caa a22 4500 445823992 CHVBK 20180317145253.0 cr unu---uuuuu 170323e20110801xx s 000 0 eng 10.1007/s00246-011-9961-4 doi (NATIONALLICENCE)springer-10.1007/s00246-011-9961-4 Predictors of ECMO Support in Infants with Tachycardia-Induced Cardiomyopathy [Elektronische Daten] [Jack Salerno, Stephen Seslar, Terrence Chun, Mina Vafaeezadeh, Andrea Parrish, Lester Permut, Gordon Cohen, David McMullan] The development of tachycardia-induced cardiomyopathy (TIC) is related to the rate and duration of supraventricular tachycardia (SVT). Infants may be more susceptible to TIC because early symptoms might be unrecognized. Extracorporeal membrane oxygenation (ECMO) may improve outcome in patients with SVT and TIC; however, clinical predictors of infants who require ECMO support have not been determined. The purpose of this study was to identify predictors of the need for ECMO in infants with SVT and TIC. Sixteen infants<6months of age who experienced resolution of TIC following control of arrhythmia were identified. Three patients (19%) required ECMO support. Comparisons were made between patients who required ECMO and those who did not. The groups were similar with respect to age at presentation, type of SVT, rate of SVT, and degree of ventricular dysfunction. However, patients requiring ECMO had increased median M-mode-derived left ventricular end diastolic dimension (LVED) z-score when compared to the medically managed patents (+2.8 vs. 0.0, P=0.009). No patient in the medically managed group had an LVED z-score>2.3. Infants presenting with SVT and TIC with LVED z-score>2 are at increased risk for requiring ECMO support and early use of ECMO should be considered. Springer Science+Business Media, LLC, 2011 ECMO nationallicence Tachycardia nationallicence Cardiomyopathy nationallicence Infant nationallicence Salerno Jack Division of Pediatric Cardiology, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut Seslar Stephen Division of Pediatric Cardiology, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut Chun Terrence Division of Pediatric Cardiology, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut Vafaeezadeh Mina Division of Pediatric Cardiac Surgery, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut Parrish Andrea Division of Pediatric Cardiology, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut Permut Lester Division of Pediatric Cardiac Surgery, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut Cohen Gordon Division of Pediatric Cardiac Surgery, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut McMullan David Division of Pediatric Cardiac Surgery, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut Pediatric Cardiology Springer-Verlag 32/6(2011-08-01), 754-758 0172-0643 32:6<754 2011 32 246 https://doi.org/10.1007/s00246-011-9961-4 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00246-011-9961-4 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Salerno Jack Division of Pediatric Cardiology, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut NATIONALLICENCE 700 1- Seslar Stephen Division of Pediatric Cardiology, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut NATIONALLICENCE 700 1- Chun Terrence Division of Pediatric Cardiology, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut NATIONALLICENCE 700 1- Vafaeezadeh Mina Division of Pediatric Cardiac Surgery, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut NATIONALLICENCE 700 1- Parrish Andrea Division of Pediatric Cardiology, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut NATIONALLICENCE 700 1- Permut Lester Division of Pediatric Cardiac Surgery, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut NATIONALLICENCE 700 1- Cohen Gordon Division of Pediatric Cardiac Surgery, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut NATIONALLICENCE 700 1- McMullan David Division of Pediatric Cardiac Surgery, Seattle Children's Hospital, 98105-0371, Seattle, WA, USA aut NATIONALLICENCE 773 0- Pediatric Cardiology Springer-Verlag 32/6(2011-08-01), 754-758 0172-0643 32:6<754 2011 32 246 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer