In pediatric and young adult patients with permanent junctional re-entry tachycardia, treatment strategy should be guided by age, symptom severity, and ventricular function.
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Supports age- and symptom-guided PJRT management in children; leaves open need for randomized trials to confirm outcomes.
Permanent junctional re-entry tachycardia in our experience is an arrhythmia with a large variety of clinical symptoms. Patients with a slow tachycardia rate and infrequent episodes of tachycardia may never develop symptoms and therefore do not need any therapy. Patients with frequent permanent junctional re-entry tachycardia, a fast tachycardia rate and impaired left ventricular function need effective therapy. In infancy and early childhood medical therapy is recommended as a first option, whereas in older and symptomatic patients catheter ablation is an effective and safe procedure.
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Angelika Lindinger (1998) studied this question.
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