Para-Hisian atrial tachycardia: A neglected cause of severe heart failure in children

Authors

  • Aliaa Tarek Aswan Heart Centre, Magdi Yacoub Foundation, Egypt
  • Wessam Ali Aswan Heart Centre, Magdi Yacoub Foundation, Egypt
  • Mohamed Sayed Aswan Heart Centre, Magdi Yacoub Foundation, Egypt
  • Tarek Hammouda Aswan Heart Centre, Magdi Yacoub Foundation, Egypt & Cardiology Department, Kasr Al Ainy Hospitals, Cairo University, Cairo, Egypt
  • Omnia Kamel Aswan Heart Centre, Magdi Yacoub Foundation, Egypt

DOI:

https://doi.org/10.21542/gcsp.2022.4

Abstract

Incessant focal atrial tachycardia (FAT) is the most common cause of tachycardia-induced cardiomyopathy in pediatric patients and is usually a reversible condition with effective management of tachycardia, either with medical treatment or ablation. These patients may be misdiagnosed, potentially leading to inappropriate treatment. Diagnosis is often late and should always be suspected in patients with congestive heart failure and unexplained persistent tachycardia. Para-Hisian atrial tachycardia is not an uncommon type of FATs; however, catheter ablation of anterior atrial septum-ATs has been a challenge because of its proximity to the AV node and the complex anatomy of its region.

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Published

2022-06-07

Issue

Vol. 2022 No. 1-2 (2022)

Section

Images in cardiology

License

Copyright (c) 2022 Aliaa Tarek, Wessam Ali, Mohamed Sayed, Tarek Hammouda, Omnia Kamel

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.