%0 Journal Article
%T Ivabradine¡ªThe Final Crusader for Postoperative Junctional Ectopic Tachycardia, a Case Report with Literature Review
%A Manoj Kumar Sahu
%A Harsha Vardhan Niraghatam
%A Nikhil Bansal
%A Sarvesh Pal Singh
%A Palleti Rajashekar
%A Shiv Kumar Choudhary
%J World Journal of Cardiovascular Surgery
%P 73-82
%@ 2164-3210
%D 2019
%I Scientific Research Publishing
%R 10.4236/wjcs.2019.98009
%X Background: Junctional ectopic tachycardia (JET) is one troublesome supraventricular arrhythmia in postoperative pediatric cardiac surgical patients. Unless treated timely and effectively it may lead to morbidity and even mortality. Aim: To understand the role of Ivabradine in the treatment of JET in postoperative pediatric cardiac surgical patients. Case: We present a postoperative case of complete repair of Tetralogy of Fallot who was in normal sinus rhythm in the preoperative period and developed JET 4 hours later in postoperative period which was persistent despite measures to optimize the internal milieu of the body and conventional antiarrhythmics, that was successfully treated with Ivabradine at a dose of 0.05 mg/kg/12 hourly. Conclusion: Ivabradine can be used to successfully treat postoperative JET in cases ofrefractory to other antiarrhythmic drugs like Digoxin and Amiodarone.
%K Tetralogy of Fallot
%K Junctional Ectopic Tachycardia
%K Ivabradine
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=94511