Community Academic Profiles

Christina Miyake

Publication Details

  • Ectopic atrial rhythm is a preablation predictor of atrioventricular nodal reentrant tachycardia in children.

    Miyake CY, Cecchin F, Walsh EP, Berul CI. Pediatr Cardiol. 2008; 29 (6): 1066-70

    Supraventricular tachycardia (SVT) is a common tachyarrhythmia among pediatric patients. Usually, non-preexcited SVT is attributable to either atrioventricular nodal reentry tachycardia (AVNRT) or unidirectional retrograde accessory pathway (URAP), but these cannot be differentiated on a baseline electrocardiogram (ECG). The ability to identify the SVT mechanism in children may guide decision-making about treatment and counseling regarding electrophysiology study (EPS). Clinical experience suggested that ectopic atrial rhythm (EAR) is more frequently observed on preablation ECGs of pediatric patients with AVNRT. This study aimed to determine whether EAR is predictive of AVNRT.

    PubMedID: 18587606

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