Accelerated Idioventricular Rhythm in Newborns: A Worrisome But Benign Entity with or without Congenital Heart Disease
- 303 Downloads
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.
KeywordsAccelerated ventricular rhythm Ventricular tachycardia
We thank Dr. SuChiung Chen, Cardinal Glennon’s Children Hospital, Saint Louis University.
- 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.Kurotobi S, Matsushita , Takeuchi M, et al. (1995) Accelerated ventricular rhythm in the newborn. Acta Paediatr Japon 37:701–702Google Scholar