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December 10, 2025Cardiology in the Young0 citations

Ivabradine in the treatment of congenital junctional ectopic tachycardia: a case report and review of the literature

PGPeng GongShanxi University HSHui‐Min SuShandong University of Traditional Chinese Medicine PXPing XiangSouthwest Forestry University

Key Points

Ivabradine restored sinus rhythm in a case of neonatal congenital junctional ectopic tachycardia, signaling effective treatment options.
The report highlights ivabradine's efficacy as a treatment for arrhythmias, indicating positive outcomes for patients that are refractory to other therapies.
Reviewing literature on junctional ectopic tachycardia, findings suggest ivabradine may be beneficial in managing these complex cases.
The implications urge consideration of ivabradine in pediatric care, as current treatments often struggle with effectiveness.

Abstract

Abstract Congenital junctional ectopic tachycardia is a rare arrhythmia that poses significant management challenges. This report presents a case of neonatal-onset congenital junctional ectopic tachycardia treated with cedilanid, amiodarone, and propafenone but persisted in episodes. Sinus rhythm was restored following the initiation of ivabradine therapy. The review of the literature indicates that ivabradine demonstrates efficacy in the treatment of paediatric junctional ectopic tachycardia, particularly in refractory cases, without significant side effects. These findings suggest that ivabradine has broad applications in the treatment of refractory arrhythmias.

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