title: Multiple external electrical cardioversions for refractory neonatal atrial flutter.
abstract: This report describes a case of atrial flutter in a fetal/neonatal patient who did not respond to adenosine, a propafenone bolus, and three electrical external cardioversions. A fourth direct current cardioversion after propafenone premedication resolved the atrial flutter. The arrhythmia did not recur with propafenone therapy during a 12-month follow-up period.
authors.affiliation: Department of Cardiology, San Raffaele University Hospital, Milan, Italy. gulletta.simone@hsr.it
authors.forename: Simone
authors.initials: S
authors.lastname: Gulletta
authors.forename: Rosanna
authors.initials: R
authors.lastname: Rovelli
authors.forename: Rossana
authors.initials: R
authors.lastname: Fiori
authors.forename: Paolo Della
authors.initials: PD
authors.lastname: Bella
mesh_terms: D001282:Atrial Flutter / Q000628:therapy*; D004554:Electric Countershock; D006801:Humans; D007231:Infant, Newborn; D008297:Male