Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-05-18T00:19:37.006Z Has data issue: false hasContentIssue false
  • English
  • Français

Ventricular tachycardia in a child with diabetic ketoacidosis without heart disease

Published online by Cambridge University Press:  08 October 2015

Megan McGreevy ,
Lee Beerman  and
Gaurav Arora
Megan McGreevy*
Affiliation:
Division of Pediatric Cardiology, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, United States of America
Lee Beerman
Affiliation:
Division of Pediatric Cardiology, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, United States of America
Gaurav Arora
Affiliation:
Division of Pediatric Cardiology, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, United States of America
*
Correspondence to: M. McGreevy, Division of Pediatric Cardiology, Children’s Hospital of Pittsburgh of UPMC, 4401 Penn Avenue, Pittsburgh 15224, United States of America. Tel: 716-885-5437; Fax: 716-885-7317; E-mail: mmcgreevy@pedcardwny.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Ventricular tachycardia is uncommon in children without CHD. We present the case of a 15-year-old boy who presented with severe diabetic ketoacidosis and ventricular tachycardia and was not responsive to traditional anti-arrhythmic therapy. This case highlights the importance of identification of the underlying metabolic derangement causing the arrhythmia to provide appropriate management.

Keywords

Ventricular tachycardiaidioventricular rhythmdiabetic ketoacidosis
Type
Brief Reports
Information
Cardiology in the Young , Volume 26 , Issue 1 , January 2016 , pp. 206 - 208
Check for updates
Copyright
© Cambridge University Press 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Podrid, PJ. Potassium and ventricular arrhythmias. Am J Cardiol 1990; 65: 33E–44E.CrossRefGoogle ScholarPubMed
2. Zipes, DP, Jalife, J. Pediatric Electrophysiology: From Cell to Bedside. Saunders Elsevier, Philadephia, 2009.Google Scholar
3. De Soyza, N, Bissett, JK, Kane, JJ, Murphy, ML, Doherty, JE. Association of accelerated idioventricular rhythm and paroxysmal ventricular tachycardia in acute myocardial infarction. Am J Cardiol 1974; 34: 667–670.Google Scholar
4. Reynolds, JL, Pickoff, AS. Accelerated ventricular rhythm in children: a review and report of a case with congenital heart disease. Pediatric Cardiol 2001; 22: 23–28.Google Scholar
5. Perry, JC. Ventricular tachycardia in neonates. Pacing Clin Electrophysiol 1197; 20: 2061–2064.Google Scholar
6. Chiale, PA, Sicouri, SJ, Elizari, MV, Rosenbaum, MB. Chronic idiopathic idioventricular tachycardia caused by slow response automaticity. Pacing Clin Electrophysiol 1987; 10: 1371–1377.Google Scholar
7. Perez-Riera, AR, Barros, RB, De Sousa, FD, Baranchuk, A. Accelerated idioventricular rhythm: history and chronology of the main discoveries. Indian Pacing Electrophysiol J 2010; 10: 40–48.Google Scholar