Open AccessDIAGNOSTIC CHALLENGES IN CHILD VENTRICULAR TACHYCARDIA
Author(s) -
Constantin Iordache,
Andreea-Simona Holoc,
Claudia-Mihaela Toma,
Mihaela Grecu,
Alina-Costina Luca
Publication year - 2015
Publication title -
romanian journal of pediatrics
Language(s) - English
Resource type - Journals
eISSN - 2069-6175
pISSN - 1454-0398
DOI - 10.37897/rjp.2015.2.12
Subject(s) - medicine , verapamil , tachycardia , ventricular tachycardia , cardiology , electrical cardioversion , heart rate , electrocardiography , cardioversion , atrial fibrillation , blood pressure , calcium
Primary cardiac arrhythmias are much less common in infants and children than in adults, their symptoms can be vague and nonspecific. Although real emergencies because of unstable arrhythmias in children are rare, it is important to identify and properly manage these cases. The study presents the case of a child who was admitted for respiratory symptoms, clinical examination discovering the heart rate of 214 bpm. The child became progressively anxious, showing a respiratory effort. The study of electrocardiogram established the diagnosis of anterior fascicular ventricular tachycardia with a tendency to become permanent. The evolution was favorable after the electrical cardioversion and preventive treatment with Verapamil had been performed.