World Journal of Cardiovascular Surgery

Volume 9, Issue 8 (August 2019)

ISSN Print: 2164-3202   ISSN Online: 2164-3210

Google-based Impact Factor: 0.07  Citations  

Ivabradine—The Final Crusader for Postoperative Junctional Ectopic Tachycardia, a Case Report with Literature Review

Full-Text HTML  XML Download Download as PDF (Size: 1070KB)  PP. 73-82  

ABSTRACT

Background: Junctional ectopic tachycardia (JET) is one troublesome supraventricular arrhythmia in postoperative pediatric cardiac surgical patients. Unless treated timely and effectively it may lead to morbidity and even mortality. Aim: To understand the role of Ivabradine in the treatment of JET in postoperative pediatric cardiac surgical patients. Case: We present a postoperative case of complete repair of Tetralogy of Fallot who was in normal sinus rhythm in the preoperative period and developed JET 4 hours later in postoperative period which was persistent despite measures to optimize the internal milieu of the body and conventional antiarrhythmics, that was successfully treated with Ivabradine at a dose of 0.05 mg/kg/12 hourly. Conclusion: Ivabradine can be used to successfully treat postoperative JET in cases ofrefractory to other antiarrhythmic drugs like Digoxin and Amiodarone.

Cite this paper

Sahu, M. , Niraghatam, H. , Bansal, N. , Singh, S. , Rajashekar, P. and Choudhary, S. (2019) Ivabradine—The Final Crusader for Postoperative Junctional Ectopic Tachycardia, a Case Report with Literature Review. World Journal of Cardiovascular Surgery, 9, 73-82. doi: 10.4236/wjcs.2019.98009.

Cited by

No relevant information.

Copyright © 2019 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.