Challenges facing paroxysmal supraventricular tachycardia in early infancy

The heart generates its own electrical signal. The sinoatrial node is considered the natural pacemaker of the heart and generates an electrical stimulus regularly, 60 to 100 times per minute under normal conditions. Supraventricular tachycardia is the most common rhythm disturbance in children. The majority of the clinically important Supraventricular tachycardia in healthy children is caused by the presence of an accessory electrical connection between the atrium and the ventricle or within the atrioventricular node. Here is reported the case of a 3-months old infant who was presented with pallor, lethargy, poor feeding and was diagnosed with Supraventricular tachycardia. In infants it presents with nonspecific symptoms. Supraventricular tachycardia is typically not life threating but can become if left undiagnosed and untreated, so a high index of suspicion should be maintained while evaluating a child even in early infancy.