Aberrated supraventricular tachycardia associated with neonatal fever and COVID-19 infection.
BMJ Case Rep
; 14(4)2021 Apr 30.
Article
in English
| MEDLINE | ID: covidwho-1208383
ABSTRACT
A 9-day-old girl presented during the 2020 SARS-CoV-2 pandemic in wide-complex tachycardia with acute, symptomatic COVID-19 infection. Because the potential cardiac complications of COVID-19 were unknown at the time of her presentation, we chose to avoid the potential risks of haemodynamic collapse associated with afterload reduction from adenosine. Instead, a transoesophageal pacing catheter was placed. Supraventricular tachycardia (SVT) with an aberrated QRS morphology was diagnosed and the catheter was used to pace-terminate tachycardia. This presentation illustrates that the haemodynamic consequences of a concurrent infection with largely unknown neonatal sequelae present a potentially high-risk situation for pharmacologic conversion. Oesophageal cannulation can be used to diagnose and terminate infantile SVT.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Tachycardia, Supraventricular
/
Fever
/
COVID-19
Type of study:
Case report
/
Diagnostic study
/
Prognostic study
Topics:
Long Covid
Limits:
Female
/
Humans
/
Infant, Newborn
Language:
English
Year:
2021
Document Type:
Article
Affiliation country:
Bcr-2021-241846
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