title: A child with cardiogenic shock and supraventricular tachycardia presenting in normal sinus rhythm.
abstract: We report a case of an infant who presented in profound cardiovascular collapse with a normal sinus rhythm initially. A diagnosis of supraventricular tachycardia (SVT) was established only after hemodynamic stabilization. The possibility of SVT being masked because of severe metabolic derangements and/or painful therapeutic procedures should be kept in mind when managing cardiogenic shock in children. Such a consideration is of practical significance in planning therapy, such as the avoidance of digitalis in a patient with Wolf-Parkinson-White syndrome.
authors.affiliation: Department of Pediatrics, Children's Hospital of Michigan, Detroit, USA.
authors.forename: V R
authors.initials: VR
authors.lastname: Dharnidharka
authors.forename: M
authors.initials: M
authors.lastname: Lieh-Lai
authors.forename: A
authors.initials: A
authors.lastname: Sarnaik
authors.forename: S
authors.initials: S
authors.lastname: Clapp
mesh_terms: D004562:Electrocardiography; D006801:Humans; D007223:Infant; D008297:Male; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000503:physiopathology*; D013617:Tachycardia, Supraventricular / Q000209:etiology* / Q000503:physiopathology*; D014927:Wolff-Parkinson-White Syndrome / Q000150:complications* / Q000175:diagnosis / Q000503:physiopathology