Junctional ectopic tachycardia (JET)
| Autor: | L. Bittinger, Sam Mirzaee, Colin Machado, J. Alison, David Adam, Jack Krafchek, E. Kotschet, S. Healy, Mohammad Alasti |
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| Rok vydání: | 2020 |
| Předmět: |
Tachycardia
medicine.medical_specialty lcsh:Diseases of the circulatory (Cardiovascular) system Clinical Review focal pediatrics medicine.medical_treatment ectopic Catheter ablation 030204 cardiovascular system & hematology arrhythmia Clinical Reviews 03 medical and health sciences 0302 clinical medicine Internal medicine Junctional ectopic tachycardia medicine postoperative 030212 general & internal medicine cardiovascular diseases Jet (fluid) Medical treatment business.industry junctional tachycardia food and beverages medicine.disease Atrioventricular node medicine.anatomical_structure Junctional tachycardia lcsh:RC666-701 Cardiology cardiovascular system medicine.symptom Cardiology and Cardiovascular Medicine business Atrioventricular block |
| Zdroj: | Journal of Arrhythmia Journal of Arrhythmia, Vol 36, Iss 5, Pp 837-844 (2020) |
| ISSN: | 1880-4276 |
| Popis: | Junctional ectopic tachycardia (JET) is a tachyarrhythmia arising from the atrioventricular node and His bundle area. Enhanced normal automaticity has been postulated as the mechanism of JET in the majority of patients. It is more common in children and can be seen as congenital or in postoperative settings. It is often a narrow complex tachycardia but can present as a wide complex tachycardia as a result of aberrant conduction. Its differentiation from other arrhythmias especially atrioventricular nodal reentrant tachycardia (AVNRT) can be challenging. Medical treatment of JET is difficult, and catheter ablation remains the mainstay of treatment in refractory cases with a high risk of atrioventricular block and recurrence. Junctional ectopic tachycardia is often a narrow complex tachycardia due to enhanced normal automaticity and its differentiation from other arrhythmias especially AVNRT can be challenging. Since existing diagnostic tests have limitations to differentiate it from other arrhythmias, the diagnosis should be made based on both clinical and electrophysiologic findings. |
| Databáze: | OpenAIRE |
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