[ARVD-FORUM] question Dr. Mesquita de Oliveira

[ARVD Symposium]

English - Portuguese

Good afternoon! This case is most difficult since the baby has only 9
months. Do you have an ICD available for this age? Would you place it by
thoraco-abdominal via?
If he was responsive to this association (propranolol + propafenone), I
would maintain him with this. If he doesn't respond to this association, I
would give him amiodarone + sotalol (that would strengthen the effect by
amiodarone). Anyway, if an ICD was feasible, I would indicate it!!
Warm regards,
   Dr Eduardo Mesquita de Oliveira(Cardiologista do Hospital Israelita
Albert Einstein-São Paulo-Brasil)

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Boa tarde!  Dificilimo o caso pois tem somente 9 meses.Tem CDI para essa
idade? A colocação é via toracoabdominal?
Se respondeu a essa associação(propranolol+ propafenona) manteria assim.Caso
nao respondesse a essa associação,daria Amiodarona+ sotalol(que
potencializaria o efeito da amiodarona).De qq forma se fosse possivel um CDI
,eu indicaria!!  Grande abraço  Obrigado
   Dr Eduardo Mesquita de Oliveira(Cardiologista do Hospital Israelita
Albert Einstein-São Paulo-Brasil)


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De: arvd-forum-lat-bounces at arvd-symposium.org em nome de ARVD Symposium
Enviada: sex 3/6/2005 13:06
Para: arvd-forum at arvd-symposium.org
Assunto: [ARVD-FORUM] question



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English - Spanish

I have a 9-month-old boy, with incessant ventricular tachycardia at 240 bpm,
echo with severe RV dilatation and magnetic resonance imaging that suggests
ARVD. Besides antiarrhythmic agents (he was responsive to propafenone and
propranolol), should a cardioverter defibrillator be implanted?
The mother had 2 pregnancies that ended in death of the ovum and scrape, and
the 3rd pregnancy is this child with the problem. Thank you for your
comments.
Alejandro Cordero

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Tengo un niño de 9 meses de edad, con taquicardia ventrcular incesante a 240
latidos por minuto, eco con dilatación del VD severa y una imagen de
resonancia magnética sugestiva de DAVD, aparte de los antiarritmicos
(respondió a propafenona y porpranolol), se debe colocar un
cardiodesfibrilador?
La madre tuvo 2 embarazos que terminanron en huevo muerte retenido y
legrados, y el 3er embarazo es el niño problema. Gracias por sus comentarios
Alejandro Cordero