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Recent interest in cardiac arrhythmias in children has been stimulated by a growing awareness of primary rhythm disorders in children, by the appearance of rhythm disorders following repair of many congenital heart defects, and by recent developments in clinical electrophysiology. This chapter focuses on developmental clinical cardiac electrophysiology, the spectrum of tachycardias in children, and the frequency, mechanism, and therapeutic decisions regarding cardiac arrhythmias in children who have had surgery for congenital heart disease. Introduction The recent advances in clinical cardiac electrophysiology, including intracardiac recording, programmed extrastimulation, and epicardial and endocardial mapping (25, 47, 79), as well as the growing awareness of rhythm disturbances among children following repair of many types of congenital heart disease, have rekindled an intense interest in cardiac arrhythmias in the young. During the past several years at least three textbooks on pediatric arrhythmias have been published (31, 63, 64). The reader is advised to explore these texts for a comprehensive treatment of this subject. In this chapter we touch on three areas of current interest concerning cardiac arrhythmias in the young: (a) developmental cardiac electrophysiology, (b) the spectrum of tachycardia in the young, and (c) postoperative cardiac arrhythmias. 0066-4219/84/0401-0397$02.00 CAMPBELL, DICK & ROSENTHAL
Annual Review of Medicine – Annual Reviews
Published: Feb 1, 1984
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