Junctional ectopic tachycardia in association with blunt abdominal trauma.
Junctional ectopic tachycardia is recognized predominantly as a postoperative arrhythmia after surgery for congenital heart disease. Diagnosis and treatment distinguish it from more commonly observed mechanisms of supraventricular tachycardia. We present a case of junctional ectopic tachycardia that occurred in the setting of abdominal trauma caused by child abuse and then explore the significance of this arrhythmia in a patient with trauma.
Divisions of Emergency Medicine, Cardiology, and Critical Care Medicine, The Children's Hospital of Philadelphia, and the Departments of Pediatrics and Anesthesia, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA.
Robert L
RL
Cloutier
Mehrdad F
MF
Mehr
Richard J
RJ
Lin
Ronn E
RE
Tanel
D000007:Abdominal Injuries / Q000150:complications*; D000241:Adenosine / Q000627:therapeutic use; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D002649:Child Abuse; D002675:Child, Preschool; D004562:Electrocardiography; D005260:Female; D006801:Humans; D013613:Tachycardia, Ectopic Junctional / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D014949:Wounds, Nonpenetrating / Q000150:complications*
D000889:Anti-Arrhythmia Agents; D000241:Adenosine