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Case Reports
. 2018 Jan;23(1):e12472.
doi: 10.1111/anec.12472. Epub 2017 May 30.

Repetitive ventricular tachycardia in a syncopal child: Cause or incidental finding ?

Martial Massin  1 , Caroline Jacquemart  1 , Karim Khaldi  1
Affiliations
Case Reports

Repetitive ventricular tachycardia in a syncopal child: Cause or incidental finding ?

Martial Massin et al. Ann Noninvasive Electrocardiol. 2018 Jan.

Abstract

A 15-year-old girl suffered recurrent syncopal episodes during 7 years. Events were precipitated by exercise or emotional stress, leading to the diagnosis of reflex syncope. Exercise testing induced recurrent salvos of nonsustained right ventricular outflow tract tachycardia. This arrhythmia is often asymptomatic, reflex syncope is very frequent and both causes are related to the same triggering situations. It was therefore essential to obtain recordings during syncopal events and to observe the clinical evolution under effective treatment in order to make the right diagnosis.

Keywords: child; syncope; ventricular tachycardia.

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Figures

Figure 1
Figure 1
Resting ECG shows premature ventricular contractions with a left bundle branch block and inferior‐axis QRS morphology
Figure 2
Figure 2
Holter recording during recovery of vigorous activity shows multiple runs of self‐limiting ventricular tachycardia
Figure 3
Figure 3
Holter recording during emotional stress shows similar multiple runs of self‐limiting ventricular tachycardia
See this image and copyright information in PMC

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