Cardiology in the Young最新文献

{"title":"Partial heart transplantation in resource-limited settings: challenges and feasibility.","authors":"Deng Siang Lee, Taufiek Konrad Rajab","doi":"10.1017/S1047951126124573","DOIUrl":"https://doi.org/10.1017/S1047951126124573","url":null,"abstract":"<p><strong>Introduction: </strong>Partial heart transplantation provides living, growth-capable valve implants for paediatric recipients. The feasibility and challenges of implementing partial heart transplantation in resource-limited settings are evaluated, where the burden of valvular heart disease is greatest and paediatric valve replacement options remain severely limited.</p><p><strong>Methods: </strong>A comprehensive search was conducted examining partial heart transplantation clinical outcomes, organ procurement logistics, immunosuppression requirements, and the infrastructure landscape for cardiac surgery in low-and middle-income countries. A feasibility framework was developed by mapping partial heart transplantation-specific requirements against existing low-and middle-income country cardiac surgical capacity.</p><p><strong>Results: </strong>Compared to orthotopic heart transplantation, several features of partial heart transplantation are inherently favourable for low-and middle-income country adaptation: it allows for longer graft ischaemia times, requires only tacrolimus monotherapy, and can source valves from hearts unsuitable for orthotopic heart transplantation. However, significant barriers persist, including limited organ procurement infrastructure, absence of regulatory frameworks for equitable donor-recipient matching, restricted access to therapeutic drug monitoring, and high rates of loss to follow-up.</p><p><strong>Conclusions: </strong>Implementation of partial heart transplantation in resource-limited settings is feasible at established middle-income country cardiac surgery centres with transplant capability. A phased strategy leveraging international partnerships, existing infrastructure, and generic immunosuppression offers a realistic pathway to bringing this innovation to the children who need it most.</p>","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-4"},"PeriodicalIF":0.8,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Palpitations in children and adolescents in the emergency department: a state-of-the-art narrative review of arrhythmia risk, diagnostic strategy, and disposition.","authors":"Khaled Abouelmagd, Temitomi Jane Oyedele, Gabriela Berger, Sarah Fakhiraldeen, Habiba Mohamed Ahmed ElMitwalli Ali, Nouran Hishmat, Atiqullah Sadaqat, Lauren A Carr, Mohammed Alsabri","doi":"10.1017/S1047951126124494","DOIUrl":"https://doi.org/10.1017/S1047951126124494","url":null,"abstract":"<p><strong>Background: </strong>Palpitations are not an uncommon complaint in the paediatric emergency department, causing significant anxiety for families concerned about serious heart disease. However, most cases are benign, often stemming from normal physiological responses like fever or anxiety. Primary cardiac arrhythmias are rare in this clinical setting.</p><p><strong>Problem: </strong>The main challenge is identifying the few children with dangerous arrhythmias among the many benign cases. Fear of missing a life-threatening condition often leads to extensive, costly, and stressful investigations, even in low-risk patients, without significantly improving detection rates.</p><p><strong>Objective: </strong>This review aims to create a structured, risk-based framework for evaluating paediatric palpitations in the emergency department. The goal is to help clinicians efficiently distinguish benign from potentially life-threatening causes, thereby optimising resource use and reducing family anxiety.</p><p><strong>Findings: </strong>A thorough clinical history, physical exam, and a standard 12-lead electrocardiogram are the most effective evaluation tools. \"Red-flag\" features-such as palpitations with fainting (syncope), onset during exercise, or a family history of sudden cardiac death-successfully identify nearly all children with significant arrhythmias. Barring certain risk factors and any abnormalities on a 12 lead electrocardiogram, a dangerous cardiac condition is highly unlikely.