Most, 36 (72%), presented within the first 48 h of life. Congestive heart failure was evident in 10 infants, with 6 presenting at 1 day of age, and 4 presenting beyond 1 month of age. The remainder were asymptomatic. [onlinejacc.org]

Presently baby is 6 months old and there is no recurrence. [pediatriconcall.com]

Patients that present with a new finding of WPW can often present with atrial fibrillation, along with symptoms such as those described above. [quizlet.com]

Peak age of presentation is late teenage years to the 20s, and a common presenting symptom is syncope with exercise. [onlinejets.org]

In the present series, adenosine and/or diltiazem were helpful both to establish the diagnosis and for initial management of the patient who presented with fast tachycardia and narrow QRS complex (eight of the 19 patients). [onlinelibrary.wiley.com]

• Weakness

  It is important to visit your child’s healthcare provider if your child displays any of these symptoms: Weakness or fatigue; tiring easily with exercise Pounding, pain or pressure in the chest Shortness of breath Fainting or lightheadedness Your doctor [heart.org]

  These include shortness of breath, weakness, dizziness, lightheadedness, fainting or near fainting, and chest pain or discomfort. [mayoclinic.org]

  But you may feel Palpitations -- an abnormal rapid heartbeat Shortness of breath Weakness or difficulty exercising Chest pain Dizziness or fainting Fatigue Confusion AF can lead to an increased risk of stroke. [fpnotebook.com]

  A 30-year-old Japanese woman presents with dizziness and weakness. On examination, her blood pressure is 90/60 mm Hg. Her upper extremities are cold. Both of her radial pulses are very weak. [quizlet.com]

  IDC results in a heart that is too weak to circulate the blood properly. The most common problem is congestive heart failure. [transplantbuddies.org]

• Collapse

  […] of chest pain or collapse. [patient.info]

  Most atrial flutter cases in neonates have a benign course, but some cases that occur along with congenital heart disease can result in a high risk of an intractable tachycardia attack with hemodynamically cardiac collapse. [omicsonline.org]

  Metabolic acidosis results from decreased cardiac output (as in cardiovascular collapse and shock), leading to poor perfusion of peripheral tissues and lactic acidosis. [usmleforum.com]

  Cardiovascular collapse after verapamil in supraventricular tachycardia. Arch Dis Child 1987 ; 62: 1265 – 82. Google Scholar | Crossref | Medline 104. Gulamhusein, S, Ko, P, Carrutners, SG, Klein, GJ. [journals.sagepub.com]

  George X collapsed in town. David X had an ‘out of body’ experience and ‘strange floating sensations’ while driving. [healthtalk.org]

• Unconsciousness

  I mean it’s not physically that traumatic but I did, and I don’t know whether it was partly, I don’t know, something happens to you on kind at a deep unconscious level, but I just felt like I’d been battered [laughs] somehow. [healthtalk.org]

• Incontinence

  He denies extremity numbness, tingling, muscle weakness, incontinence, and changes in mental status. He further denies rhinorrhea, ocular discharge, nausea, and vomiting. [quizlet.com]

• Tremor

  Definition (CHV) rapid tremor and shake of upper chambers of the heart Definition (CHV) rapid tremor and shake of upper chambers of the heart Definition (CHV) rapid tremor and shake of upper chambers of the heart Definition (CHV) rapid tremor and shake [fpnotebook.com]

  Physical exam reveals exophthalmos, a mass in the midline of her neck that moves with deglutition, fine resting tremor, and hyperactive reflexes. Her thyroid stimulating hormone (TSH) level is low. [quizlet.com]

WORKUP Section 5 of 11 Author Information Introduction Clinical Differentials Workup Treatment Medication Follow-up Miscellaneous Pictures Bibliography Lab Studies: Initial presentation usually includes subtle signs of feeding intolerance, such as gastric [usmleforum.com]

Continuing the esmolol infusion and monitoring is also important but this patient also needs further workup, i.e. cardiac catheterization, prior to going to the operating room. [quizlet.com]

It concluded that catheter ablation had a lower cost, mortality and morbidity than drug treatment or surgery and should be the treatment of choice in that situation. [indianpediatrics.net]

If the arrhythmia persists after correction of all factors, treatment should be provided. [escardio.org]

