ORC ID , Anam Siddiqui1 ORC ID , K Raghavendra Rao2 ORC ID , Deepak Chawla1 ORC ID ">
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Year : 2021  |  Volume : 3  |  Issue : 1  |  Page : 39-41

An intriguing case of neonatal arrhythmia: An experience with antiarrhythmics and direct current cardioversion

1 Department of Neonatology, Government Medical College and Hospital, Chandigarh, India
2 Department of Cardiology, Government Medical College and Hospital, Chandigarh, India

Correspondence Address:
Anam Siddiqui
D Block, Level IV, Department of Neonatology, Government Medical College and Hospital, Sector 32, Chandigarh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ACCJ.ACCJ_6_21

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In the fetal and early neonatal period, clinically significant arrhythmias are remarkably rare whose medical management has been an area of dilemma in terms of safety and efficacy. We present a case of a hemodynamically stable female neonate presenting to us with atrial tachycardia with morphology of atrial fibrillation (AF) and atrial flutter (AFl). After a poor response to multiple antiarrhythmics, direct current cardioversion (DCC) was the final solution. Short-term maintenance therapy with oral propranolol was given with no recurrence. Hence, stepwise approach to infants with AFl can lead to an excellent prognosis with a low risk of recurrence.

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