title: [Tachycardiac arrhythmia in children without congenital heart diseases].
abstract: Based on invasive electrophysiological studies and ablation procedures of tachycardias in children and adolescents, the understanding and knowledge of the different tachycardia substrates have significantly increased in recent years. This article describes the underlying pathophysiological mechanisms together with the expected changes in electrocardiogram (ECG) of the four most common types of supraventricular tachycardia in children and adolescents without congenital heart defects: atrioventricular reentrant tachycardia, atrioventricular nodal reentrant tachycardia, focal atrial tachycardia and permanent junctional reentrant tachycardia. Furthermore, idiopathic ventricular tachycardia is described. The incidence, clinical symptoms, natural course and prognosis of each particular tachycardia will be specified . The pharmacological and interventional treatment will be the focus of other reports in this issue. Finally, the current recommendations for the approach to asymptomatic children and adolescents with preexcitation are discussed according to the current guidelines.
authors.affiliation: Klinik für Kinder- und Jugendmedizin, Westpfalz-Klinikum Kaiserslautern, Hellmut-Hartert-Straße 1, 67655, Kaiserslautern, Deutschland, tkriebe@gwdg.de.
authors.forename: Thomas
authors.initials: T
authors.lastname: Kriebel
authors.forename: Angelika
authors.initials: A
authors.lastname: Lindinger
mesh_terms: D000889:Anti-Arrhythmia Agents / Q000592:standards / Q000627:therapeutic use*; D002309:Cardiology / Q000592:standards*; D017115:Catheter Ablation / Q000592:standards*; D002675:Child, Preschool; D004562:Electrocardiography / Q000592:standards*; D005260:Female; D005858:Germany; D006330:Heart Defects, Congenital / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D017410:Practice Guidelines as Topic; D013610:Tachycardia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*
chemical_list: D000889:Anti-Arrhythmia Agents
references.citation: Am J Cardiol. 1998 Oct 15;82(8):956-60
references.pmid: 9794351
references.citation: Heart Rhythm. 2012 Jun;9(6):1006-24
references.pmid: 22579340
references.citation: J Am Coll Cardiol. 2004 Feb 4;43(3):438-44
references.pmid: 15013128
references.citation: J Am Coll Cardiol. 1999 Jun;33(7):2067-72
references.pmid: 10362215
references.citation: Eur Heart J. 1998 May;19 Suppl E:E25-31, E52-3
references.pmid: 9717021
references.citation: Circ J. 2005 Mar;69(3):273-6
references.pmid: 15731530
references.citation: J Am Coll Cardiol. 2009 Jan 20;53(3):275-80
references.pmid: 19147045
references.citation: Eur Heart J. 1998 Jun;19(6):936-42
references.pmid: 9651719
references.citation: J Cardiovasc Electrophysiol. 2004 Jul;15(7):759-70
references.pmid: 15250858
references.citation: Circulation. 2008 Jun 3;117(22):2850-8
references.pmid: 18506001
references.citation: Heart. 2006 Jan;92(1):101-4
references.pmid: 15831598
references.citation: Europace. 2013 Sep;15(9):1337-82
references.pmid: 23851511