Congenital Junctional Ectopic Tachycardia in a 6-month-old boy treated with Ivabradine: A Case Report

Authors

  • Dinesh Upreti Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal.
  • Samir Shakya Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal. https://orcid.org/0000-0001-8350-0665
  • Ratna Mani Gajurel Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal.
  • Hemant Shrestha Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal.
  • Sanjeev Thapa Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal.
  • Manju Sharma Department of Cardiology, Manmohan Cardiothoracic Vascular and Transplant Centre, Institute of Medicine, Maharajgunj, Nepal.

DOI:

https://doi.org/10.3126/njh.v20i1.55039

Keywords:

Congenital, Junctional ectopic tachycardia, Ivabradine

Abstract

Congenital junctional ectopic tachycardia (JET) is a rare tachyarrhythmia found in young infants and is often difficult to treat. JET is characterized by incessant tachycardia which causes ventricular dysfunction, heart failure and high mortality. Ivabradine is one of the newer antiarrhythmic drugs with special indications in decreasing heart rate in adults with chronic heart failure. It has shown promising role in congenital JET. However, there are no guidelines recommending ivabradine as a first-line agent for congenital JET. We report an infant with congenital JET who was successfully treated with ivabradine.

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Published

2023-06-10

How to Cite

Upreti, D., Shakya, S., Gajurel, R. M., Shrestha, H., Thapa, S., & Sharma, M. (2023). Congenital Junctional Ectopic Tachycardia in a 6-month-old boy treated with Ivabradine: A Case Report. Nepalese Heart Journal, 20(1), 53–55. https://doi.org/10.3126/njh.v20i1.55039

Issue

Section

Case Reports