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It generally presents in infants but can be difficult to diagnose. The characteristic <jats:styled-content style=\"fixed-case\">EKG<\/jats:styled-content> findings, response to Adenosine and persistence or frequent recurrences are helpful in making the diagnosis. It is usually difficult to manage with the initial and single medications used in <jats:styled-content style=\"fixed-case\">SVT<\/jats:styled-content>. Many patients are misdiagnosed and not treated effectively and end up having end stage cardiomyopathy and are diagnosed in patients referred for transplant. Hence all patients referred for a cardiac transplant with dilated cardiomyopathy need to be evaluated for this arrhythmia. If appropriate treatment is started early in the course, the failure can be ameliorated, and the cardiomyopathy can be resolved.<\/jats:p>","DOI":"10.1002\/joa3.12193","type":"journal-article","created":{"date-parts":[[2019,5,15]],"date-time":"2019-05-15T13:38:11Z","timestamp":1557927491000},"page":"494-498","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Permanent junctional reciprocating tachycardia in infants and Children"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9666-6883","authenticated-orcid":false,"given":"Ranjit I.","family":"Kylat","sequence":"first","affiliation":[{"name":"Department of Pediatrics The University of Arizona College of Medicine Tucson Arizona"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo A.","family":"Samson","sequence":"additional","affiliation":[{"name":"Chidren's Heart Center of Nevada Las Vegas Nevada"},{"name":"Department of Pediatrics Las Vegas School of Medicine University of Nevada Las Vegas Nevada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,5,15]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0733-8651(18)30348-5"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ppedcard.2012.11.005"},{"key":"e_1_2_4_4_1","first-page":"171","volume-title":"Josephson's Clinical cardiac electrophysiology: techniques and interpretations","author":"Josephson ME","year":"2016"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199501193320307"},{"key":"e_1_2_4_6_1","first-page":"1830","article-title":"Tachycardie permanente par rythme r\u00e9ciproque. 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