DIAGNOSTIC CHALLENGES IN CHILD VENTRICULAR TACHYCARDIA

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

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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