Review of atrial fibrillation for the general paediatrician
Paediatric atrial fibrillation (AF) is an infrequent entity in the absence of congenital heart disease as children are unlikely to have the structural and functional changes in their myocardium to sustain the arrhythmia. Any child presenting with this arrhythmia needs to be carefully evaluated for c...
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Published in | Journal of paediatrics and child health Vol. 57; no. 10; pp. 1564 - 1571 |
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Main Authors | , |
Format | Journal Article |
Language | English |
Published |
Australia
John Wiley & Sons Australia, Ltd
01.10.2021
Blackwell Publishing Ltd |
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Abstract | Paediatric atrial fibrillation (AF) is an infrequent entity in the absence of congenital heart disease as children are unlikely to have the structural and functional changes in their myocardium to sustain the arrhythmia. Any child presenting with this arrhythmia needs to be carefully evaluated for concealed cardiac pathology such as cardiomyopathy or inherited arrhythmia syndromes. AF leading to a haemodynamically unstable patient is rare and should prompt synchronised cardioversion, while stable patients can be discussed with a paediatric cardiologist. Tachycardia‐induced cardiomyopathy and thromboembolism are possible complications of sustained AF and anticoagulation is usually indicated to prevent the latter. Risk of AF increases with age and body mass index. Obesity and athletics are known risk factors and recurrence can be seen even in the absence of any identifiable underlying pathology. |
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AbstractList | Paediatric atrial fibrillation (AF) is an infrequent entity in the absence of congenital heart disease as children are unlikely to have the structural and functional changes in their myocardium to sustain the arrhythmia. Any child presenting with this arrhythmia needs to be carefully evaluated for concealed cardiac pathology such as cardiomyopathy or inherited arrhythmia syndromes. AF leading to a haemodynamically unstable patient is rare and should prompt synchronised cardioversion, while stable patients can be discussed with a paediatric cardiologist. Tachycardia‐induced cardiomyopathy and thromboembolism are possible complications of sustained AF and anticoagulation is usually indicated to prevent the latter. Risk of AF increases with age and body mass index. Obesity and athletics are known risk factors and recurrence can be seen even in the absence of any identifiable underlying pathology. |
Author | Taylor, Luke Edward Pflaumer, Andreas |
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Cites_doi | 10.1016/j.hlc.2018.06.1043 10.1161/01.CIR.0000134280.40573.D8 10.1161/CIRCULATIONAHA.111.019893 10.1155/2013/976976 10.1186/1752-1947-5-18 10.1016/S1053-2498(02)01193-2 10.1172/JCI46315 10.1016/j.cjca.2013.06.014 10.1111/j.1540-8159.2006.00551.x 10.1016/j.jpeds.2012.09.016 10.1542/peds.59.2.250 10.1093/eurheartj/ehw210 10.1136/heartjnl-2018-314267 10.1016/j.resuscitation.2010.04.028 10.1093/eurheartj/ehu113 10.1016/j.hlc.2015.07.020 10.1097/01.pec.0000199558.88733.49 10.1093/ehjci/jeaa183 10.1007/s00246-007-9111-1 10.1007/s00246-017-1608-7 10.1161/01.CIR.0000153421.88823.C6 10.2165/00007256-200838080-00006 10.1111/j.1747-0803.2009.00368.x 10.1016/j.hrthm.2017.05.012 10.1161/CIR.0000000000000041 10.1016/j.hrthm.2016.06.008 10.1111/j.1540-8159.2004.00417.x 10.1016/j.ccl.2008.09.003 10.1080/14779072.2018.1490644 10.1016/j.amjmed.2009.02.012 |
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SubjectTerms | atrial fibrillation Cardiac arrhythmia cardiac electrophysiology Cardiomyopathy Congenital diseases Hemodynamics paediatric arrhythmia Pediatrics Physicians supraventricular tachycardia |
Title | Review of atrial fibrillation for the general paediatrician |
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