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KMID : 0438520090160020239
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Journal of the Korean Society of Neonatology
2009 Volume.16 No. 2 p.239 ~ p.243
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Multifocal Atrial Tachycardia in a Newborn.
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Joe Hae-Jung
Bae Eun-Jung
Choi Deok-Young
Son Dong-Woo
Sim So-Yeon
Lee Ji-Sung
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Abstract
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Multifocal atrial tachycardia (MAT) is a rare arrhythmia in the newborn. MAT can be difficult to diagnose; it is frequently confused with atrial fibrillation. MAT is difficult to treat but often resolves spontaneously within the first year of life. A newborn with a rapid and irregular pulse rate was diagnosed with multifocal atrial tachycardia by eletrocardiography (ECG) using a hand-made transesophageal electrode. Treatment with propranolol was attempted but ineffective. Treatment with digoxin and sotalol was attempted. The heart rhythm gradually reverted to a sinus rhythm with this treatment. We report our experience managing a neonate with MAT diagnosed by ECG using a hand-made transesophageal electrode.
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KEYWORD
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Multifocal artrial tachycardia, Neonate, Transesophageal electrocardiography
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