AI Article Synopsis

  • * After initial treatment, the infant was readmitted at 13 days old due to recurring tachycardia that didn't respond to standard medications.
  • * She was successfully managed with a combination of three drugs, stabilizing her condition and preventing further episodes, underlining the complexity of treating heart rhythm issues in patients with structural heart abnormalities.

Article Abstract

We report the case of a female neonate admitted to the neonatal ICU with a rapid, narrow-complex tachyarrhythmia determined to be supraventricular tachycardia. Multimodality imaging and genetic testing confirmed a diagnosis of tuberous sclerosis complex with multiple cardiac rhabdomyomas. At 13 days of age, the patient was readmitted, exhibiting recurrent supraventricular tachycardia non-responsive to first-line treatment. Management required triple-drug therapy, whereafter the patient remained stable without recurrences. This is a rare report of supraventricular tachycardia in a functionally normal heart with the occurrence of supraventricular tachycardia due to structural abnormalities, with the possibility of multiple concealed accessory pathways.

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http://dx.doi.org/10.1017/S1047951124000325DOI Listing

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