Multifocal Atrial Tachycardia in a Newborn.
- Author:
Hye Jung CHO
1
;
Dong Woo SON
;
So Yeon SHIM
;
Deok Young CHOI
;
Ji Sung LEE
;
Eun Jung BAE
Author Information
1. Department of Pediatrics, Gachon University of Medicine and Science, Gil Hospital, Incheon, Korea. sondw@gilhospital.com
- Publication Type:Case Report
- Keywords:
Multifocal atrial tachycardia;
Neonate;
Transesophageal electrocardiography
- MeSH:
Arrhythmias, Cardiac;
Atrial Fibrillation;
Digoxin;
Electrocardiography;
Electrodes;
Heart;
Heart Rate;
Humans;
Infant, Newborn;
Propranolol;
Sotalol;
Tachycardia
- From:Journal of the Korean Society of Neonatology
2009;16(2):239-243
- CountryRepublic of Korea
- Language:English
-
Abstract:
Multifocal atrial tachycardia (MAT) is a rare arrhythmia in the newborn. MAT can be difficult to diagnose; it is frequently confused with atrial fibrillation. MAT is difficult to treat but often resolves spontaneously within the first year of life. A newborn with a rapid and irregular pulse rate was diagnosed with multifocal atrial tachycardia by eletrocardiography (ECG) using a hand-made transesophageal electrode. Treatment with propranolol was attempted but ineffective. Treatment with digoxin and sotalol was attempted. The heart rhythm gradually reverted to a sinus rhythm with this treatment. We report our experience managing a neonate with MAT diagnosed by ECG using a hand-made transesophageal electrode.
