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July 1993

Radiofrequency Ablation: A New Era in the Treatment of Pediatric Arrhythmias

Author Affiliations

From the Departments of Pediatrics (Drs Klitzner and Wetzel) and Medicine (Drs Saxon and Stevenson), UCLA School of Medicine, Los Angeles, Calif.

Am J Dis Child. 1993;147(7):769-771. doi:10.1001/archpedi.1993.02160310071021

THE PAST  Over the past 15 years, remarkable advances have occurred in the care of pediatric patients with arrhythmias. For the most part, progress has been the result of information obtained from invasive diagnostic electrophysiologic studies in infants and children,1 which have allowed a mechanistic analysis of the cause of the arrhythmia and a targeted therapeutic approach to drug treatment.2 The latter has focused on developing more specific antiarrhythmic agents and increasingly effective suppression of arrhythmias for children and adults. However, whereas the benefits of these pharmacologic advances have been striking, the emphasis has been on suppression of the rhythm disturbance rather than on cure.In addition to elucidating the mechanism of an arrhythmia, electrophysiologic studies detect the origin or anatomic circuit; this information has been used to design more definitive arrhythmia therapy. Originally, the only management approach to take advantage of anatomic information was surgical. A variety