Atrial Flutter in a Newborn: A Case Report
- سال انتشار: 1402
- محل انتشار: مجله علمی ناباروری ایران، دوره: 14، شماره: 2
- کد COI اختصاصی: JR_IRJN-14-2_008
- زبان مقاله: انگلیسی
- تعداد مشاهده: 126
نویسندگان
Neonatal Health Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Department of Immunology and Allergy ,faculty of medicine, Mashhad University of medical sciences, Mashhad, Iran
Faculty of Medicine, Mashhad University of medical sciences, Mashhad, Iran
Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran
چکیده
Background: Arrhythmia detection in neonates is substantially different from that in older children. The natural history of arrhythmias in the neonatal age group also differs markedly from other ages. Neonatal Cardiac Arrhythmias are found in ۱% to ۵% of newborns during the first ۱۰ days of life. Most are premature supraventricular tachycardia (SVT) beats that will disappear over the first month of life. The most common symptomatic arrhythmia in the neonatal period is SVT, which has an incidence of ۱/۲۵,۰۰۰. Idiopathic neonatal atrial flutter (AFL) is a rare rhythm disorder usually occurring in the first days of life and characterized by sustained tachycardia in newborns and infants with an atrial rate of often at around ۳۴۰-۵۸۰ beats/min. AFL may manifest as asymptomatic tachycardia, congestive heart failure, or hydrops and may be life-threatening and fatal.Case report: We reported a ۳۸-weak-female baby presented with tachycardia during the first physical examination. The patient underwent adenosine therapy twice, and when the electrocardiogram demonstrated atrial flutter, the next choice was cardioversion. After using cardioversion with a dose of ۲ J, the rhythm converted to the normal sinus and the following clinical and laboratory tests showed no abnormality. With early prenatal diagnosis and prompt therapeutic approaches, most of the patients showed good prognosis and there was no need for chronic therapy.Conclusion: Since AFL may result in severe heart failure and even death, it should be noted that careful clinical examination and on-time diagnosis of cardiac arrhythmia are of significant importance.کلیدواژه ها
Atrial Flutter, Newborn, Neonatal cardiac Arrhythmiasاطلاعات بیشتر در مورد COI
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