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Wolff–Parkinson–White syndrome presenting with steroid-induced bradycardia in a patient with acute rheumatic fever

Part of: Infectious

Published online by Cambridge University Press:  02 August 2018

Ali Orgun ,
Hazım A. Gursu  and
Ibrahim I. Cetin
Ali Orgun
Affiliation:
Department of Pediatric Cardiology, Ankara Child Health and Diseases, Hematology Oncology Training and Research Hospital, University of Health Sciences, Ankara, Turkey
Hazım A. Gursu*
Affiliation:
Department of Pediatric Cardiology, Ankara Child Health and Diseases, Hematology Oncology Training and Research Hospital, University of Health Sciences, Ankara, Turkey
Ibrahim I. Cetin
Affiliation:
Department of Pediatric Cardiology, Ankara Child Health and Diseases, Hematology Oncology Training and Research Hospital, University of Health Sciences, Ankara, Turkey
*
Author for correspondence: A. H. Gursu, Associate Professor Department of Pediatric Cardiology, Ankara Child Health and Diseases, Hematology Oncology Training and Research Hospital, University of Health Sciences, 06110 Ankara, Turkey. Tel: +90 505 561 87 99; Fax: +09 312 347 23 30; E-mail: hagursu@yahoo.com.tr
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Abstract

Steroids are used in the treatment of acute rheumatic fever with moderate-to-severe carditis. Corticosteroids have several cardiovascular side affects that are more common in adults than in children. Corticosteroid-related bradycardia is a rarely seen side effect. Children with bradycardia following oral corticosteroid use are rarely reported previously. We present a child who developed bradycardia after oral corticosteroid treatment and concurrent Wolff–Parkinson–White pattern.

Keywords

Acute rheumatic feverarrhythmiaechocardiography
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 11 , November 2018 , pp. 1375 - 1377
Copyright
© Cambridge University Press 2018 

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References

1. Gewitz, MH, Baltimore, RS, Tani, LY, et al. Revision of the Jones criteria for the diagnosis of acute rheumatic fever in the era of Doppler echocardiography: a scientific statement from the American Heart Association. Circulation 2015; 131: 1806–1818.Google Scholar
2. Klein-Gitelman, MS, Pachman, LM. Intravenous corticosteroids: adverse reactions are more variable than expected in children. J Rheumatol 1998; 25: 1995–2002.Google Scholar
3. Taylor, MR, Gaco, D. Symptomatic sinus bradycardia after a treatment course of high-dose oral prednisone. J Emerg Med 2013; 45: e55–e58.Google Scholar
4. Vasheghani-Farahani, A, Sahraian, MA, Darabi, L, Aghsaie, A, Minagar, A. Incidence of various cardiac arrhythmias and conduction disturbances due to high dose intravenous methylprednisolone in patients with multiple sclerosis. J Neurol Sci 2011; 309: 75–78.Google Scholar
5. Kucukosmanoglu, O, Karabay, A, Ozbarlas, N, Noyan, A, Anarat, A. Marked bradycardia due to pulsed and oral methylprednisolone therapy in a patient with rapidly progressive glomerulonephritis. Nephron 1998; 80: 484.Google Scholar
6. Akikusa, JD, Feldman, BM, Gross, GJ, Silverman, ED, Schneider, R. Sinus bradycardia after intravenous pulse methylprednisolone. Pediatrics 2007; 119: e778–e782.Google Scholar
7. Al Shibli, A, Al Attrach, I, Hamdan, MA. Bradycardia following oral corticosteroid use: case report and literature review. Arab J Nephrol Transplant 2012; 5: 47–49.Google Scholar
8. Van der Gugten, A, Bierings, M, Frenkel, J. Glucocorticoid-associated bradycardia. J Pediatr Hematol Oncol 2008; 30: 172–175.Google Scholar
9. Olgin, JE, Zipes, D. Specific arrhythmias: diagnosis and treatment. In Libby P,, Bonow RO, Mann DL, Zipes DP, (eds) Braunwald’s Heart Disease – A text book of Cardiovascular Medicine, 8th edn. Saunders, Philadelphia, PA, 2008: 884–893.Google Scholar
10. Pappone, C, Santinelli, V. Electrophysiology testing and catheter ablation are helpful when evaluating asymptomatic patients with Wolff-Parkinson-White pattern: the pro perspective. Card Electrophysiol Clin 2015; 7: 371–376.Google Scholar