A child with cardiogenic shock and supraventricular tachycardia presenting in normal sinus rhythm.
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.
Dharnidharka
V R
VR
Department of Pediatrics, Children's Hospital of Michigan, Detroit, USA.
Lieh-Lai
M
M
Sarnaik
A
A
Clapp
S
S
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