ISSN 2149-2263 | E-ISSN 2149-2271
The Anatolian Journal of Cardiology
Clinical Course and Electrophysiological Characteristics of Permanent Junctional Reciprocating Tachycardia in Children [Anatol J Cardiol]
Anatol J Cardiol. 2022; 26(12): 880-885 | DOI: 10.5152/AnatolJCardiol.2022.1948

Clinical Course and Electrophysiological Characteristics of Permanent Junctional Reciprocating Tachycardia in Children

Yakup Ergül1, Ayşe Sulu1, Bahar Çaran1, Hasan Candaş Kafalı1, Celal Akdeniz2, Volkan Tuzcu2
1Department of Pediatric Cardiology, University of Health Sciences, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
2Department of Pediatric Cardiology, University of Mediopol, İstanbul, Turkey

Background: In this study, we aimed to evaluate the clinical aspects, electrophysiological studies, and ablation results of permanent junctional reciprocating tachycardia in children.

Methods: The study comprised 29 pediatric patients diagnosed with permanent junctional reciprocating tachycardia between 2011 and 2021 in 2 pediatric electrophysiology centers. From the file records, the basic demographic characteristics of the patients, as well as electrocardiographic and echocardiographic findings, were acquired retrospectively. The medical treatment and responses of the patients throughout follow-up, as well as the electrophysiological study and ablation data of the patients who had electro-physiological study, were assessed.

Results: The mean age at diagnosis of the patients was 3.13 ± 4.43 (0-18) years and the
mean weight was 18.22 ± 19.68 (3.8-94) kg. Eighteen patients (62.1%) were girls. Eleven patients (38%) developed tachycardia-induced cardiomyopathy. Tachycardia was incessant in 15 patients (51.7%). In total, 22 patients required 26 ablation procedures. Tachycardia-induced cardiomyopathy and multidrug-resistant tachycardia were the most prevalent indications for ablation. The right posteroseptal pathway was detected in 18 patients (81.8%). The acute procedure success rate was 100% (22/22). The recurrence rate was 18% (4/22) and 3 of them underwent successful ablation again. The overall success percentage was 95.4% (21/22). None of the patients had any complications. The
mean follow-up period was 4.39 ± 3.05 years.

Conclusion: Although permanent junctional reciprocating tachycardia is uncommon, it is often persistent, resistant to medical treatment, and associated with a substantial risk of tachycardia-induced cardiomyopathy. Catheter ablation can be performed on these patients at any age, with minimal risk of complications and a high success rate. It is crucial to keep monitor of the patients’ recurrence.

Keywords: Arrhythmia, catheter ablation, permanent junctional reciprocating tachycardia, supraventricular tachycardia, tachycardia-induced cardiomyopathy

Yakup Ergül, Ayşe Sulu, Bahar Çaran, Hasan Candaş Kafalı, Celal Akdeniz, Volkan Tuzcu. Clinical Course and Electrophysiological Characteristics of Permanent Junctional Reciprocating Tachycardia in Children. Anatol J Cardiol. 2022; 26(12): 880-885

Corresponding Author: Ayşe Sulu, Türkiye
Manuscript Language: English


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Journal Citation Indicator: 0.18
CiteScore: 1.1
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SCImago Journal Rank: 0.348

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