TY - JOUR
T1 - Atrial flutter in infancy
AU - Moller, James H.
AU - Davachi, Farzin
AU - Anderson, Ray C.
N1 - Funding Information:
From the Department o\[ Pediatrics, University of Minnesota. Supported by the Dwan Family Fund.
PY - 1969/10
Y1 - 1969/10
N2 - Atrial flutter and atrial fibrillation present difficult problems in management, particularly during infancy. The clinical experience with 6 personally observed and 30 reported cases of infantile atrial flutter is described. Two types of flutter are distinguished: type I (congenital), which occurs prior to birth or within the first week of life, responds to digitalis in about half the cases, and has a nearly equal sex distribution; and type II (paroxysmal), which occurs predominantly in males and infrequently responds to digitalization. The prognosis is poor if either atrial fibrillation or a coexistent congenital cardiac defect is present. Even in patients without these conditions, the prognosis is guarded. Digitalis is the treatment of choice since it induces a sinus rhythm in many cases and slows the ventricular response in the remainder. Cardioversion, although tried in only one patient, should be a useful therapeutic tool.
AB - Atrial flutter and atrial fibrillation present difficult problems in management, particularly during infancy. The clinical experience with 6 personally observed and 30 reported cases of infantile atrial flutter is described. Two types of flutter are distinguished: type I (congenital), which occurs prior to birth or within the first week of life, responds to digitalis in about half the cases, and has a nearly equal sex distribution; and type II (paroxysmal), which occurs predominantly in males and infrequently responds to digitalization. The prognosis is poor if either atrial fibrillation or a coexistent congenital cardiac defect is present. Even in patients without these conditions, the prognosis is guarded. Digitalis is the treatment of choice since it induces a sinus rhythm in many cases and slows the ventricular response in the remainder. Cardioversion, although tried in only one patient, should be a useful therapeutic tool.
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U2 - 10.1016/S0022-3476(69)80461-0
DO - 10.1016/S0022-3476(69)80461-0
M3 - Article
C2 - 5809841
AN - SCOPUS:0014589791
SN - 0022-3476
VL - 75
SP - 643
EP - 651
JO - The Journal of pediatrics
JF - The Journal of pediatrics
IS - 4
ER -