Congenital paroxysmal atrial fibrillation in infants is a rare occurrence requiring a high index of suspicion. The majority have a pre-excitation syndrome which may be concealed. It may be associated with specific structural congenital cardiac lesions. This index case had only paroxysmal atrial tachyarrhythmia with no predisposing condition that subsided spontaneously and is the first case documented in an Afro-Caribbean infant.
The aim of this article is a comprehensive review of the publications during the last decade in order to evaluate current indications for cardiac resynchronization therapy (CRT) in patients with heart failure (HF) and atrial fibrillation (AF).