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Permanent junctional reciprocating tachycardia

MedGen UID:
488847
•Concept ID:
C0340483
•
Disease or Syndrome
Synonym: PJRT - Permanent junctional reciprocating tachycardia
SNOMED CT: Permanent junctional reciprocating tachycardia (233904005); PJRT - Permanent junctional reciprocating tachycardia (233904005)
 
HPO: HP:0011690

Definition

An incessant orthodromic tachycardia with anterograde conduction over the atrioventricular node and by retrograde conduction via an accessory pathway usually located in the posteroseptal region with slow and decremental conduction. [from HPO]

Professional guidelines

PubMed

Pharmacological treatment of young children with permanent junctional reciprocating tachycardia.
van Stuijvenberg M, Beaufort-Krol GC, Haaksma J, Bink-Boelkens MT
Cardiol Young 2003 Oct;13(5):408-12. PMID: 14694933
Management of cardiomyopathy resulting from incessant supraventricular tachycardia in infants and children.
Juneja R, Shah S, Naik N, Kothari SS, Saxena A, Talwar KK
Indian Heart J 2002 Mar-Apr;54(2):176-80. PMID: 12086381
Permanent junctional reciprocating tachycardia in infants and children: effectiveness of medical and non-medical treatment.
Drago F, Silvetti MS, Mazza A, Anaclerio S, Pino AD, Grutter G, Bevilacqua M
Ital Heart J 2001 Jun;2(6):456-61. PMID: 11453583

Recent clinical studies

Etiology

Coumel tachycardia in children.
Velázquez-Rodríguez E, García-Hernández N, Martínez-Sánchez A, Alva-Espinoza C, Yáñez-Gutiérrez L, Jiménez-Arteaga S
Bol Med Hosp Infant Mex 2023;80(Supl 1):69-76. doi: 10.24875/BMHIM.22000127. PMID: 37490690
Clinical Course and Electrophysiological Characteristics of Permanent Junctional Reciprocating Tachycardia in Children.
Ergül Y, Sulu A, Çaran B, Kafalı HC, Akdeniz C, Tuzcu V
Anatol J Cardiol 2022 Dec;26(12):880-885. doi: 10.5152/AnatolJCardiol.2022.1948. PMID: 35949117Free PMC Article
Radiofrequency catheter ablation of patients with permanent junctional reciprocating tachycardia and long-term follow-up results.
Gökoğlan Y, Vurgun VK, Kabul HK, Görmel S, Yaşar S, Asil S, Fırtına S, Yıldırım E, Amasyalı B, Köse S
J Interv Card Electrophysiol 2022 Mar;63(2):461-469. Epub 2021 Sep 2 doi: 10.1007/s10840-021-01057-0. PMID: 34476675
Reversible cardiomyopathy-tachycardiomyopathy in children.
Arslan A, Erdoğan İ, Varan B, Yılmaz M, Özin MB, Tokel NK
Turk J Pediatr 2019;61(4):552-559. doi: 10.24953/turkjped.2019.04.012. PMID: 31990473
Incessant tachycardias.
Wren C
Eur Heart J 1998 May;19 Suppl E:E32-6, E54-9. PMID: 9717022

Diagnosis

Coumel tachycardia in children.
Velázquez-Rodríguez E, García-Hernández N, Martínez-Sánchez A, Alva-Espinoza C, Yáñez-Gutiérrez L, Jiménez-Arteaga S
Bol Med Hosp Infant Mex 2023;80(Supl 1):69-76. doi: 10.24875/BMHIM.22000127. PMID: 37490690
Clinical Course and Electrophysiological Characteristics of Permanent Junctional Reciprocating Tachycardia in Children.
Ergül Y, Sulu A, Çaran B, Kafalı HC, Akdeniz C, Tuzcu V
Anatol J Cardiol 2022 Dec;26(12):880-885. doi: 10.5152/AnatolJCardiol.2022.1948. PMID: 35949117Free PMC Article
Radiofrequency catheter ablation of patients with permanent junctional reciprocating tachycardia and long-term follow-up results.
Gökoğlan Y, Vurgun VK, Kabul HK, Görmel S, Yaşar S, Asil S, Fırtına S, Yıldırım E, Amasyalı B, Köse S
J Interv Card Electrophysiol 2022 Mar;63(2):461-469. Epub 2021 Sep 2 doi: 10.1007/s10840-021-01057-0. PMID: 34476675
Arrhythmias Involving Variants of Accessory Pathways.
Marazzato J, Marazzi R, Doni LA, Angeli F, Bagliani G, Leonelli FM, De Ponti R
Card Electrophysiol Clin 2020 Dec;12(4):505-518. Epub 2020 Sep 26 doi: 10.1016/j.ccep.2020.08.001. PMID: 33161999
Incessant tachycardias.
Wren C
Eur Heart J 1998 May;19 Suppl E:E32-6, E54-9. PMID: 9717022

