Key result
Electrical cardioversion followed by preventive treatment with verapamil successfully restored and maintained sinus rhythm in a child with anterior fascicular ventricular tachycardia.
Why the study?
Primary cardiac arrhythmias are less common in children than adults and present diagnostic challenges due to vague and nonspecific symptoms.
Case Report (n=1)
No
Electrical cardioversion and verapamil successfully managed a rare case of anterior fascicular ventricular tachycardia in a child initially presenting with vague respiratory symptoms.
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 214 bpm. 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.
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Iordache et al. (2015) conducted a case report in Anterior fascicular ventricular tachycardia (n=1). Electrical cardioversion and Verapamil was evaluated on Restoration of sinus rhythm. Electrical cardioversion followed by preventive treatment with verapamil successfully restored and maintained sinus rhythm in a child with anterior fascicular ventricular tachycardia.
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