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WFRF:(Happonen Juha Matti)
 

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FältnamnIndikatorerMetadata
00003781naa a2200505 4500
001oai:DiVA.org:uu-205633
003SwePub
008130821s2013 | |||||||||||000 ||eng|
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2056332 URI
0247 a https://doi.org/10.1093/europace/eut0822 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Brugada, Josep4 aut
2451 0a Pharmacological and non-pharmacological therapy for arrhythmias in the pediatric population :b EHRA and AEPC-Arrhythmia Working Group joint consensus statement
264 c 2013-07-12
264 1b Oxford University Press (OUP),c 2013
338 a print2 rdacarrier
520 a In children with structurally normal hearts, the mechanisms of arrhythmias are usually the same as in the adult patient. Some arrhythmias are particularly associated with young age and very rarely seen in adult patients. Arrhythmias in structural heart disease may be associated either with the underlying abnormality or result from surgical intervention. Chronic haemodynamic stress of congenital heart disease (CHD) might create an electrophysiological and anatomic substrate highly favourable for re-entrant arrhythmias.As a general rule, prescription of antiarrhythmic drugs requires a clear diagnosis with electrocardiographic documentation of a given arrhythmia. Risk-benefit analysis of drug therapy should be considered when facing an arrhythmia in a child. Prophylactic antiarrhythmic drug therapy is given only to protect the child from recurrent supraventricular tachycardia during this time span until the disease will eventually cease spontaneously. In the last decades, radiofrequency catheter ablation is progressively used as curative therapy for tachyarrhythmias in children and patients with or without CHD. Even in young children, procedures can be performed with high success rates and low complication rates as shown by several retrospective and prospective paediatric multi-centre studies. Three-dimensional mapping and non-fluoroscopic navigation techniques and enhanced catheter technology have further improved safety and efficacy even in CHD patients with complex arrhythmias.During last decades, cardiac devices (pacemakers and implantable cardiac defibrillator) have developed rapidly. The pacing generator size has diminished and the pacing leads have become progressively thinner. These developments have made application of cardiac pacing in children easier although no dedicated paediatric pacing systems exist.
653 a Kardiologi
653 a Cardiology
7001 a Blom, Nico4 aut
7001 a Sarquella-Brugada, Georgia4 aut
7001 a Blomström-Lundqvist, Carinau Uppsala universitet,Kardiologi-arrytmi4 aut0 (Swepub:uu)carinabl
7001 a Deanfield, John4 aut
7001 a Janousek, Jan4 aut
7001 a Abrams, Dominic4 aut
7001 a Bauersfeld, Urs4 aut
7001 a Brugada, Ramon4 aut
7001 a Drago, Fabrizio4 aut
7001 a de Groot, Natasja4 aut
7001 a Happonen, Juha-Matti4 aut
7001 a Hebe, Joachim4 aut
7001 a Yen Ho, Siew4 aut
7001 a Marijon, Eloi4 aut
7001 a Paul, Thomas4 aut
7001 a Pfammatter, Jean-Pierre4 aut
7001 a Rosenthal, Eric4 aut
7102 a Uppsala universitetb Kardiologi-arrytmi4 org
7730 t Europaced : Oxford University Press (OUP)g 15:9, s. 1337-1382q 15:9<1337-1382x 1099-5129x 1532-2092
8564 u https://academic.oup.com/europace/article-pdf/15/9/1337/17860965/eut082.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-205633
8564 8u https://doi.org/10.1093/europace/eut082

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