AVNRT simply means that her AV node ( the area of the heart responsible for slowing down the impulses from the top chamber of the heart) has at least two separate pathways: one a fast conducting normal pathway and a second slow conducting patways. Because of the differences in these two pathways an extra beat can cause the system to short circuit the AV node and conduct very rapidly. Although I am not a pediactric cardiologist, we generally ablate the second slow pathway in the AV node very frequently for this reason in adults. People are generally born with this physiology, but sometimes it doesn't manifest itself until later in life. Sometimes people have had it all their life but didn't know it. So the answers are:
1) Yes she was born with it but just because you have the substrate for the arrythmia it doesn't mean you will have it at all. Other factors such as increased atrial or ventricular beast (APCs or PVCs,) low vagal tone can trigger and perpetuate the arhythmia. 2) Yes she can have more than one events in one day. 3) I don't know about stress but increased cathecolachine levels (running , exercising, etc) can trigger AVNRT 5) It may, and it depends on the electrical characteristics of the two pathways,
6) It is very unlikely to go away by itself. And this is why we generally ablate the second AV nodal pathway.
Hi oat :) Glad to see you finally got your question in over here! I hope the doc can give you the answers you're looking for
Thanks! I couldn't believe it when I tried to get on yesterday it let me! I too hope that we can get more feedback and help. I hope everything is going okay for you.
Hi Oatbucket,
Did the doctor say your daughter have wpw or an accessory pathway? I might confuse with AVNRT and SVT. Is she on any medication? Wait for the CCF doctor comment. I hope they'll give you an answer shortly.
I agree with Pika. There is also AVRT (as opposed to AVNRT). Two totally different things.