Case report reveals effective metoprolol treatment for atrial fibrillation in a 12-year-old obese child with hypertension, suggesting importance of ECG follow-ups.
Background and Clinical Significance: Atrial fibrillation is a rare disorder in the pediatric population in the absence of underlying heart disease. A specific arrhythmia, known as lone pediatric atrial fibrillation, can occur without identifiable structural heart abnormalities. Case Presentation: We report a case of a 12-year-old obese child with symptomatic hypertension and atrial fibrillation diagnosed through an electrocardiogram (ECG). Conclusions: The patient was rapidly managed with intravenous metoprolol, and he subsequently started cardiologic treatment and clinical follow-up. This case underlines the possibility of performing routine ECGs in the follow-up of obese children.
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Pecoraro et al. (2025) studied this question.
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