Atrial overdrive pacing for conversion of atrial flutter in children

R. M. Campbell, M. Dick, J. M. Jenkins, Robert L Spicer, D. C. Crowley, A. P. Rocchini, A. R. Snider, A. M. Stern, A. Rosenthal

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Twenty-three successive patients with 27 different episodes of sustained atrial flutter were treated with atrial pacing for conversion of the tachyarrhythmia; 15 patients with 16 episodes of atrial flutter underwent intracardiac right atrial pacing and eight patients with 11 episodes of atrial flutter were treated with transesophageal atrial pacing. Ten of sixteen episodes (63%) and eight of 11 episodes (73%) were successfully converted using intracardiac and transesophageal techniques, respectively. Mean flutter cycle length for all 27 episodes was 219 ms (mean heart rate 274 beats per minute); successful pacing conversion cycle length (n = 15) was 72% of the flutter cycle length. Hemodynamic, electrophysiologic, and roentgenographic data were not predictive of conversion by either technique. Induction of localized atrial fibrillation or failure to meet critical pacing criteria may explain pacing failures. Based on this experience, a trial of transesophageal atrial pacing for acute conversion of any episode of atrial flutter in children prior to direct current cardioversion is recommended.

Original languageEnglish (US)
Pages (from-to)730-736
Number of pages7
JournalPediatrics
Volume75
Issue number4
StatePublished - Jul 24 1985

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Atrial Flutter
Electric Countershock
Tachycardia
Atrial Fibrillation
Heart Rate
Hemodynamics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Campbell, R. M., Dick, M., Jenkins, J. M., Spicer, R. L., Crowley, D. C., Rocchini, A. P., ... Rosenthal, A. (1985). Atrial overdrive pacing for conversion of atrial flutter in children. Pediatrics, 75(4), 730-736.

Atrial overdrive pacing for conversion of atrial flutter in children. / Campbell, R. M.; Dick, M.; Jenkins, J. M.; Spicer, Robert L; Crowley, D. C.; Rocchini, A. P.; Snider, A. R.; Stern, A. M.; Rosenthal, A.

In: Pediatrics, Vol. 75, No. 4, 24.07.1985, p. 730-736.

Research output: Contribution to journalArticle

Campbell, RM, Dick, M, Jenkins, JM, Spicer, RL, Crowley, DC, Rocchini, AP, Snider, AR, Stern, AM & Rosenthal, A 1985, 'Atrial overdrive pacing for conversion of atrial flutter in children', Pediatrics, vol. 75, no. 4, pp. 730-736.
Campbell RM, Dick M, Jenkins JM, Spicer RL, Crowley DC, Rocchini AP et al. Atrial overdrive pacing for conversion of atrial flutter in children. Pediatrics. 1985 Jul 24;75(4):730-736.
Campbell, R. M. ; Dick, M. ; Jenkins, J. M. ; Spicer, Robert L ; Crowley, D. C. ; Rocchini, A. P. ; Snider, A. R. ; Stern, A. M. ; Rosenthal, A. / Atrial overdrive pacing for conversion of atrial flutter in children. In: Pediatrics. 1985 ; Vol. 75, No. 4. pp. 730-736.
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