Ivabradine-Flecainide as Breakthrough Drug Combination for Congenital Junctional Ectopic Tachycardia: A Case Report and Literature Review

Congenital junctional ectopic tachycardia (CJET) is a rare tachyarrhythmia that remains difficult to manage, with suboptimal control in most cases. Here, we report literature research on the use of ivabradine in the treatment of pediatric junctional ectopic tachycardia (JET), both congenital and pos...

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Autors principals: Giovanni Maria Di Marco (Autor), Angelica De Nigris (Autor), Angela Pepe (Autor), Annamaria Pagano (Autor), Giangiacomo Di Nardo (Autor), Vincenzo Tipo (Autor)
Format: Llibre
Publicat: MDPI AG, 2021-11-01T00:00:00Z.
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001 doaj_b19a283d61e546e4a27ac43d39d00d4b
042 |a dc 
100 1 0 |a Giovanni Maria Di Marco  |e author 
700 1 0 |a Angelica De Nigris  |e author 
700 1 0 |a Angela Pepe  |e author 
700 1 0 |a Annamaria Pagano  |e author 
700 1 0 |a Giangiacomo Di Nardo  |e author 
700 1 0 |a Vincenzo Tipo  |e author 
245 0 0 |a Ivabradine-Flecainide as Breakthrough Drug Combination for Congenital Junctional Ectopic Tachycardia: A Case Report and Literature Review 
260 |b MDPI AG,   |c 2021-11-01T00:00:00Z. 
500 |a 10.3390/pediatric13040074 
500 |a 2036-7503 
520 |a Congenital junctional ectopic tachycardia (CJET) is a rare tachyarrhythmia that remains difficult to manage, with suboptimal control in most cases. Here, we report literature research on the use of ivabradine in the treatment of pediatric junctional ectopic tachycardia (JET), both congenital and postoperative, and describe the successful use of ivabradine-flecainide association for CJET therapy resistant to other antiarrhythmic agents. This new drug combination was effective in completely suppressing JET. Ivabradine-flecainide combination may be considered a new therapeutic strategy of CJET with a satisfactory efficacy/tolerability ratio in patients resistant to conventional drug combinations. 
546 |a EN 
690 |a ivabradine 
690 |a tachycardia 
690 |a junctional 
690 |a pediatrics 
690 |a congenital 
690 |a Medicine 
690 |a R 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Pediatric Reports, Vol 13, Iss 4, Pp 624-631 (2021) 
787 0 |n https://www.mdpi.com/2036-7503/13/4/74 
787 0 |n https://doaj.org/toc/2036-7503 
856 4 1 |u https://doaj.org/article/b19a283d61e546e4a27ac43d39d00d4b  |z Connect to this object online.