</p><p><strong>Recommendations: </strong>A stratified approach is recommended. Low-risk children (no red-flag features, normal electrocardiogram) can be safely discharged with reassurance. High-risk patients require immediate, aggressive evaluation, including cardiology consultation and potential hospital admission. This strategy improves accuracy, is cost-effective, and enhances patient safety.</p>","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-10"},"PeriodicalIF":0.8,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149219941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative echocardiographic parameters do not predict early outcomes after arterial switch operation in late-presenting transposition of the great arteries with intact ventricular septum.","authors":"Sachin Talwar, Murali Mohan Soma, Ramakrishnan Sivasubramanian, Palleti Rajashekar, Mrigank Choubey, Vishal Vinayak Bhende","doi":"10.1017/S1047951126124433","DOIUrl":"https://doi.org/10.1017/S1047951126124433","url":null,"abstract":"<p><strong>Objectives: </strong>To determine whether preoperative echocardiographic parameters can predict early postoperative outcomes after arterial switch operation in late-presenting transposition of the great arteries with intact ventricular septum.</p><p><strong>Methods: </strong>This prospective study examined preoperative demographic characteristics, echocardiographic findings, and left ventricular strain parameters in 35 patients undergoing arterial switch operation for late-presenting transposition of the great arteries with intact ventricular septum. Further, their correlation with postoperative variables, including length of ICU stay, postoperative hospital stay, extracorporeal membrane oxygenation support, and inotropic score, was assessed.</p><p><strong>Results: </strong>The median age at surgery was 45 days, and the median weight was 3.4 kg. The median interventricular septal thickness was 4.1 mm, and the median left ventricular mass index was 26.4 g/m². The median average left ventricular strain was -24.19. Thirteen patients required extracorporeal membrane oxygenation support. The whole cohort had a median extracorporeal membrane oxygenation duration of 0 days. The median length of ICU stay was 12 days, and the median length of postoperative hospital stay was 17 days. The median inotropic score was 28. There was no case of early mortality. None of the preoperative echocardiographic parameters showed a statistically significant association with postoperative outcomes.</p><p><strong>Conclusions: </strong>Preoperative echocardiographic parameters, including left ventricular strain, did not significantly predict early postoperative outcomes after arterial switch operation in patients with late-presenting transposition of the great arteries with intact ventricular septum. Postoperative outcomes in this patient group are likely influenced by multiple preoperative factors rather than a single preoperative echocardiographic parameter.</p>","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-8"},"PeriodicalIF":0.8,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predicting prolonged mechanical ventilation in neonates after cardiac surgery: development of a nomogram for risk prediction based on preoperative and intraoperative factors.","authors":"Jiaxin Lian, Jingyi Zhang, Jiexian Liang, Sheng Wang, Chao Lu","doi":"10.1017/S1047951126124536","DOIUrl":"https://doi.org/10.1017/S1047951126124536","url":null,"abstract":"<p><strong>Background: </strong>Despite improvements in neonatal cardiac surgery, prolonged mechanical ventilation remains a prevalent postoperative complication. This study was designed to build a prolonged mechanical ventilation prediction model based on preoperative and intraoperative factors in neonates (0-28 days) after cardiac surgery.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on perioperative data of 385 newborns undergoing cardiac surgery at Guangdong Provincial People's Hospital from 2018 to 2024. Prolonged mechanical ventilation was defined as postoperative mechanical ventilation duration >7 days.