Multiple recurrent supraventricular tachycardia in infantile tuberous sclerosis complex: management requiring triple-drug therapy.

IF 0.9 4区 医学 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Xander Jacquemyn, Shelby Kutty, Mitchell I Cohen, Keyur K Mehta
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引用次数: 0

Abstract

We report the case of a female neonate admitted to the neonatal ICU with a rapid, narrow-complex tachyarrhythmia determined to be supraventricular tachycardia. Multimodality imaging and genetic testing confirmed a diagnosis of tuberous sclerosis complex with multiple cardiac rhabdomyomas. At 13 days of age, the patient was readmitted, exhibiting recurrent supraventricular tachycardia non-responsive to first-line treatment. Management required triple-drug therapy, whereafter the patient remained stable without recurrences. This is a rare report of supraventricular tachycardia in a functionally normal heart with the occurrence of supraventricular tachycardia due to structural abnormalities, with the possibility of multiple concealed accessory pathways.

婴幼儿结节性硬化症复合体多发性复发性室上性心动过速:需要三联药物治疗。
我们报告了一例新生儿重症监护室收治的女性新生儿,她因快速、窄复合型快速心律失常而被确定为室上性心动过速。多模态成像和基因检测确诊为结节性硬化症复合体伴多发性心脏横纹肌瘤。13 天大时,患者再次入院,表现出对一线治疗无效的复发性室上性心动过速。在接受三联药物治疗后,患者病情保持稳定,没有复发。这是一例罕见的室上性心动过速病例,患者心脏功能正常,但因结构异常而发生室上性心动过速,可能存在多条隐蔽的分支通路。
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来源期刊
Cardiology in the Young
Cardiology in the Young 医学-小儿科
CiteScore
1.70
自引率
10.00%
发文量
715
审稿时长
4-8 weeks
期刊介绍: Cardiology in the Young is devoted to cardiovascular issues affecting the young, and the older patient suffering the sequels of congenital heart disease, or other cardiac diseases acquired in childhood. The journal serves the interests of all professionals concerned with these topics. By design, the journal is international and multidisciplinary in its approach, and members of the editorial board take an active role in the its mission, helping to make it the essential journal in paediatric cardiology. All aspects of paediatric cardiology are covered within the journal. The content includes original articles, brief reports, editorials, reviews, and papers devoted to continuing professional development.
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