J Korean Soc Neonatol.
2009 Nov;16(2):239-243.
Multifocal Atrial Tachycardia in a Newborn
- Affiliations
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- 1Department of Pediatrics, Gachon University of Medicine and Science, Gil Hospital, Incheon, Korea. sondw@gilhospital.com
- 2Department of Obstetrics and Gynecology, Gachon University of Medicine and Science, Gil Hospital, Incheon, Korea.
- 3Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.
Abstract
- Multifocal atrial tachycardia (MAT) is a rare arrhythmia in the newborn. MAT can be difficult to diagnose; it is frequently confused with atrial fibrillation. MAT is difficult to treat but often resolves spontaneously within the first year of life. A newborn with a rapid and irregular pulse rate was diagnosed with multifocal atrial tachycardia by eletrocardiography (ECG) using a hand-made transesophageal electrode. Treatment with propranolol was attempted but ineffective. Treatment with digoxin and sotalol was attempted. The heart rhythm gradually reverted to a sinus rhythm with this treatment. We report our experience managing a neonate with MAT diagnosed by ECG using a hand-made transesophageal electrode.
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