</p><p><strong>Results: </strong>Multivariate logistic regression identified independent predictors, visualised via a nomogram. Model performance was assessed by area under receiver operating characteristic curve analysis, calibration plots, and decision curve analysis. Multivariate logistic regression analysis identified airway anomalies (odds ratio = 2.280, 95% confidence interval 1.217-4.271, <i>P</i> = 0.010), preoperative mechanical ventilation (odds ratio = 2.244, 95% confidence interval 1.283-3.925, <i>P</i> = 0.005), radical surgery (odds ratio = 0.220, 95% confidence interval 0.091-0.533, <i>P</i> < 0.001), intraoperative red blood cell transfusion volumes (odds ratio = 1.529, 95% confidence interval 1.065-2.195, <i>P</i> = 0.021), intraoperative elevated lactate levels (odds ratio = 2.352, 95% confidence interval 1.256-4.403, <i>P</i> = 0.008), and higher vasoactive-inotropic score at the end of surgery (odds ratio = 1.060, 95% confidence interval 1.023-1.199, <i>P</i> = 0.001) as risk factors for prolonged mechanical ventilation. The nomogram achieved an area under the receiver operating curve of 0.784, with robust calibration and clinical utility. Prolonged mechanical ventilation was associated with prolonged hospital stay (median 23 vs. 16 days, <i>P</i> < 0.001) and increased hospital mortality (12.3% vs. 1.1%, <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>This model accurately stratifies the risks of prolonged mechanical ventilation in neonates after cardiac surgery, potentially guiding postoperative management.</p>","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-7"},"PeriodicalIF":0.8,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reversible atrioventricular block associated with transdermal fentanyl use: a paediatric case with non-Hodgkin lymphoma.","authors":"Burcu Çevlik, Gülhan Tunca Sahin, Mehmet Cemal Dönmez, Erkut Özturk","doi":"10.1017/S1047951126124512","DOIUrl":"https://doi.org/10.1017/S1047951126124512","url":null,"abstract":"<p><p>Pain is a common and significant clinical problem in childhood cancers, arising both from the disease itself and from administered treatments. Although pain control is primarily achieved with routine analgesics, this may be insufficient in chronic or progressive stages of the disease. In such cases, treatment with potent analgesics, such as opioid derivatives, comes into play. Transdermal fentanyl is widely preferred in paediatric oncology practice due to its ease of administration and effective analgesic properties. The most common adverse effects of opioids include tolerance, nausea, vomiting, and constipation. Drugs known to cause atrioventricular block include beta-blockers, digoxin, calcium channel blockers, certain immunosuppressive agents, and many antiarrhythmic drugs. Drug-induced atrioventricular block is generally reversible and resolves after discontinuation of the offending agent. In this report, we present a paediatric patient with common variable immunodeficiency and non-Hodgkin lymphoma who developed first-degree atrioventricular block along with second-degree type I (Wenckebach) and type II atrioventricular block during transdermal fentanyl therapy. Given the rarity of this adverse effect, we believe this case contributes to the literature by highlighting a potential conduction system complication associated with opioid use.</p>","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-4"},"PeriodicalIF":0.8,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enoxaparin dose assessment in paediatric cardiology patients.","authors":"Ryan Birky, Colin Meyer-Macaulay, Zhaoying Lu, Elizabeth Mary Patt","doi":"10.1017/S1047951126124081","DOIUrl":"https://doi.org/10.1017/S1047951126124081","url":null,"abstract":"<p><strong>Background: </strong>Enoxaparin is a commonly utilized anticoagulant, particularly in infants and children. Recent literature has highlighted the need to initiate enoxaparin at higher doses, especially at younger ages, due to differences in pharmacokinetics and pharmacodynamics. The aim of this study was to investigate the enoxaparin dose required to achieve therapeutic effect in patients ≤ 2 months, >2 to ≤ 6 months, >6 to ≤ 12 months, and >12 months old.</p><p><strong>Methods: </strong>This retrospective chart review includes patients aged 0-18 years admitted to the cardiac ICU or cardiac stepdown unit over a five-year period. Patients were included who achieved a therapeutic anti-Xa within goal of 0.5-1 units/mL.