This case report highlights the rare occurrence of malignant ventricular arrhythmias in acute rheumatic fever, emphasizing the potential need for continuous cardiac monitoring in selected patients.
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Alerts to VT risk in acute rheumatic fever; leaves open whether routine monitoring alters outcomes.
A 19-year-old man presented with fever, migratory polyarthritis, and palpitations; a diagnosis of acute rheumatic fever was made. Twenty-four-hour ambulatory cardiac monitoring (Holter) performed during the patient's hospitalization revealed ventricular tachycardia. Although disturbances in cardiac conduction and rhythm are common during the acute phase of rheumatic fever, malignant ventricular arrhythmias, to our knowledge, have not been described. Recognition of this occurrence emphasizes the need for continuous cardiac monitoring in selected patients.
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Mark Freed (1985) studied this question.
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