常药物治疗均失败，随后接受了电生理检查。通过导管射频能量成功消融了交界性起搏点。该技术可能比高电压直流电休克消融更安全，尤其是对于小儿患者。
