Neonatal Medicine

The Korean Society of Neonatology (대한신생아학회)
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Multifocal Atrial Tachycardia in a Newborn

신생아에서 발생한 다소성심방빈맥

  • Cho, Hye-Jung (Department of Pediatrics, Gachon University of Medicine and Science, Gil Hospital) ;
  • Son, Dong-Woo (Department of Pediatrics, Gachon University of Medicine and Science, Gil Hospital) ;
  • Shim, So-Yeon (Department of Pediatrics, Gachon University of Medicine and Science, Gil Hospital) ;
  • Choi, Deok-Young (Department of Pediatrics, Gachon University of Medicine and Science, Gil Hospital) ;
  • Lee, Ji-Sung (Department of Obstetrics and Gynecology, Gachon University of Medicine and Science, Gil Hospital) ;
  • Bae, Eun-Jung (Department of Pediatrics, Seoul National University College of Medicine)
  • 조혜정 (가천의과대학교 길병원 소아과학교실) ;
  • 손동우 (가천의과대학교 길병원 소아과학교실) ;
  • 심소연 (가천의과대학교 길병원 소아과학교실) ;
  • 최덕영 (가천의과대학교 길병원 소아과학교실) ;
  • 이지성 (가천의과대학교 길병원 산부인과학교실) ;
  • 배은정 (서울대학교 의과대학 소아과학교실)
  • Published : 2009.11.30

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Abstract

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.

다소성 심방 빈맥은 신생아에서 드물게 발생하며 진단하기에 어려워 심방 조동으로 오인되기도 한다. 치료가 어려우나 생후 1년 안에 자연적으로 사라지는 경우도 있다. 불규칙한 심방 빈맥을 가진 신생아에게 직접 제작한 경식도 전극을 이용한 심전도를 시행하여 다소성 심방 빈맥을 진단하였다. Propranolol은 치료에 효과적이지 않았으나 digoxin과 sotalol 투여 후 환자는 점차 동리듬으로 회복되었다. 신생아에서 경식도 전극을 이용하여 다소성 심방 빈맥을 진단하였던 1례를 보고한다.

Keywords

References

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