El Joueid Nouhad, Touma Boulos Marianne, Abou Jaoude Simon, Daou Linda
Pediatric Department, Hotel-Dieu de France University Hospital, Saint Joseph University, Medical School, Alfred Naccache Boulevard, Achrafieh, Beirut, Lebanon.
Cardiology Department, Hotel-Dieu de France University Hospital, Saint Joseph University, Medical School, Alfred Naccache Boulevard, Achrafieh, Beirut, Lebanon.
Cardiol Res. 2020 Feb;11(1):61-65. doi: 10.14740/cr1005. Epub 2020 Jan 26.
Ventricular tachycardia (VT) is a serious form of arrhythmia that can be life-threatening; that's why diagnosis and treatment are very important in order to avoid serious complications. We are reporting this case of VT which is a rare entity, especially, in healthy infants. This infant, without cardiac pathology known from birth, presented with poor food intake and grunting with hepatomegaly on clinical examination, and a heartbeat at 200/ min. The electrocardiogram (ECG) showed wide QRS complex tachycardia, and the echocardiogram showed a dilated and hypokinetic cardiomyopathy. The clinical signs and chest X-ray changes were consistent with mild cardiac failure. This presentation makes the diagnosis challenging, therefore, it is important to take a good history of the case with a complete clinical exam to achieve the correct diagnosis, and to avoid potential complications. VT of an infant may be benign but should not be diagnosed as such before eliminating serious causes.
室性心动过速（VT）是一种严重的心律失常形式，可能危及生命；这就是为什么诊断和治疗对于避免严重并发症非常重要。我们报告了这例室性心动过速病例，这是一种罕见的病症，尤其是在健康婴儿中。这名婴儿出生时无已知心脏病变，临床检查发现其食欲不佳、有呼噜声且肝肿大，心率为每分钟200次。心电图（ECG）显示宽QRS波群心动过速，超声心动图显示扩张型和运动减弱型心肌病。临床体征和胸部X线改变与轻度心力衰竭一致。这种表现使得诊断具有挑战性，因此，详细了解病例病史并进行全面的临床检查以做出正确诊断并避免潜在并发症非常重要。婴儿的室性心动过速可能是良性的，但在排除严重病因之前不应如此诊断。
