Cardioversion in Childhood


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Authors

  • F. ilhan Tezcan Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü
  • Arman Bilgiç Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü
  • Muhsin Saraçlar Hacettepe Üniversitesi Çocuk Sağlığı Enstitüsü

DOI:

https://doi.org/10.58600/eurjther.19900101-461

Keywords:

Cardiac arrhythmia, cardioversion, atrial fibrillation

Abstract

In Hacettepe Chidren's Hospital Pediatric Cardiology Unit cardioversion is applied to twenty-nine patients with cardiac arrhythmia who didn't recover with drug therapy. Successful cardioversion is achieved in 39 trials (93%). Temporary rhythm disorders occured during the proceduri, but no tromboembolism were remorked. Long time follow-up of the patients revealed that 7 cases (25 %) kept sinus rhythm more than twelve months. The period which the patients taking quinidine remained in sinus rhythm is significantly longer compared with the patient who didn't receive the drug. On the other hand, the patients whose hemodynamic conditions were restored by valve replacement in addition to the quinidine thrapy, retained the sinus rhythm significantly langer than the ons who weren't operated. Our study showed that in cases with rheumatic heart disease in asociation with atrial fibrillation it the ventricular rate can be controlled by digitalis, cardioversion after valve replacement together with quinidine administration can retain sinus rhythm far a long time.

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References

Zipes PD, Heger JJ, Miles WM et al. Early experience with an imlantable cardioverter. N. Engl J Med 331: 485, 1984

Resnekov L. Theory and practice of electroversion of cardiac dysrhythmias. Med Clin N Amer 60: 325. 1976

Kerber RE. Energy, current and success in defibrillation and cardioversion: clinical studies using an automated impedance based method of enerfy adjustment. Circulation 77: 1038, 1988

DeSilva R, Graboys TB, Podrid J et al. Cardioversion and defibrillation Am Heart J 100: 881, 1980

Lown B, Amarasingham R, Neuman J. New method tor terminating cardiac arrhy1mia. Use of synchronized capacitor discharge. JAMA 182: 548, 1982

Szekely B, Batson GA, Stark DC. Direct current shock therapy of cardiac arrhy1mias. Brit Heart J 28: 366, 1966

Resnekov L, McDonald L. Appraisal of electroversion in treatment of cardiac dysrhy1mias. Brit Heart J 30: 786, 1968

Vassaux C, Lown B. Cardioversion of electroversion of supraventricular tachycardias. Circulation 39: 791, 1969

Lown B, Kleigher R, Wolff G. The tecnique of cardioversion. Am. Heart J 67: 282, 1964

Resnekov L, McDonald L. Complication in 220 patients with cardiac dysrhy1hmias treated by phased direct current shock and indications tor electroversion Brit Heart j 32: 600, 1970

Szekely P, Sideris DA, Batson GA. Maintenance of sinus rhy1hm after atrial defibrillation. Brit heart J 32: 741, 1970

Morris J, Peter Mclntosh H. Electrical conversion of atrial fibrillation. lmmediate and long term results and selection of patients. Ann lnt Med 65: 216, 1966

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Published

1990-01-01

How to Cite

Tezcan, F. ilhan, Bilgiç, A., & Saraçlar, M. (1990). Cardioversion in Childhood. European Journal of Therapeutics, 1(1), 35–39. https://doi.org/10.58600/eurjther.19900101-461

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Section

Original Articles