[The nonpharmacological treatment of tachyarrhythmias in 23 children and adolescents].
We comment the results with non pharmacological treatment in 23 patients (mean age 11 +/- 4 years) with multiple episodes of palpitations, most of them required intravenous drugs for interrupting it. Twenty-eight procedures were performed, 17 catheter ablation and 11 surgical interventions. The energy source employed for fulguration until 1990 was DC and since 1991 radiofrequency. The best results with catheter ablation were obtained with accessory pathways. Interruption was achieved in all patients after a mean of 1.2 sessions per patient, but it was definitive in only 72%. Most of the patients (81%) remained asymptomatic without antiarrhythmic drugs. Nine patients with accessory pathways underwent surgery interruption, it was achieved in all; only one patient had arrhythmia recurrence, due to a second pathway in a different localization. We could not ablate a ectopic atrial tachycardia, that underwent surgery. There was only one indication for surgery in a patient with ventricular tachycardia. Catheter ablation does not present technical problem in children and teenagers, different from adults. The presented results lead us to suppose that the indications for non pharmacological treatment in the young will become more common.
Hernández Madrid
A
A
Unidad de Arritmias, Hospital Ramón y Cajal, Madrid.
Casanova
M
M
Novo
L
L
Moro
C
C
Marín-Huerta
E
E
Acerete
F
F
Villagrá
F
F
Díaz
P
P
Lafuente
C
C
Mestre
J L
JL
D000293:Adolescent; D006328:Cardiac Catheterization; D002304:Cardiac Pacing, Artificial / Q000379:methods; D017115:Catheter Ablation / Q000009:adverse effects / Q000379:methods; D002648:Child; D002675:Child, Preschool; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D012008:Recurrence; D012074:Remission Induction; D013610:Tachycardia / Q000175:diagnosis / Q000601:surgery*
Tratamiento no farmacológico de las taquiarritmias en 23 pacientes en edad infantil y juvenil.