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Iranian Journal of Neonatology، جلد ۱۴، شماره ۲، صفحات ۵۳-۵۵
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Atrial Flutter in a Newborn: A Case Report |
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| چکیده انگلیسی مقاله |
Background: Arrhythmia detection in neonates is substantially different from that in older children. The natural history of arrhythmias in the neonatal age group also differs markedly from other ages. Neonatal Cardiac Arrhythmias are found in 1% to 5% of newborns during the first 10 days of life. Most are premature supraventricular tachycardia (SVT) beats that will disappear over the first month of life. The most common symptomatic arrhythmia in the neonatal period is SVT, which has an incidence of 1/25,000. Idiopathic neonatal atrial flutter (AFL) is a rare rhythm disorder usually occurring in the first days of life and characterized by sustained tachycardia in newborns and infants with an atrial rate of often at around 340-580 beats/min. AFL may manifest as asymptomatic tachycardia, congestive heart failure, or hydrops and may be life-threatening and fatal.Case report: We reported a 38-weak-female baby presented with tachycardia during the first physical examination. The patient underwent adenosine therapy twice, and when the electrocardiogram demonstrated atrial flutter, the next choice was cardioversion. After using cardioversion with a dose of 2 J, the rhythm converted to the normal sinus and the following clinical and laboratory tests showed no abnormality. With early prenatal diagnosis and prompt therapeutic approaches, most of the patients showed good prognosis and there was no need for chronic therapy.Conclusion: Since AFL may result in severe heart failure and even death, it should be noted that careful clinical examination and on-time diagnosis of cardiac arrhythmia are of significant importance. |
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| کلیدواژه‌های انگلیسی مقاله |
Atrial Flutter, Newborn, Neonatal cardiac Arrhythmias |
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| نویسندگان مقاله |
| Reza Saeidi
Neonatal Health Research Center, Research Institute for Children’s Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| Ezzat Khodashenas
Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
| Raana Tafrishi
Department of Immunology and Allergy ,faculty of medicine, Mashhad University of medical sciences, Mashhad, Iran
| Farnaz Mousavi
Faculty of Medicine, Mashhad University of medical sciences, Mashhad, Iran
| Alireza Sohrabi
Faculty of Medicine, Birjand University of Medical Sciences, Birjand, Iran
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| نشانی اینترنتی |
https://ijn.mums.ac.ir/article_22517.html |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
گزارش موارد نادر |
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