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Accelerated idioventricular rhythm in a healthy newborn: frightening but non-threatening

Published online by Cambridge University Press:  09 August 2021

Mariana Lemos*
Affiliation:
Department of Pediatric Cardiology, Hospital de Santa Cruz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
Miguel Fogaça da Mata
Affiliation:
Department of Pediatric Cardiology, Hospital de Santa Cruz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
Inês Carmo Mendes
Affiliation:
Department of Pediatric Cardiology, Hospital de Santa Cruz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
*
Author for correspondence: Dr M. Lemos, PhD, Department of Pediatric Cardiology, Hospital de Santa Cruz, Centro Hospitalar Lisboa Ocidental, Avenida Reinaldo dos Santos, 2790-134, Carnaxide, Lisbon, Portugal. Tel: +35 191 545 9946; Fax: +351 214188095. E-mail: marianalemos@outlook.com

Abstract

Accelerated idioventricular rhythm is a rare but benign form of ventricular tachycardia which might be challenging to differentiate from other more worrisome forms. We present the case of a healthy newborn diagnosed with an accelerated idioventricular rhythm which is spontaneously terminated without the need for medical therapy.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Crosson, JE, Callans, DJ, Bradley, DJ, et al. PACES/HRS expert consensus statement on the evaluation and management of ventricular arrhythmias in the child with a structurally normal heart. Heart Rhythm 2014; 11: e55e78.10.1016/j.hrthm.2014.05.010CrossRefGoogle ScholarPubMed
Wang, S, Zhu, W, Hamilton, RM, Kirsh, JA, Stephenson, EA, Gross, GJ. Diagnosis-specific characteristics of ventricular tachycardia in children with structurally normal hearts. Heart Rhythm 2010; 7: 17251731.10.1016/j.hrthm.2010.07.037CrossRefGoogle ScholarPubMed
Reynolds, JL, Pickoff, AS. Accelerated ventricular rhythm in children: a review and report of a case with congenital heart disease. Pediatr Cardiol 2001; 22: 2328.10.1007/s002460010146CrossRefGoogle ScholarPubMed
Rehsia, SS, Pepelassis, D, Buffo-Sequeira, I. Accelerated ventricular rhythm in healthy neonates. Paediatr Child Health 2007; 12: 777779.10.1093/pch/12.9.777CrossRefGoogle ScholarPubMed
Anatoliotaki, M, Papagiannis, J, Stefanaki, S, Koropouli, M, Tsilimigaki, A. Accelerated ventricular rhythm in the neonatal period: a review and two new cases in asymptomatic infants with an apparently normal heart. Acta Paediatr 2004; 93: 13971400.CrossRefGoogle ScholarPubMed
Freire, G, Dubrow, I. Accelerated idioventricular rhythm in newborns: a worrisome but benign entity with or without congenital heart disease. Pediatr Cardiol 2008; 29: 457462.10.1007/s00246-007-9024-zCrossRefGoogle ScholarPubMed
Levin, MD, Stephens, P, Tanel, RE, et al. Ventricular tachycardia in infants with structurally normal heart: a benign disorder. Cardiol Young 2010; 20: 641647.10.1017/S1047951110000867CrossRefGoogle ScholarPubMed
Sekarski, N, Meijboom, EJ, Di Bernardo, S, Ksontini, TB, Mivelaz, Y. Perinatal arrhythmias. Eur J Pediatr 2014; 173: 983996.10.1007/s00431-014-2316-4CrossRefGoogle ScholarPubMed
Schwartz, PJ, Ackerman, MJ. The long QT syndrome: a transatlantic clinical approach to diagnosis and therapy. Eur Heart J 2013; 34: 3109.CrossRefGoogle Scholar
Schwartz, PJ, Garson, A Jr, Paul, T, et al. Guidelines for the interpretation of the neonatal electrocardiogram. A task force of the European Society of Cardiology. Eur Heart J 2002; 23: 1329.CrossRefGoogle ScholarPubMed