Key result
Catheter ablation of ectopic atrial tachycardia resolves prolonged sinus pauses in an asymptomatic teenager.
Why the study?
Sinus pauses in the setting of supraventricular tachycardia are rare in children and their management is not well described.
Does catheter ablation resolve sinus pauses in a teenager with ectopic atrial tachycardia?
Case Report (n=1)
Does catheter ablation resolve sinus pauses in a teenager with ectopic atrial tachycardia?
Catheter ablation of ectopic atrial tachycardia can successfully resolve associated prolonged sinus pauses in pediatric patients.
May support ablation for EAT-associated pauses in select adolescents; leaves open need for prospective confirmation before practice change.
Sinus pauses in the setting of supraventricular tachycardia is rare in children. We describe an asymptomatic teen with irregular heart rate detected during an incidental exam who was found to have short runs of a slow ectopic atrial tachycardia on electrocardiogram and prolonged sinus pauses on routine ambulatory ECG. Successful catheter ablation of the ectopic atrial tachycardia led to resolution of the sinus pauses.
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Seshadri Balaji (2015) conducted a case report in Paroxysmal ectopic atrial tachycardia with long sinus pauses (n=1). Catheter ablation was evaluated on Resolution of sinus pauses. Successful catheter ablation of ectopic atrial tachycardia led to the resolution of prolonged sinus pauses in an asymptomatic teenager.
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