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Ivabradine for congenital junctional ectopic tachycardia in siblings

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on narrow complex QRS tachycardia with heart rate around 190–200 beats/min and atrioventricular (AV) dissociation with ventricular rate faster than atrial rate [Figure 1a]. Echocardiogram revealed a moderate left ventricular… Click to show full abstract

on narrow complex QRS tachycardia with heart rate around 190–200 beats/min and atrioventricular (AV) dissociation with ventricular rate faster than atrial rate [Figure 1a]. Echocardiogram revealed a moderate left ventricular (LV) dysfunction with ejection fraction of 40% and an otherwise structurally normal heart. Her initial medication included appropriate dosages of amiodarone, propranolol, flecainide, and enalapril. Her heart rate was controlled to 170 beats/min but the arrhythmia continued.

Keywords: congenital junctional; rate; ivabradine congenital; ectopic tachycardia; junctional ectopic; tachycardia siblings

Journal Title: Annals of Pediatric Cardiology
Year Published: 2018

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