Management and treatment The first aim of treatment is the restoration of sinus rhythm. This is most easily achieved by transoesophageal overdrive pacing or synchronised low energy DC cardioversion using around 0.5-1 J/kg. [orpha.net]

The preferred drug for treatment of APBs is a β1-selective agent (metoprolol). [ecrjournal.com]

CONCLUSIONS: Neonatal atrial flutter is an arrhythmia with significant acute morbidity but an excellent long-term prognosis. [ncbi.nlm.nih.gov]

Prognosis In the absence of additional arrhythmias, infants with AFL have an excellent prognosis once in sinus rhythm, with a low risk of recurrence, and chronic anti arrhythmic therapy is unlikely to be necessary. [orpha.net]

Isolated neonatal atrial flutter: clinical features, prognosis and therapy. G Ital Cardiol 1998 ; 28 : 365 – 368. [cambridge.org]

Once in sinus rhythm, infants with AF have an excellent prognosis and may not require chronic antiarrhythmic therapy. (5) This baby did not have underlying congenital heart disease, electrolyte imbalance or any other associated arrhythmia hence was not [pediatriconcall.com]

Pathophysiology is emphasized throughout, providing a sound basis for discussions of the diagnosis, treatment, and prognosis that follow. [books.google.de]

AFL is sustained although conversion from atrial flutter to sinus rhythm may occur spontaneously ( Etiology The etiology of AFL is unknown but immaturity of the myocardium and the high pressure in the right atrium during the perinatal period may be factors [orpha.net]

Etiology – Atrial Flutter The etiology of atrial flutter is similar to that of atrial fibrillation. Identifying the etiology of cannot be under-emphasized, as treating the cause is frequently necessary to eliminate recurrences of atrial flutter. [healio.com]

Tiwari S, Sahu M View full Text pdf Etiological spectrum and complications of acute diarrhoeal diseases in adults. [ijrrms.com]

[from ORDO ] Etiology Pacing Clin Electrophysiol 2016 Aug;39(8):792-6. Epub 2016 Jun 7 doi: 10.1111/pace.12888. PMID: 27196949 Till J, Wren C Br Heart J 1992 Jan;67(1):80-3. doi: 10.1136/hrt.67.1.80. [ncbi.nlm.nih.gov]

Aliases & Classifications for Idiopathic Neonatal Atrial Flutter MalaCards integrated aliases for Idiopathic Neonatal Atrial Flutter: Name: Idiopathic Neonatal Atrial Flutter 60 Characteristics: Orphanet epidemiological data: 60 idiopathic neonatal atrial [malacards.org]

Anatomy, Physiology, and Epidemiology of Arrhythmias. ECGs and Other Recording Devices. Other Diagnostic Techniques. The Normal ECG and Variants. Interpretation of the ECG in Tachycardia. Adenosine in the Diagnosis of Tachycardias. [terkko.helsinki.fi]

Summary Epidemiology AFL is rare with an approximate incidence of around 1/50,000 live births in Europe. Clinical description AFL has a neonatal onset and the majority (72%) of patients present with symptoms within the first 48 h of life. [orpha.net]

We aim to provide a comprehensive review of the epidemiology and pathophysiology by which alcohol may be responsible for AF and determine whether alcohol abstinence is required for patients with AF. [onlinejacc.org]

Pathophysiology is emphasized throughout, providing a sound basis for discussions of the diagnosis, treatment, and prognosis that follow. [books.google.de]

This review describes the pathophysiology and corresponding electrocardiographic findings of each arrhythmia. In addition, this summary compares the clinical findings, management, and outcomes of these arrhythmias during fetal and postnatal life. [hw-f5-neoreviews.highwire.org]

To date, the pathophysiological mechanisms responsible for AF are not fully understood, and it is likely that this arrhythmia represents a final common phenotype of multiple. [ingentaconnect.com]

It aims to reduce delays in recognising and treating sick babies and prevent unnecessary use of antibiotics. [nice.org.uk]

Succinct, targeted coverage of normal childhood growth and development, as well as the diagnosis, management, and prevention of common pediatric diseases and disorders, make this an ideal medical reference book for students, pediatric residents, nurse [books.google.ro]

To prevent recurrences, we treated four patients with amiodarone, one with amiodarone combined with propranolol and one with digoxin. During the follow-up (22 +/- 11 months), neither arrhythmia recurrences nor side-effects of the therapy occurred. [ncbi.nlm.nih.gov]