Bisset G S, Seigel S F, Gaum W E, Kaplan S
Am Heart J. 1981 Mar;101(3):268-72. doi: 10.1016/0002-8703(81)90189-7.
Ten cases of chaotic atrial tachycardia (CAT) in childhood are reported. Patients' ages ranged from 1 day to 18 years (average, 3.5 years) at the time of diagnosis. The patients were divided into groups according to the following criteria: (1) no cardiac disease (n = 5), (2) congenital heart disease (n = 4), and (3) acquired heart disease (n = 1). Nine of the children were treated with digoxin; however, it appears there was no beneficial effect. In fact, the single death in our study group may have been attributable to digitalis intoxication. No children have had recurrence of the arrhythmia after discontinuation of the drug. The duration of the tachyarrhythmia was extremely variable; however, CAT was well tolerated and was self-limiting in our patients.
报告了10例儿童混乱性房性心动过速（CAT）。诊断时患者年龄从1天至18岁不等（平均3.5岁）。患者根据以下标准分组：（1）无心脏病（n = 5），（2）先天性心脏病（n = 4），以及（3）后天性心脏病（n = 1）。9名儿童接受了地高辛治疗；然而，似乎没有有益效果。事实上，我们研究组中的唯一死亡病例可能归因于洋地黄中毒。停药后没有儿童出现心律失常复发。快速心律失常的持续时间极不相同；然而，CAT在我们的患者中耐受性良好且为自限性。
