title: An unusual cause of atrial tachycardia in a young patient with lymphoma.
abstract: An 8-year-old girl who was recently diagnosed as having anaplastic large-cell lymphoma presented with atrial tachycardia and dilated cardiomyopathy, which is a contraindication for further treatment with cardio-toxic chemotherapy. After starting digoxin therapy, the dilated cardiomyopathy resolved. Repeated episodes of atrial tachycardia in this case were not caused by any common disorder but were due to mechanical stimulation by a central venous catheter. Central venous catheters are known to cause mainly ventricular arrhythmias. However, atrial tachycardia is a rare manifestation of arrhythmia due to mechanical stimulation of the heart by a central venous catheter, with potentially important cardiovascular consequences.
authors.affiliation: Pediatric Department, Radboud University Nijmegen Medical Center, Nijmegen the Netherlands. M.Luesink@chl.umcn.nl
authors.forename: Maaike
authors.initials: M
authors.lastname: Luesink
authors.forename: Joep L R M
authors.initials: JL
authors.lastname: Smeets
authors.forename: Paul P T
authors.initials: PP
authors.lastname: Brons
authors.forename: Livia
authors.initials: L
authors.lastname: Kapusta
mesh_terms: D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D002311:Cardiomyopathy, Dilated / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002648:Child; D004077:Digoxin / Q000627:therapeutic use; D004452:Echocardiography; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008223:Lymphoma / Q000628:therapy; D013612:Tachycardia, Ectopic Atrial / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology*
chemical_list: D000889:Anti-Arrhythmia Agents; D004077:Digoxin