In the article "Atrial Overdrive Pacing for Conversion of Atrial Flutter in Children" by Campbell et al (Pediatrics 1985;75:730-736), there are several errors in the "Addendum." The "Addendum" should read: Since submission of this manuscript, six additional patients (aged 2, 4, 6, 7, 14, and 17 years; three with transposition/Mustard, one with postatrial septal defect repair, one with post total anomalous pulmonary venous connection repair, and one with a structurally normal heart) with atrial flutter (flutter cycle length 180, 170, 240, 240, 230, 200, respectively) have received atrial transesophageal overdrive pacing. Three were converted to sinus rhythm. Two were converted to sustained atrial fibrillation and the 4-year-old patient with the shortest flutter cycle length was paced to refractoriness. The three who were not converted received elective successful DC cardioversion. This more recent experience reduces the success of the transesophageal method to 65%, a figure that closely approximates the response to the intracardiac method. Despite this recent experience, transesophageal overdrive pacing remains a valuable technique in the management of atrial flutter as well as in other supraventricular tachycardias in children.
- Copyright © 1985 by the American Academy of Pediatrics