Therapy

Postnatal recurrence and transesophageal inducibility of prenatally treated fetal supraventricular tachycardia.
Michel M, Renaud C, Chiu-Man C, Gross G, Jaeggi E
Heart Rhythm 2022 Aug;19(8):1343-1349. Epub 2022 Apr 21 doi: 10.1016/j.hrthm.2022.04.013. PMID: 35462052
Reversible cardiomyopathy-tachycardiomyopathy in children.
Arslan A, Erdoğan İ, Varan B, Yılmaz M, Özin MB, Tokel NK
Turk J Pediatr 2019;61(4):552-559. doi: 10.24953/turkjped.2019.04.012. PMID: 31990473
Unusual variants of pre-excitation: From anatomy to ablation: Part III-Clinical presentation, electrophysiologic characteristics, when and how to ablate nodoventricular, nodofascicular, fasciculoventricular pathways, along with considerations of permanent junctional reciprocating tachycardia.
Soares Correa F, Lokhandwala Y, Sánchez-Quintana D, Mori S, Anderson RH, Wellens HJJ, Back Sternick E
J Cardiovasc Electrophysiol 2019 Dec;30(12):3097-3115. Epub 2019 Nov 14 doi: 10.1111/jce.14247. PMID: 31646696
Permanent junctional reciprocating tachycardia in children: a multicentre study on clinical profile and outcome.
Vaksmann G, D'Hoinne C, Lucet V, Guillaumont S, Lupoglazoff JM, Chantepie A, Denjoy I, Villain E, Marçon F
Heart 2006 Jan;92(1):101-4. Epub 2005 Apr 14 doi: 10.1136/hrt.2004.054163. PMID: 15831598Free PMC Article
Incessant tachycardias.
Wren C
Eur Heart J 1998 May;19 Suppl E:E32-6, E54-9. PMID: 9717022

Prognosis

Coumel tachycardia in children.
Velázquez-Rodríguez E, García-Hernández N, Martínez-Sánchez A, Alva-Espinoza C, Yáñez-Gutiérrez L, Jiménez-Arteaga S
Bol Med Hosp Infant Mex 2023;80(Supl 1):69-76. doi: 10.24875/BMHIM.22000127. PMID: 37490690
Clinical Course and Electrophysiological Characteristics of Permanent Junctional Reciprocating Tachycardia in Children.
Ergül Y, Sulu A, Çaran B, Kafalı HC, Akdeniz C, Tuzcu V
Anatol J Cardiol 2022 Dec;26(12):880-885. doi: 10.5152/AnatolJCardiol.2022.1948. PMID: 35949117Free PMC Article
Radiofrequency catheter ablation of patients with permanent junctional reciprocating tachycardia and long-term follow-up results.
Gökoğlan Y, Vurgun VK, Kabul HK, Görmel S, Yaşar S, Asil S, Fırtına S, Yıldırım E, Amasyalı B, Köse S
J Interv Card Electrophysiol 2022 Mar;63(2):461-469. Epub 2021 Sep 2 doi: 10.1007/s10840-021-01057-0. PMID: 34476675
Unusual variants of pre-excitation: From anatomy to ablation: Part III-Clinical presentation, electrophysiologic characteristics, when and how to ablate nodoventricular, nodofascicular, fasciculoventricular pathways, along with considerations of permanent junctional reciprocating tachycardia.
Soares Correa F, Lokhandwala Y, Sánchez-Quintana D, Mori S, Anderson RH, Wellens HJJ, Back Sternick E
J Cardiovasc Electrophysiol 2019 Dec;30(12):3097-3115. Epub 2019 Nov 14 doi: 10.1111/jce.14247. PMID: 31646696
Permanent junctional reciprocating tachycardia in children: a multicenter experience.
Kang KT, Potts JE, Radbill AE, La Page MJ, Papagiannis J, Garnreiter JM, Kubus P, Kantoch MJ, Von Bergen NH, Fournier A, Côté JM, Paul T, Anderson CC, Cannon BC, Miyake CY, Blaufox AD, Etheridge SP, Sanatani S
Heart Rhythm 2014 Aug;11(8):1426-32. Epub 2014 Apr 24 doi: 10.1016/j.hrthm.2014.04.033. PMID: 24769425

Clinical prediction guides

Postnatal recurrence and transesophageal inducibility of prenatally treated fetal supraventricular tachycardia.
Michel M, Renaud C, Chiu-Man C, Gross G, Jaeggi E
Heart Rhythm 2022 Aug;19(8):1343-1349. Epub 2022 Apr 21 doi: 10.1016/j.hrthm.2022.04.013. PMID: 35462052
Unusual variants of pre-excitation: From anatomy to ablation: Part III-Clinical presentation, electrophysiologic characteristics, when and how to ablate nodoventricular, nodofascicular, fasciculoventricular pathways, along with considerations of permanent junctional reciprocating tachycardia.
Soares Correa F, Lokhandwala Y, Sánchez-Quintana D, Mori S, Anderson RH, Wellens HJJ, Back Sternick E
J Cardiovasc Electrophysiol 2019 Dec;30(12):3097-3115. Epub 2019 Nov 14 doi: 10.1111/jce.14247. PMID: 31646696
Permanent junctional reciprocating tachycardia in children: a multicenter experience.
Kang KT, Potts JE, Radbill AE, La Page MJ, Papagiannis J, Garnreiter JM, Kubus P, Kantoch MJ, Von Bergen NH, Fournier A, Côté JM, Paul T, Anderson CC, Cannon BC, Miyake CY, Blaufox AD, Etheridge SP, Sanatani S
Heart Rhythm 2014 Aug;11(8):1426-32. Epub 2014 Apr 24 doi: 10.1016/j.hrthm.2014.04.033. PMID: 24769425
Permanent junctional reciprocating tachycardia in children: a multicentre study on clinical profile and outcome.
Vaksmann G, D'Hoinne C, Lucet V, Guillaumont S, Lupoglazoff JM, Chantepie A, Denjoy I, Villain E, Marçon F
Heart 2006 Jan;92(1):101-4. Epub 2005 Apr 14 doi: 10.1136/hrt.2004.054163. PMID: 15831598Free PMC Article
Catheter ablation of permanent junctional reciprocating tachycardia with radiofrequency current.
Gaita F, Haissaguerre M, Giustetto C, Fischer B, Riccardi R, Richiardi E, Scaglione M, Lamberti F, Warin JF
J Am Coll Cardiol 1995 Mar 1;25(3):648-54. doi: 10.1016/0735-1097(94)00455-Y. PMID: 7860909

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