Unusual source of tachycardia in an adolescent

Mahaim fiber tachycardia is an uncommon cause of palpitations among the pediatric population. This case report describes an adolescent female who presented with recurrent episodes of tachycardia with chest pain and dizziness. Her ECG showed tachycardia with wide QRS complexes and left bundle branch...

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Published inInternational journal of emergency medicine Vol. 4; no. 1; p. 9
Main Authors Mata, Marvin B, Kloss, Brian T, Campoli, Jennifer A, Teelin, Karen
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer Berlin Heidelberg 16.03.2011
Springer Nature B.V
BioMed Central Ltd
Springer
Subjects
Angiology
Cardiology
Case Report
Emergency Medicine
Internal Medicine
Medicine
Medicine & Public Health
Pediatrics
Partial Anomalous Pulmonary Venous Return
Wide Complex Tachycardia
Accessory Pathway
Wolff Parkinson White Syndrome
Left Bundle Branch Block
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Abstract Mahaim fiber tachycardia is an uncommon cause of palpitations among the pediatric population. This case report describes an adolescent female who presented with recurrent episodes of tachycardia with chest pain and dizziness. Her ECG showed tachycardia with wide QRS complexes and left bundle branch block pattern. Repeat ECG after adenosine treatment revealed sinus rhythm with persistence of the left bundle branch block pattern. Metoprolol was started however she continued to have episodes of sustained tachycardia. Electrophysiologic study then confirmed the diagnosis of Mahaim fiber tachycardia. Treatment was successful with mapping of the accessory pathways followed by radiofrequency ablation.
AbstractList Mahaim fiber tachycardia is an uncommon cause of palpitations among the pediatric population. This case report describes an adolescent female who presented with recurrent episodes of tachycardia with chest pain and dizziness. Her ECG showed tachycardia with wide QRS complexes and left bundle branch block pattern. Repeat ECG after adenosine treatment revealed sinus rhythm with persistence of the left bundle branch block pattern. Metoprolol was started however she continued to have episodes of sustained tachycardia. Electrophysiologic study then confirmed the diagnosis of Mahaim fiber tachycardia. Treatment was successful with mapping of the accessory pathways followed by radiofrequency ablation.
Mahaim fiber tachycardia is an uncommon cause of palpitations among the pediatric population. This case report describes an adolescent female who presented with recurrent episodes of tachycardia with chest pain and dizziness. Her ECG showed tachycardia with wide QRS complexes and left bundle branch block pattern. Repeat ECG after adenosine treatment revealed sinus rhythm with persistence of the left bundle branch block pattern. Metoprolol was started however she continued to have episodes of sustained tachycardia. Electrophysiologic study then confirmed the diagnosis of Mahaim fiber tachycardia. Treatment was successful with mapping of the accessory pathways followed by radiofrequency ablation.[PUBLICATION ABSTRACT]
Mahaim fiber tachycardia is an uncommon cause of palpitations among the pediatric population. This case report describes an adolescent female who presented with recurrent episodes of tachycardia with chest pain and dizziness. Her ECG showed tachycardia with wide QRS complexes and left bundle branch block pattern. Repeat ECG after adenosine treatment revealed sinus rhythm with persistence of the left bundle branch block pattern. Metoprolol was started however she continued to have episodes of sustained tachycardia.Electrophysiologic study then confirmed the diagnosis of Mahaim fiber tachycardia. Treatment was successful with mapping of the accessory pathways followed by radiofrequency ablation.
ArticleNumber 9
Author Mata, Marvin B
Campoli, Jennifer A
Kloss, Brian T
Teelin, Karen
AuthorAffiliation 1 Department of Pediatrics, SUNY Upstate Medical University, Syracuse, NY, USA
2 Department of Emergency Medicine, SUNY Upstate Medical University, Syracuse, NY, USA
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  surname: Teelin
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Cites_doi 10.1016/j.jacc.2004.07.035
10.1590/S0066-782X2003000100006
10.1016/j.eupc.2005.05.006
10.1161/01.CIR.91.4.1077
10.1016/j.hrthm.2004.06.007
10.1111/j.1540-8159.2005.00224.x
10.1111/j.1540-8167.1998.tb00863.x
10.1093/europace/eun283
ContentType Journal Article
Copyright Mata et al; licensee Springer. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Springer-Verlag London 2011
Copyright ©2011 Mata et al; licensee Springer. 2011 Mata et al; licensee Springer.
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Keywords Partial Anomalous Pulmonary Venous Return
Wide Complex Tachycardia
Accessory Pathway
Wolff Parkinson White Syndrome
Left Bundle Branch Block
Language English
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Snippet Mahaim fiber tachycardia is an uncommon cause of palpitations among the pediatric population. This case report describes an adolescent female who presented...
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Cardiology
Case Report
Emergency Medicine
Internal Medicine
Medicine
Medicine & Public Health
Pediatrics
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Title Unusual source of tachycardia in an adolescent
URI https://link.springer.com/article/10.1186/1865-1380-4-9
https://www.ncbi.nlm.nih.gov/pubmed/21468364
https://www.proquest.com/docview/1287029248
https://search.proquest.com/docview/860882660
http://dx.doi.org/10.1186/1865-1380-4-9
https://pubmed.ncbi.nlm.nih.gov/PMC3065405
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