Pharmacologic management of arrhythmias

The role of antiarrhythmic drugs in the management of children with arrhyth mias has changed due to the rapid development of radiofrequency ablation. M oreover, the release of new drugs and a better insight into the electrophys iologic mechanisms of arrhythmias have changed former patterns of drug mana gement. However, because of lack of controlled trials, arrhythmia managemen t in pediatrics is still mainly based on clinical studies and individual ex perience. Within these limitations, I attempt to give practical recommendat ions for the management of the different arrhythmias seen in children based on the latest developments in this area.