Related Experiment Videos
[Paroxysmal tachycardia in children: analysis of two clinical cases]
G Tisi1, R Baroffio, S Mariani
1Divisione di Cardiologia USSL n. 9, Saronno, Italia.
Insights
Two pediatric cases of paroxysmal supraventricular tachycardia, potentially linked to Wolf-Parkinson-White syndrome, were successfully managed. Treatments included digitalis for one child and propafenone for another, confirming therapeutic efficacy.
Area of Science:
- Pediatric Cardiology
- Electrophysiology
Background:
- Paroxysmal supraventricular tachycardia (PSVT) is a common arrhythmia in children.
- Congenital heart disease can be associated with PSVT, requiring careful exclusion.
- Wolf-Parkinson-White (WPW) syndrome is a known cause of PSVT due to accessory pathways.
Abstract:
Two cases of paroxysmal supraventricular tachycardia in children are reported. Associated congenital heart disease were excluded by color-doppler echocardiogram. Electrocardiogram, holter monitoring and transesophageal study (in one case) suggested associated Wolf-Parkinson-White syndrome. The former case was successfully treated with digitalis, the latter, diagnosed "at risk" by transesophageal recording, was long term treated with propafenone. Clinical evaluation at follow-up confirmed the efficacy of the therapy.