Abstract
A 17-month-old girl was admitted with acute left ventricular failure after a short history of lethargy, poor feeding and increasing shortness of breath. She required intubation and ventilation as well as administration of diuretics and inotropes to control her heart failure. Initially, her 12-lead ECG was thought to show sinus tachycardia and the underlying cause of heart failure to be either acute myocarditis or idiopathic dilated cardiomyopathy. On review the ECG clearly demonstrated evidence of persistent junctional reciprocating tachycardia (PJRT) and anti-arrhythmic drugs commenced. Rate control was established with improvement in clinical and echocardiographic findings.
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Suggested Reading
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© 2016 Springer-Verlag London
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Magee, A.G. (2016). Cardiomyopathy in Infants: Look at the Rhythm, Then Look Again. In: Magee, A., Till, J., Seale, A. (eds) Practical Pediatric Cardiology. Springer, London. https://doi.org/10.1007/978-1-4471-4183-9_23
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DOI: https://doi.org/10.1007/978-1-4471-4183-9_23
Publisher Name: Springer, London
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