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An 1½ month old with atrial bigemini
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An 1½ month old with atrial bigemini
Author:
Pediatric Oncall
Question
An 1½ month old boy previously asymptomatic presented with sudden onset agitation and breathlessness since morning. There was no history of fever, cough, vomiting or altered sensorium. There was no history of any drug ingestion. Family history was non-contributory. On examination, he had irregular pulse with tachycardia {heart rate = 180, min}. Systemic examination and blood pressure was normal. His ECG shows regularly irregular rhythm with atrial bigemini. His serum CPK was normal though CPK-MB fraction was elevated {20 percent of total CPK}. His SGOT was also elevated. Echocardiography showed normal ejection fraction. Hemogram, serum electrolytes, X-Ray Chest, venous blood gas was normal. He was treated with
Amiodarone
to which he responded. His urine organic acids and serum
Carnitine
was normal.
What is the probable diagnosis_?
2
Expert Opinion :
The authors have replied that they have managed the child as per SVT and he has responded to amiodarone.
Answer Discussion :
S
Sangeethaca
0
Report Spam
SVT WITH 2ND DEGREE HEART BLOCK
15 years ago
S
Samira Alfayadh
0
Report Spam
myocarditis
15 years ago
View More Comments
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Disease A-Z
Health Topics
Developmental Pediatrics
General Pediatrics
Genetics
Immunodeficiencies
Infectious Diseases
Laboratory Medicine
Neonatology
Nutrition
Pediatric Cardiology
Pediatric Dermatology
View all topics
Featured Articles
Hypospadias
Circumcision
Penile hygiene
Skin allergies
Urticaria (hives) and angioedema
Anal fissure
Kids Corner
Drugs & Calculators
Medical Calculators
Drug Calculators
Genetic Calculators
Growth Calculators
View all Calculators
Drug Index
ACE inhibitor
Alkylating agents
Allergies
View all Drugs
Poisoning Center
Aluminum phosphide
Anti-histaminics
Antidepressants
View all Drugs
Medical Eqipments
Monitors
Pumps
Incubators
View all Eqipments
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Current Issue
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