Permanent Junctional Reciprocating Tachycardia-induced Dilated Cardiomyopathy: A Case Report


Yildirim F. , AYLANÇ H. , Binnetoglu F. K. , KAYMAZ N. , Akdeniz C.

HASEKI TIP BULTENI-MEDICAL BULLETIN OF HASEKI, vol.55, no.1, pp.67-69, 2017 (Journal Indexed in ESCI) identifier identifier

  • Publication Type: Article / Article
  • Volume: 55 Issue: 1
  • Publication Date: 2017
  • Doi Number: 10.4274/haseki.3237
  • Title of Journal : HASEKI TIP BULTENI-MEDICAL BULLETIN OF HASEKI
  • Page Numbers: pp.67-69

Abstract

We present a four-year-old girl who was admitted to our hospital with the complaints of dyspnea, tachypnea, cough, excess sweating and fatigue. Electrocardiogram (ECG) in the tachycardic girl showed inverted P waves in leads 2, 3 and aVF along with a P-R interval of 0.16 sec and an R-P interval of 0.28 sec. Transthoracic echocardiography revealed an enlarged and spherical left ventricle with diminished systolic functions. Holter ECG confirmed long R-P tachycardia with a rate of 140-160 beats/minute. She was diagnosed as having permanent junctional reciprocating tachycardia-induced dilated cardiomyopathy and successfully treated with catheter ablation and flecainide.