Journal ArticleDOI
Junctional tachycardia in a child with non-rheumatic fever streptococcal pharyngitis.
TLDR
A hitherto unreported case of isolated junctional tachycardia in a child with streptococcal pharyngitis, not meeting revised Jones criteria for rheumatic fever is described.Abstract:
Accelerated junctional rhythm has been reported in children in the setting of acute rheumatic fever; however, we describe a hitherto unreported case of isolated junctional tachycardia in a child with streptococcal pharyngitis, not meeting revised Jones criteria for rheumatic fever. A previously healthy, 9-year-old girl presented to the emergency department with complaints of sore throat, low-grade fever, and intermittent chest pain. She was found to have a positive rapid streptococcal antigen test. The initial electrocardiogram showed junctional tachycardia with atrioventricular dissociation in addition to prolonged and aberrant atrioventricular conduction. An echocardiogram revealed normal cardiac anatomy with normal biventricular function. The patient responded to treatment with amoxicillin for streptococcal pharyngitis. The junctional tachycardia and other electrocardiogram abnormalities resolved during follow-up.read more
Citations
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Left posterior fascicular ventricular tachycardia in a young infant with a structurally normal heart: Clinical course and caveats to electrocardiographic diagnosis.
TL;DR: In this illustrative case report, a rare case of left posterior fascicular ventricular tachycardia in a 2 month-old infant is described with emphasis on electrocardiographic caveats to diagnosis.
References
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Journal ArticleDOI
Revision of the Jones Criteria for the Diagnosis of Acute Rheumatic Fever in the Era of Doppler Echocardiography A Scientific Statement From the American Heart Association
Michael H. Gewitz,Robert S. Baltimore,Lloyd Y. Tani,Craig Sable,Stanford T. Shulman,Jonathan R. Carapetis,Bo Remenyi,Kathryn A. Taubert,Ann F. Bolger,Lee B. Beerman,Bongani M. Mayosi,Andrea Beaton,Natesa G. Pandian,Kaplan El +13 more
TL;DR: This revision of the Jones criteria now brings them into closer alignment with other international guidelines for the diagnosis of acute rheumatic fever by defining high-risk populations, recognizing variability in clinical presentation in these high- risk populations, and including Doppler echocardiography as a tool to diagnose cardiac involvement.
Journal ArticleDOI
Junctional ectopic tachycardia in children: Electrocardiography, electrophysiology and pharmacologic response
Arthur Garson,Paul C. Gillette +1 more
TL;DR: In this article, the authors evaluated four children, including two sisters, with junctional ectopic tachycardia; intracardiac electrophysiologic recordings were performed in three of them.
Journal ArticleDOI
Pediatric Nonpost-Operative Junctional Ectopic Tachycardia: Medical Management and Interventional Therapies
Kathryn K. Collins,George F. Van Hare,Naomi J. Kertesz,Ian H. Law,Yaniv Bar-Cohen,Anne M. Dubin,Susan P. Etheridge,Charles I. Berul,Jennifer N. Avari,Volkan Tuzcu,Narayanswami Sreeram,Michael Schaffer,Anne Fournier,Shubhayan Sanatani,Christopher S. Snyder,Richard T. Smith,Luis Arabia,Robert J. Hamilton,Terrence Chun,Leonardo Liberman,Bahram Kakavand,Thomas Paul,Ronn E. Tanel +22 more
TL;DR: Patients with nonpost-operative JET have a wide range of clinical presentations, with younger patients demonstrating higher morbidity and mortality, with the majority of patients having a good clinical outcome.
Journal ArticleDOI
Congenital junctional ectopic tachycardia in children and adolescents: a 20 year experience based study
Berardo Sarubbi,B Musto,Valentino Ducceschi,A D‘Onofrio,C Cavallaro,F Vecchione,C Musto,Raffaele Calabrò +7 more
TL;DR: The purpose of this study is to examine retrospectively the clinical presentation and outcome of a cohort of nine patients with congenital JET referred during a 20 year period time to a single unit and all medically treated.
Journal ArticleDOI
Junctional Ectopic Tachycardia After Infant Heart Surgery: Incidence and Outcomes
Jeffrey D. Zampi,Jennifer C. Hirsch,James G. Gurney,Janet E. Donohue,Sunkyung Yu,Martin J. LaPage,David A. Hanauer,John R. Charpie +7 more
TL;DR: The overall incidence of JET in infants after open cardiac surgery was 14.3 %.