Torsade de pointes in a child with acute rheumatic fever.
Ventricular arrhythmias are uncommon in acute rheumatic carditis. We report the case of a child who presented with rheumatic carditis, prolonged corrected QT interval, and torsade de pointes. The episodes of torsade were controlled with beta-blockade and cardiac pacing. The child subsequently died as a result of brain injury; the autopsy revealed classic findings of acute rheumatic carditis.
Liberman
L
L
Department of Pediatrics, New York Presbyterian Hospital, Columbia University, New York, New York, USA.
Hordof
A J
AJ
Alfayyadh
M
M
Salafia
C M
CM
Pass
R H
RH
D000293:Adolescent; D004562:Electrocardiography; D006801:Humans; D008297:Male; D012214:Rheumatic Heart Disease / Q000150:complications*; D016171:Torsades de Pointes / Q000175:diagnosis / Q000209:etiology*