Atrial flutter in infancy

James H. Moller, Farzin Davachi, Ray C. Anderson

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Atrial flutter and atrial fibrillation present difficult problems in management, particularly during infancy. The clinical experience with 6 personally observed and 30 reported cases of infantile atrial flutter is described. Two types of flutter are distinguished: type I (congenital), which occurs prior to birth or within the first week of life, responds to digitalis in about half the cases, and has a nearly equal sex distribution; and type II (paroxysmal), which occurs predominantly in males and infrequently responds to digitalization. The prognosis is poor if either atrial fibrillation or a coexistent congenital cardiac defect is present. Even in patients without these conditions, the prognosis is guarded. Digitalis is the treatment of choice since it induces a sinus rhythm in many cases and slows the ventricular response in the remainder. Cardioversion, although tried in only one patient, should be a useful therapeutic tool.

Original languageEnglish (US)
Pages (from-to)643-651
Number of pages9
JournalThe Journal of pediatrics
Volume75
Issue number4
DOIs
StatePublished - Oct 1969

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