Advertisement

Pediatric Cardiology

, Volume 29, Issue 2, pp 457–462 | Cite as

Accelerated Idioventricular Rhythm in Newborns: A Worrisome But Benign Entity with or without Congenital Heart Disease

  • G. FreireEmail author
  • I. Dubrow
Case Report
First Online:

Abstract

Broad QRS rhythms (fast and slow) are worrisome findings in newborns. We present five cases with varied clinical presentations found to have broad QRS tachycardias, consistent with idioventricular rhythms. Each patient had an excellent prognosis because the tachycardias resolved, and eventually the patients were in sinus rhythm. None were symptomatic from their arrhythmia. It is important to establish the diagnosis when it occurs to differentiate this benign phenomenon from dangerous ventricular tachycardia.

Keywords

Accelerated ventricular rhythm Ventricular tachycardia 
This is a preview of subscription content, log in to check access.

Notes

Acknowledgment

We thank Dr. SuChiung Chen, Cardinal Glennon’s Children Hospital, Saint Louis University.

References

  1. 1.
    Anatolliotaki M, Papagiannis J, Stefanaki S, Koropouli M, Tsilimigaki A (2004) Accelerated ventricular rhythm in the neonatal period: a review and two new cases in asymptomatic infants with an apparently normal heart. Acta Paediatr 93:1397–1400CrossRefGoogle Scholar
  2. 2.
    Bisset G, Janos G, Gaum W (1984) Accelerated ventricular rhythm in the newborn infant. J Pedatr 104:247–249CrossRefGoogle Scholar
  3. 3.
    Bortolo M, Nava A, Gaetano T, et al. (1988) Accelerated idioventricular rhythm of infundibular origin in patients with a concealed form of arrhythmogenic right ventricular dysplasia. Br Heart J 59:564–571CrossRefGoogle Scholar
  4. 4.
    Fouron J-C (2004) Fetal arrhythmias: the Saint-Justine Hospital experience. Prenat Diagn 24:1068–1080PubMedCrossRefGoogle Scholar
  5. 5.
    Geggel R, Mclnerny J, Estes M (1989) Transient neonatal ventricular tachycardia associated with maternal cocaine use. Am J Cardiol 1:383–384CrossRefGoogle Scholar
  6. 6.
    Grim W, Marchlinski F (2000) Accelerated idioventricular rhythm, bidirectional ventricular tachycardia. In: Zipes D, Jalife J (eds) Cardiac Electrophysiology from Cell to Bedside. Saunders, Philadelphia, pp 673–677Google Scholar
  7. 7.
    Kurotobi S, Matsushita , Takeuchi M, et al. (1995) Accelerated ventricular rhythm in the newborn. Acta Paediatr Japon 37:701–702Google Scholar
  8. 8.
    MacLellan-Tobert SG, Porter CJ (1995) Accelerated idioventricular rhythm: a benign arrhythmia in childhood. Pediatrics 96(1 Pt 1):122–125PubMedGoogle Scholar
  9. 9.
    Nakagawa M, Yoshihara T, Matsumura A, Fusaoka T, Hamaoka K (1993) Accelerated idioventricular rhythm in three newborn infants with congenital heart disease. Chest 104:322–323PubMedCrossRefGoogle Scholar
  10. 10.
    Reynolds JL, Pickoff AS (2001) Accelerated ventricular rhythm in children: a review and report of a case with congenital heart disease. Pediatr Cardiol 22:23–28PubMedCrossRefGoogle Scholar
  11. 11.
    Scagliotti D, Kumar S, Williamson G (1988) Ventricular rhythm with intermediate rate in neonate without heart disease. Clin Perinatol 15:609–619PubMedGoogle Scholar
  12. 12.
    Van Hare G, Stanger P (1991) Ventricular tachycardia and accelerated ventricular rhythm presenting in the first month of life. Am J Cardiol 67:42–45PubMedCrossRefGoogle Scholar
  13. 13.
    Yokota Y, Wada M (1989) Accelerated ventricular rhythm associated with myocarditis in a neonate. Pediatr Cardiol 10:178PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  1. 1.The Heart Institute for Children North and South Campuses— Lutheran General HospitalPark RidgeUSA
  2. 2.Hope Children’s HospitalOak LawnUSA
  3. 3.Saint Louis University, Cardinal Glennon Children’s Hospital, Pediatric Cardiology R A515St. LouisUSA

Personalised recommendations

Cite article

Buy options