[Verapamil sensitive ventricular tachycardia with myocardial failure in a 2-year-old child].
Ventricular arrhythmias can both result from and cause myocardial dysfunction. We report a case of a two-year-old girl with ventricular tachycardia showing signs of heart failure consisting with a tachycardiomyopathy. The therapy with class I and class III antiarrhythmic drugs did not improve the cardiac situation significantly. The cardiologic investigations were consistent with the verapamil-sensitive ventricular tachycardia in young adults. The treatment with verapamil led to a normal rhythm and function of the heart.


CONCLUSIONS
Verapamil-type calcium channel blockers can also be used in children for the treatment of ventricular tachycardias if the corresponding investigations show characteristic findings.
Kinderklinik Kinderkardiologie und -pulmologie Klinikum Wuppertal GmbH Universität Witten/Herdecke.
K
K
Winter
N
N
Gossen
L J
LJ
Ulbricht
R
R
Liersch
D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage*; D009202:Cardiomyopathies / Q000000981:diagnostic imaging / Q000188:drug therapy*; D002675:Child, Preschool; D004452:Echocardiography / Q000187:drug effects; D004562:Electrocardiography / Q000187:drug effects; D005260:Female; D006333:Heart Failure / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006801:Humans; D017180:Tachycardia, Ventricular / Q000000981:diagnostic imaging / Q000188:drug therapy*; D014700:Verapamil / Q000008:administration & dosage*
D000889:Anti-Arrhythmia Agents; D014700:Verapamil
Verapamilsensitive ventrikuläre Tachykardie mit myokardialer Funktionseinschränkung bei einem zweijährigen Kind.