title: [Repeated electrical cardioversions and amiodarone for recurrent neonatal atrial flutter].
abstract: Perinatal atrial flutter is a serious arrhythmia. Its management continues to pose a challenge during the fetal period but also, in rare intractable cases, during the postnatal period. This report describes the case of a neonate who required multiple electrical external cardioversions and amiodarone to resolve a recurrent atrial flutter. This case report suggests that neonatal atrial flutter may be recurrent at short term, that repeated electrical cardioversions with low energy are safe for a neonate, that amiodarone is effective as a premedication before cardioversion and in maintaining sinus rhythm afterward, and finally that the long-term prognosis is good, even when the arrhythmia is initially refractory to therapy.
authors.affiliation: Service de cardiologie pédiatrique, université Libre de Bruxelles (ULB), hôpital universitaire des enfants Reine-Fabiola, 15, avenue J.J.-Crocq, 1020 Bruxelles, Belgique; Service de pédiatrie, université de Liège (ULg), centre hospitalier régional Citadelle, Liège, Belgique.
authors.forename: A-S
authors.initials: AS
authors.lastname: Crochelet
authors.affiliation: Service de cardiologie pédiatrique, université Libre de Bruxelles (ULB), hôpital universitaire des enfants Reine-Fabiola, 15, avenue J.J.-Crocq, 1020 Bruxelles, Belgique; Service de pédiatrie, université de Liège (ULg), centre hospitalier régional Citadelle, Liège, Belgique.
authors.forename: C
authors.initials: C
authors.lastname: Jacquemart
authors.affiliation: Service de cardiologie pédiatrique, université Libre de Bruxelles (ULB), hôpital universitaire des enfants Reine-Fabiola, 15, avenue J.J.-Crocq, 1020 Bruxelles, Belgique. Electronic address: martial.massin@huderf.be.
authors.forename: M
authors.initials: M
authors.lastname: Massin
mesh_terms: D000638:Amiodarone / Q000627:therapeutic use*; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D001282:Atrial Flutter / Q000628:therapy*; D004554:Electric Countershock; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D012008:Recurrence
chemical_list: D000889:Anti-Arrhythmia Agents; D000638:Amiodarone