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Arq. bras. cardiol ; 76(1): 63-74, jan. 2001. ilus, tab
Article Dans Portugais, Anglais | LILACS | ID: lil-279899

Résumé

Syncope in children is primarily related to vagal hyperreactivity, but ventricular tachycardia (VT) way rarely be seen. Catecholaminergic polymorphic VT is a rare entity that can occur in children without heart disease and with a normal QT interval, which may cause syncope and sudden cardiac death. In this report, we describe the clinical features, treatment, and clinical follow-up of three children with syncope associated with physical effort or emotion and cathecolaminergic polymorphic VT. Symptoms were controlled with beta-blockers, but one patient died suddenly in the fourth year of follow-up. Despite the rare occurrence, catecholaminergic polymorphic VT is an important cause of syncope and sudden death in children with no identified heart disease and normal QT interval


Sujets)
Humains , Femelle , Enfant , Antagonistes bêta-adrénergiques/usage thérapeutique , Mort subite cardiaque/étiologie , Nadolol/usage thérapeutique , Syncope/étiologie , Tachycardie ventriculaire/complications , Études de suivi , Tachycardie ventriculaire/diagnostic , Tachycardie ventriculaire/traitement médicamenteux
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