</p><p><strong>Results: </strong>Seventy-one patients were included in the analysis; 26 (37%) were ≤ 2 months old, 21 (30%) were >2 to ≤ 6 months old, 10 (14%) were >6 to ≤12 months old, and 14 (20%) were >12 months old. There was a significant difference in the median enoxaparin dose required among these age groups, with medians of 2.13 mg/kg/dose [IQR: 1.95, 2.53], 1.81 mg/kg/dose [IQR: 1.52, 2.40], 1.44 mg/kg/dose [IQR: 1.31, 1.71], and 1.16 mg/kg/dose [IQR: 1.00, 1.26], respectively (p < 0.001). The difference between initial and therapeutic doses was greater in infants compared to children >12 months of age, despite higher initial doses in patients ≤ 6 months old.</p><p><strong>Conclusions: </strong>Infants admitted to the cardiac ICU or cardiac stepdown unit required an increased median enoxaparin dose and a higher number of dosing changes and experienced longer times to achieve therapeutic anti-Xa levels compared to older children.</p>","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-5"},"PeriodicalIF":0.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Short- and long-term outcomes of balloon pulmonary valvuloplasty in children ≤24 months with critical and haemodynamically significant pulmonary valve stenosis: a 20-year single-centre experience in Medellín, Colombia.","authors":"Andrea Davila-Ruales, Sergio Gonzalez-Butron, Eliana Cañas, Guillermo Aristizabal-Villa, Rafael Lince-Varela","doi":"10.1017/S1047951126124421","DOIUrl":"https://doi.org/10.1017/S1047951126124421","url":null,"abstract":"<p><strong>Background: </strong>Balloon pulmonary valvuloplasty is the treatment of choice for critical and haemodynamically significant pulmonary stenosis, but long-term outcome data in infants, particularly in Latin America, remain limited. We evaluated long-term outcomes and factors associated with adverse outcomes in children ≤24 months.</p><p><strong>Methods: </strong>We retrospectively included consecutive patients ≤24 months who underwent balloon pulmonary valvuloplasty for critical or haemodynamically significant pulmonary stenosis between January 2004 and July 2024. Outcomes included significant restenosis, moderate-or-greater pulmonary regurgitation, pulmonary valve reintervention, and surgical reintervention. Time-to-event outcomes and predictors were assessed using Kaplan-Meier estimates and Cox regression.</p><p><strong>Results: </strong>A total of 129 patients were included (median age 1.5 months; 37.2% with critical pulmonary stenosis). Procedural success was 94.5%. The median right ventricular-to-pulmonary artery gradient decreased from 44 to 7 mmHg (<i>p</i> < 0.001). During a median 7 years follow-up (interquartile range 3-10), significant restenosis occurred in 25.6%, moderate-or-greater pulmonary regurgitation in 19.4%, and 17.8% underwent pulmonary valve reintervention. Kaplan-Meier analysis demonstrated sustained freedom from adverse outcomes throughout follow-up. Univariable Cox regression identified predilation and a higher balloon-to-annulus ratio as factors associated with an increased hazard of significant restenosis and moderate-or-greater pulmonary regurgitation, whereas a larger pulmonary annulus <i>Z</i>-score was associated with a lower hazard of restenosis.</p><p><strong>Conclusions: </strong>Ballon pulmonary valvuloplasty is a safe and effective first-line therapy in children ≤24 months, providing sustained haemodynamic improvement and durable long-term outcomes. Patients requiring predilation, larger balloon-to-annulus ratios, or having smaller pulmonary annulus <i>Z</i>-scores may benefit from closer long-term echocardiographic surveillance.</p>","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-12"},"PeriodicalIF":0.8,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149191132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tracheostomy after paediatric cardiac surgery: a marker of postoperative complexity and clinical outcomes.","authors":"Mustafa Okumus, Dilek Suzan, Volkan Yazicioglu, İsmail Balaban, Hakan Kilercik, Ozgur Yildirim","doi":"10.1017/S1047951126124482","DOIUrl":"https://doi.org/10.1017/S1047951126124482","url":null,"abstract":"<p><strong>Background: </strong>Tracheostomy is infrequently required after paediatric cardiac surgery and is generally considered for patients with prolonged mechanical ventilation or recurrent extubation failure. This study aimed to identify factors associated with the need for tracheostomy and to evaluate clinical outcomes among these patients.</p><p><strong>Methods: </strong>We retrospectively reviewed 1,840 paediatric patients who underwent cardiac surgery at a single centre between 2019 and 2025. Demographic, perioperative, and postoperative factors associated with the need for tracheostomy, as well as outcomes among patients who underwent tracheostomy, were evaluated.