Ivabradine Monotherapy for the Treatment of Congenital Junctional Ectopic Tachycardia in a Premature Neonate.

Suzan S Asfour, Khalid A Al-Omran, Nabeel A Alodhaidan, Raneem S Asfour, Thanaa M Khalil, Mountasser M Al-Mouqdad
Author Information

Abstract

Congenital junctional ectopic tachycardia is a rare and special type of supraventricular arrhythmia. Junctional ectopic tachycardia is characterized by persistently elevated heart rates that may cause an impairment in cardiac function. Junctional ectopic tachycardia is considered one of the most difficult-to-treat conditions even with a combination of antiarrhythmic medications. Ivabradine is a novel antiarrhythmic medication used to decrease the heart rate in adults with angina pectoris. We report a first case of a premature neonate with a normal heart structure who developed junctional ectopic tachycardia and was subsequently treated successfully with ivabradine.

Keywords

References

  1. Drug Des Devel Ther. 2014 Jun 03;8:689-700 [PMID: 24940047]
  2. Am J Cardiol. 1979 Aug;44(2):298-302 [PMID: 463767]
  3. J Cardiovasc Electrophysiol. 2013 Jul;24(7):822-4 [PMID: 23373720]
  4. Heart Rhythm. 2016 Jun;13(6):1297-302 [PMID: 27216242]
  5. Lancet. 2010 Sep 11;376(9744):875-85 [PMID: 20801500]
  6. HeartRhythm Case Rep. 2019 Mar 26;5(6):333-337 [PMID: 31285993]
  7. J Allergy Clin Immunol. 2000 Sep;106(3 Suppl):S128-38 [PMID: 10984393]
  8. Eur J Cardiothorac Surg. 2011 Jan;39(1):75-80 [PMID: 20537549]
  9. Pacing Clin Electrophysiol. 2018 Oct;41(10):1372-1377 [PMID: 29856078]
  10. Circulation. 1990 May;81(5):1544-9 [PMID: 2184944]
  11. Drugs. 2004;64(16):1757-65 [PMID: 15301560]
  12. J Am Coll Cardiol. 2009 Feb 24;53(8):690-7 [PMID: 19232902]
  13. J Am Coll Cardiol. 2017 Sep 5;70(10):1262-1272 [PMID: 28859790]

Word Cloud

Created with Highcharts 10.0.0ectopictachycardiajunctionalJunctionalheartCongenitalantiarrhythmicIvabradinereportcaseprematureneonateivabradinerarespecialtypesupraventriculararrhythmiacharacterizedpersistentlyelevatedratesmaycauseimpairmentcardiacfunctionconsideredonedifficult-to-treatconditionsevencombinationmedicationsnovelmedicationuseddecreaserateadultsanginapectorisfirstnormalstructuredevelopedsubsequentlytreatedsuccessfullyMonotherapyTreatmentEctopicTachycardiaPrematureNeonatecongenital

Similar Articles

Cited By