{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T16:23:43Z","timestamp":1787847823859,"version":"build-2784847793"},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>In the case of prolonged, undiagnosed persistent junctional reciprocating tachycardia in infants, compensatory mechanisms are exhausted leading to heart failure. However, when cardioverted to sinus rhythm patients often deteriorate due to cardiac output dependency on the higher rates. Extracorporeal membrane oxygenation (ECMO) is often used to stabilize their hemodynamic status. A 7-month-old female infant was admitted in cardiogenic shock due to drug refractory supraventricular tachycardia (SVT). Pharmacological cardioversion to sinus rhythm with heart rate (HR) of 90 bpm was achieved but resulted in hemodynamic deterioration and early recurrence of arrhythmia. Right atrial overdrive pacing (ODP) wire was introduced through femoral vein and allowed to override the tachycardia with 2:1 A:V block and HR of 160 bpm. ODP was continued for 24 h allowing to wean off the inotropic support. We postulate that ODP can be a safe and less invasive alternative to ECMO in stabilizing infants with cardiogenic shock due to intractable SVTs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/apc.apc_186_19","type":"journal-article","created":{"date-parts":[[2021,2,15]],"date-time":"2021-02-15T06:37:45Z","timestamp":1613371065000},"page":"231-234","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Intracardiac atrial overdrive pacing as an alternative to extracorporeal membrane oxygenation in the treatment of cardiogenic shock due to drug refractory and incessant persistent junctional reciprocating tachycardia in a 7-month-old infant"],"prefix":"10.4103","volume":"14","author":[{"given":"Tomasz M","family":"Ksiazczyk","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radoslaw","family":"Pietrzak","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bozena","family":"Werner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-19-20240901","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.jelectrocard.2019.05.006","article-title":"Long-term outcome of neonates and infants with permanent junctional reciprocating tachycardia. When cardiac ablation changes natural history","volume":"56","author":"Herranz Barbero","year":"2019","journal-title":"J Electrocardiol"},{"key":"R2-19-20240901","doi-asserted-by":"crossref","first-page":"50","DOI":"10.4103\/0974-2069.149519","article-title":"Cardiovascular collapse during amiodarone infusion in a hemodynamically compromised child with refractory supraventricular tachycardia","volume":"8","author":"Saharan","year":"2015","journal-title":"Ann Pediatr Cardiol"},{"key":"R3-19-20240901","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1097\/00130478-200301000-00010","article-title":"Extracorporeal life support as a treatment of supraventricular tachycardia in infants","volume":"4","author":"Walker","year":"2003","journal-title":"Pediatr Crit Care Med"},{"key":"R4-19-20240901","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1136\/hrt.66.3.225","article-title":"Atrial pacing as an adjunct to the management of post-surgical His bundle tachycardia","volume":"66","author":"Till","year":"1991","journal-title":"Br Heart J"},{"key":"R5-19-20240901","doi-asserted-by":"crossref","first-page":"1337","DOI":"10.1093\/europace\/eut082","article-title":"Pharmacological and non-pharmacological therapy for arrhythmias in the pediatric population: EHRA and AEPC-Arrhythmia Working Group joint consensus statement","volume":"15","author":"Brugada","year":"2013","journal-title":"Europace"}],"container-title":["Annals of Pediatric Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.APC_186_19","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T15:39:45Z","timestamp":1787845185000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/apc.APC_186_19"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/apc.apc_186_19","relation":{},"ISSN":["0974-2069"],"issn-type":[{"value":"0974-2069","type":"print"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}