</p><p><strong>Results: </strong>Tracheostomy was performed in 34 patients (1.8%). The median age was 8 months, and 22 patients (64.7%) were younger than 1 year. Tracheostomy was performed at a median of 28.5 days after surgery, and the median total duration of mechanical ventilation during hospitalisation was 65 days. Age < 1 year was independently associated with the need for tracheostomy (odds ratio, 2.59; 95% confidence interval, 1.26-5.35; <i>p</i> = 0.010). Haemofiltration was also associated with tracheostomy (odds ratio, 3.94; 95% confidence interval, 1.84-8.44; <i>p</i> < 0.001), likely reflecting greater postoperative disease severity. Overall mortality was 20.6% (7/34), with no deaths related to tracheostomy. Among the 27 survivors, 24 (88.9%) underwent decannulation at a median of 62 days after tracheostomy. Two survivors were discharged with home mechanical ventilation, and one was discharged with a tracheostomy in place.</p><p><strong>Conclusions: </strong>Tracheostomy was uncommon after paediatric cardiac surgery and was primarily used in patients with prolonged and complex postoperative recovery. The need for tracheostomy appeared to reflect both patient‑related factors and greater postoperative complexity.</p>","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between the inferior vena cava collapsibility index and Fontan pressure in patients with Fontan physiology: a two-centre prospective pilot study.","authors":"Matthew D Campbell, Arshid Mir, Shashank Behere, Jennifer H Huang, Grant Burch, Mohammad Alnoor, Erin Madriago","doi":"10.1017/S1047951126124457","DOIUrl":"https://doi.org/10.1017/S1047951126124457","url":null,"abstract":"<p><strong>Introduction: </strong>Patients with functional single ventricle anatomy undergo staged surgical palliation in early childhood culminating in the Fontan procedure whereby the inferior vena cava is connected to the pulmonary artery. Fontan circulation inherently requires elevated central venous pressure to maintain adequate pulmonary blood flow; however, excessive elevation is associated with morbidity and mortality. In adults, a key component of echocardiographic evaluation is the use of a \"sniff test\" as a surrogate of downstream right atrial pressure. This technique has not yet been validated as a measure of pressure assessment in patients with Fontan circulation.</p><p><strong>Methods: </strong>This was a two-center prospective study of patients with functional single ventricle physiology who had undergone the Fontan procedure and were undergoing previously scheduled transthoracic echocardiogram and cardiac catheterization as part of their standard clinical care. We correlated collapsibility index on echocardiogram with directly obtained Fontan pressure measurements from cardiac catheterization performed the same day.</p><p><strong>Results: </strong>15 patients were enrolled and analyzed for the study. Collapsibility index demonstrated an inverse correlation with Fontan pressure, (Pearson r = -0.72, R2 = 0.51, p = 0.003). Collapsibility index was significantly higher for patients with non-elevated Fontan pressure (45% vs 30%, p = 0.0005). Using a collapsibility index threshold of 35.0% demonstrated a 100% positive predictive value for detecting elevated Fontan pressure (greater than 14 mmHg).</p><p><strong>Conclusions: </strong>There was a significant inverse relationship between the collapsibility index and Fontan pressure. These findings may suggest a possible association between collapsibility index and Fontan pressure, warranting further investigation in larger studies.</p>","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-6"},"PeriodicalIF":0.8,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149179422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodological considerations in a randomised comparison of AVNRT mapping strategies in paediatric patients.","authors":"Sarbari Swaika, Archana Dhyani, Rajnish Kumar, Heena Arora","doi":"10.1017/S1047951126124159","DOIUrl":"https://doi.org/10.1017/S1047951126124159","url":null,"abstract":"","PeriodicalId":9435,"journal":{"name":"Cardiology in the Young","volume":" ","pages":"1-2"},"PeriodicalIF":0.8,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}