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Questions posted in the
Heart Forum have been answered by doctors from The Cleveland Clinic Foundation.
Question Title: 11 month old diagnosed with PJRT I need more infoForum: The Heart Forum
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My 11 mo old daughter was diagnosed with Permanent Junctional Reciprocating Tachycardia. Her heart has been diagnosed as healthy and she has been on flecainide for 5 days now. Her rate is fluctuating between 150 at rest to 200 when active. Dr. says she is in this 99% of the time. My questions are these, since this type of tachycardia is rare, where can I get more info? Is this a life threatening situation? Since the medicine doesn't seem to be working what other things are available to break the heart rate and keep it down? Our Dr's seem competent, yet I don't have enough information to compare their advice or protocol to. Can you please give more information? Thanks Adele
Dear Adele, thank you for your question. Your daughter may be a candidate for a procedure called radiofrequency ablation during which catheters are used to apply radio energy to an extra electrical conduction pathway in the heart to eliminate the tachycardia. I don't believe her situation is life-threatening but only her cardiologist can accurately determine that. Dr. Richard Sterba is a pediatric cardiologist here at Cleveland Clinic who specializes in treating tachycardias in children. He would be a good resource for more information and he would be happy to evaluate your daughter for treatment options. You can reach Dr. Sterba at 216-445-5015. Good luck! I hope you find this information useful. Information provided in the heart forum is for general purposes only. Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions. If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
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