Articole semnate de acelasi autor in Revista Romana de Pediatrie:

PROVOCARI DE DIAGNOSTIC IN TAHICARDIA VENTRICULARA LA COPIL

Revista Romana de PEDIATRIE | Volumul LXIV, Nr. 2, An 2015

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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Constantin Iordache, Andreea-Simona Holoc, Claudia-Mihaela Toma, Mihaela Grecu and Alina-Costina Luca

REZUMAT

Aritmiile cardiace primare sunt mult mai puţin frecvente la sugari şi copii decât la adulţi, simptomele prezentate putând fi vagi şi nespecifice. Deşi urgenţele reale din cauza aritmiilor instabile la copii sunt rare, este important să se identifice şi să se gestioneze în mod corespunzător cazurile. Prezentăm cazul unui copil, care se internează pentru simptomatologie respiratorie, la examenul clinic decelându-se o frecvenţă cardiacă de 214bpm. Copilul a devenit progresiv anxios, prezentând efort respirator. Studiul electrocardiogramei a stabilit diagnosticul de tahicardie ventriculară fasculară anterioară cu tendinţa la permanentizare. Evoluţia a fost favorabilă după efectuarea cardioversiei electrice şi tratament preventiv cu Verapamil.

Cuvinte cheie: tahicardie ventriculară, copil, cardioversie electică

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Constantin Iordache

DIAGNOSTIC CHALLENGES IN CHILD VENTRICULAR TACHYCARDIA

ISSN 1454-0398 | e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

National Awards “Science and Research”

NEW! RJP has announced the annually National Award for "Science and Research" for the best scientific articles published throughout the year in the official journal.

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

Constantin Iordache, Andreea-Simona Holoc, Claudia-Mihaela Toma, Mihaela Grecu and Alina-Costina Luca

ABSTRACT

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 214bpm. 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.

Keywords: ventricular tachycardia, child, electrical cardioversion

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Constantin Iordache