TITLE:
Ivabradine—The Final Crusader for Postoperative Junctional Ectopic Tachycardia, a Case Report with Literature Review
AUTHORS:
Manoj Kumar Sahu, Harsha Vardhan Niraghatam, Nikhil Bansal, Sarvesh Pal Singh, Palleti Rajashekar, Shiv Kumar Choudhary
KEYWORDS:
Tetralogy of Fallot, Junctional Ectopic Tachycardia, Ivabradine
JOURNAL NAME:
World Journal of Cardiovascular Surgery,
Vol.9 No.8,
August
22,
2019
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.