Transesophageal Atrial Pacing and Recording in Children and Infants

Colloridi V, Boscioni M, Patruno N, Pulignano G, Critelli G. University of Rome La Sapienza, Italy. Pediatr Cardiol 1990 Oct;11(4):213-5. A newborn infant with familial Wolff-Parkinson-White (WPW) syndrome presented with a supraventricular tachycardia of 300 beats/min, refractory to digoxin and flecainide administration. Serial electropharmacologic tests were performed via the esophagus before and during oral therapy

Gikonyo BM, Dunnigan A, Benson DW Jr. Pediatrics 1985 Dec;76(6):922-6. Four infants, aged 16 to 28 days (mean 23 days), were seen in the emergency room with acute cardiovascular collapse and with normal heart rate and rhythm. During evaluation for cardiovascular collapse, no infant had sepsis; cardiac assessment revealed normal intracardiac anatomy but global cardiac

Bieganowska K, Kubicka K, Stopczyk M, Oficjalska B. Pediatr Pol 1989 May;64(5):295-303. The conduction system of the heart was studied in 41 patients with cardiac arrhythmias by oesophageal stimulation of the left atrium. 31 children had a history of paroxysmal supraventricular tachycardia, 5 supraventricular or/and ventricular premature beats and 5 were studied because of suspected

Villain E, Attali T, Iserin L, Aggoun Y, Kachaner J. Hopital Necker-Enfants Malades, Paris. Arch Mal Coeur Vaiss 1994 May;86(5):649-52. Twenty-nine children with the Wolff-Parkinson-White syndrome (WPW) were evaluated by transoesophageal electrophysiological studies to determine the quality of anterograde-conduction in the accessory pathway and the atrial vulnerability. The study group included 15 neonates, 1 to

Weindling SN, Saul JP, Walsh EP. Children’s Hospital, Boston, Mass., USA. Am Heart J 1996 Jan;131(1):66-72. To assess the efficacy and safety of current pharmacologic therapy for supraventricular tachycardia (SVT) in infants, we reviewed 112 infants treated between July 1985 and March 1993. The SVT mechanism was determined by esophageal electrophysiologic study and involved an

Lucet V, Do Ngoc D, Denjoy I, Saby MA, Toumieux MC, Batisse A. Centre de Cardiologie Infantile. Arch Fr Pediatr 1990 Mar;47(3):185-9. On the occasion of a preliminary series of 38 cases, the authors review the esophageal pacing technique and its main indications. On the therapeutic level, the esophageal lead may be successfully used to

Pongiglione G, Saul JP, Dunnigan A, Strasburger JF, Benson DW Jr. Children’s Memorial Hospital, Chicago. Am J Cardiol 1988 Sep 15;62(9):566-70. Transesophageal atrial pacing was used to evaluate the cause of palpitations in 28 patients ages 3 to 18 years (mean 11). Palpitations were defined as the sustained (seconds to minutes) sensation of rapid heart

Benson DW Jr, Dunnigan A, Benditt DG, Pritzker MR, Thompson TR. Am J Cardiol 1983 Nov 1;52(8):1002-6. Programmed electrical stimulation of the heart to initiate and terminate tachycardia and analysis of the temporal relation between ventricular and atrial activation during tachycardia have been useful in the evaluation of supraventricular tachycardia (SVT). Such techniques have rarely

Rhodes LA, Walsh EP, Saul JP. Children’s Hospital, Harvard Medical School. Am J Cardiol 74(4):353-6, 1994. This report describes the use of programmed atrial stimulation via the esophagus to predict the clinical efficacy of various management strategies for supraventricular arrhythmias in infants and children. A total of 203 transesophageal electrophysiologic studies were performed in 132

Janousek J. Center of Pediatric Cardiology and Cardiac Surgery, Prague. Int J Cardiol 25(1):7-14, 1989. Transesophageal atrial pacing was used in 29 consecutive patients aged 1 day to 16.5 years (mean 8.04 years) to replace the following procedures: intracardiac electrophysiologic study in patients with selected arrhythmias (21 patients), intracardiac overdrive or synchronized direct current cardioversion