Key result
Cardioversion successfully restored normal rhythm with good outcomes in 2 newborns with atrial flutter who initially failed medical management.
Why the study?
Prolonged untreated neonatal atrial flutter can cause heart failure, necessitating prompt management, but not all available treatments are effective in every patient.
Does cardioversion restore normal rhythm in newborns with medically refractory atrial flutter?
Case Report (n=2)
Does cardioversion restore normal rhythm in newborns with medically refractory atrial flutter?
Cardioversion is an effective treatment for neonatal atrial flutter that is refractory to initial medical management.
Answers are grounded in this paper and cite their sources.
Supports cardioversion for refractory neonatal atrial flutter; case reports leave open need for prospective data before practice change.
Neonatal atrial flutter is a rare entity seen in the newborn period. With prompt treatment, they mostly revert to normal rhythm, with good long-term prognosis. But prolonged untreated atrial flutter can result in heart failure. This necessitates prompt diagnosis and treatment of the condition. However, all available treatment modalities are not effective in all patients. Here, we report 2 newborns with atrial flutter who did not respond initially to medical management, but eventually responded to cardioversion, with good outcome.
No takes yet. Share an insight, caveat, or question.
Chandraprakasam et al. (2021) conducted a case report in Neonatal atrial flutter (n=2). Cardioversion was evaluated on Restoration of normal rhythm. Cardioversion successfully restored normal rhythm with good outcomes in 2 newborns with atrial flutter who initially failed medical management.
Synapse has enriched 10 related papers. Consider them for comparative context: