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Case report: catecholamine-induced arrhythmia in children.
David Lowe1, Scott Hendry, Karen McLeod
1Emergency Department, Hairmyres Hospital, , Glasgow, UK.
A 10-year-old boy experienced syncope and was diagnosed with catecholaminergic polymorphic ventricular tachycardia. This rare condition requires consideration in pediatric syncope cases.
Area of Science:
- Pediatric Cardiology
- Electrophysiology
- Genetics
Background:
- Syncope is a common presentation in pediatric emergency departments.
- Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a rare genetic disorder causing life-threatening arrhythmias.
- Early diagnosis and management are crucial for preventing adverse outcomes.
Observation:
- A 10-year-old male presented with syncope.
- Telemetry monitoring revealed runs of biventricular tachycardia.
- The patient was diagnosed with catecholaminergic polymorphic ventricular tachycardia.
Findings:
- Catecholaminergic polymorphic ventricular tachycardia can manifest as syncope in children.
- Biventricular tachycardia is a characteristic finding in this condition.
- This case highlights the importance of considering CPVT in the differential diagnosis of pediatric syncope.
Implications:
- Increased awareness of CPVT among clinicians can lead to earlier diagnosis.
- Timely diagnosis and appropriate management can significantly improve prognosis.
- Genetic counseling and family screening are essential for individuals diagnosed with CPVT.
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