{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T03:08:03Z","timestamp":1789614483492,"version":"build-2803163510"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,2,22]],"date-time":"2018-02-22T00:00:00Z","timestamp":1519257600000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The aim of this study was to evaluate the results of non\u2010operational sustained tachyarrhythmia in patients &lt;1\u00a0year of age at the present center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between November 2010 and November 2016, the demographic characteristics, type and localization of the tachyarrhythmia, echocardiographic findings, and medical and\/or ablation therapy for patients &lt;1\u00a0year of age with sustained tachyarrhythmia were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 99 patients, 91 had sustained supraventricular tachycardia, and eight had sustained ventricular tachycardia. The median age was 30\u00a0days (range, 1\u2013350\u00a0days), and the median weight was 4.2\u00a0kg (range, 2\u201313\u00a0kg). The common symptoms were palpitation and restlessness (<jats:italic>n<\/jats:italic> = 49, 49.5%), or the tachycardia was detected during routine inspection (<jats:italic>n<\/jats:italic> = 25, 25.3%) or fetal echocardiography (<jats:italic>n<\/jats:italic> = 11, 11.1%). Nineteen individuals (19%) had left ventricular (<jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content>) dysfunction on first echocardiography. Twenty individuals had congenital heart disease. Common diagnoses were Wolff\u2010Parkinson\u2010White syndrome (<jats:italic>n<\/jats:italic> = 27), focal atrial tachycardia (<jats:italic>n<\/jats:italic> = 10), permanent junctional reciprocating tachycardia(<jats:italic>n<\/jats:italic> = 6), and atrial flutter (<jats:italic>n<\/jats:italic> = 6). Seventeen patients underwent medical therapy combined with cardioversion. The most commonly used abortive and acute therapy agents were adenosine, esmolol, and amiodarone. The most common combination therapy was propranolol and amiodarone, followed by a propranolol and propafenone combination. Nine individuals were treated with catheter ablation due to either resistance to medical therapy or <jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content> dysfunction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Tachyarrhythmias in children &lt;1\u00a0year of age are mostly caused by accessory pathways and require multidrug therapy. Catheter ablation is an effective alternative therapy in the case of resistance to medical therapy and\/or <jats:styled-content style=\"fixed-case\">LV<\/jats:styled-content> dysfunction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ped.13445","type":"journal-article","created":{"date-parts":[[2017,10,25]],"date-time":"2017-10-25T11:56:35Z","timestamp":1508932595000},"page":"115-121","source":"Crossref","is-referenced-by-count":15,"title":["Sustained tachyarrhythmia in children younger than 1\u00a0year of age: Six year single\u2010center experience"],"prefix":"10.1111","volume":"60","author":[{"given":"Gulhan","family":"Tunca Sahin","sequence":"first","affiliation":[{"name":"Department of Pediatric Cardiology Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital Istanbul Saglik Bilimleri University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erkut","family":"Ozturk","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital Istanbul Saglik Bilimleri University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taner","family":"Kasar","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital Istanbul Saglik Bilimleri University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alper","family":"Guzeltas","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital Istanbul Saglik Bilimleri University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8814-0435","authenticated-orcid":false,"given":"Yakup","family":"Ergul","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology Istanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center and Research Hospital Istanbul Saglik Bilimleri University Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(81)80578-1"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-8703(96)90052-6"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-016-1375-x"},{"key":"e_1_2_7_5_1","first-page":"607","article-title":"The use of flecainide in critical neonates and infants with incessant supraventricular tachycardias","volume":"43","author":"Erg\u00fcl Y","year":"2015","journal-title":"Turk Kardiyol. 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