Junctional ectopic tachycardia

The junctional ectopic tachycardia (JET) is a rare cardiac arrhythmia , which in particular postoperatively after cardiac surgery , especially in childhood, occurs.

etiology

The JET is mostly based on stimulation of the conduction system , in particular of the atrioventricular node . The tachycardia therefore originates from the conduction system.

Diagnosis

The diagnosis is made via the ECG . This typically shows tachycardia with narrow QRS complexes . The excitation of the auricles and ventricles is dissociated.

therapy

Postoperatively, the tachycardia can often be terminated by a mild hypothermia . Otherwise, amiodarone is the drug of choice. It is also possible to use a specially modified temporary pacemaker for R-wave- dependent atrial excitation . Overall, the JET therapy varies greatly between the individual cardiac surgery departments.

Individual evidence

^ ^A ^b N. A. Haas, K. Plumpton, R. Justo, H. Jalali, P. Pohlner: Postoperative junctional ectopic tachycardia (JET) . In: Journal of Cardiology . tape 93 , no. 5 , May 1, 2004, ISSN 1435-1285 , p. 371-380 , doi : 10.1007 / s00392-004-0067-3 .
↑ Jan Janousek, Pavel Vojtovic, Roman Antonín Gebauer: Use of a modified, commercially available temporary pacemaker for R wave synchronized atrial pacing in postoperative junctional ectopic tachycardia . In: Pacing and clinical electrophysiology: PACE . tape 26 , 2 Pt 1, February 2003, ISSN 0147-8389 , p. 579-586 , PMID 12710317 .
↑ Andreas Entenmann, Miriam Michel, Ulrike Herberg, Nikolaus Haas, Matthias Kumpf: Management of postoperative junctional ectopic tachycardia in pediatric patients: a survey of 30 centers in Germany, Austria, and Switzerland . In: European Journal of Pediatrics . tape 176 , no. 9 , September 1, 2017, ISSN 1432-1076 , p. 1217-1226 , doi : 10.1007 / s00431-017-2969-x .

[:0-1] A ^b N. A. Haas, K. Plumpton, R. Justo, H. Jalali, P. Pohlner: Postoperative junctional ectopic tachycardia (JET) . In: Journal of Cardiology . tape 93 , no. 5 , May 1, 2004, ISSN 1435-1285 , p. 371-380 , doi : 10.1007 / s00392-004-0067-3 .

[2] Jan Janousek, Pavel Vojtovic, Roman Antonín Gebauer: Use of a modified, commercially available temporary pacemaker for R wave synchronized atrial pacing in postoperative junctional ectopic tachycardia . In: Pacing and clinical electrophysiology: PACE . tape 26 , 2 Pt 1, February 2003, ISSN 0147-8389 , p. 579-586 , PMID 12710317 .

[3] Andreas Entenmann, Miriam Michel, Ulrike Herberg, Nikolaus Haas, Matthias Kumpf: Management of postoperative junctional ectopic tachycardia in pediatric patients: a survey of 30 centers in Germany, Austria, and Switzerland . In: European Journal of Pediatrics . tape 176 , no. 9 , September 1, 2017, ISSN 1432-1076 , p. 1217-1226 , doi : 10.1007 / s00431-017-2969-x .