Why the study?
Is there an association between atrial flutter and accessory connections in fetuses and young infants?
Is there an association between atrial flutter and accessory connections in fetuses and young infants?
The high incidence of accessory connections in fetuses and neonates with atrial flutter suggests a possible etiology for 'idiopathic' atrial flutter in this age group.
Answers are grounded in this paper and cite their sources.
May link accessory connections to atrial flutter in fetuses/neonates; hypothesis-generating and requires prospective confirmation.
OBJECTIVE: To highlight the association between atrial flutter and accessory connections in the fetus and young infant. DESIGN: A retrospective review from January 1985 to January 1990. PATIENTS: Fetuses, neonates, and young infants with atrial flutter. RESULTS: Four fetuses and five infants presented with atrial flutter. In two fetuses and one infant sinus rhythm returned spontaneously. The other six required cardioversion. Three of them developed orthodromic atrioventricular re-entry tachycardia and each had evidence of an accessory connection. CONCLUSIONS: Because atrial flutter in the fetus and neonate is rare, the high incidence of accessory connections in this group points to a possible aetiology of "idiopathic" atrial flutter in this age group.
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Jan Till (1992) studied this question.
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