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International Journal of Emergency Medicine

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Open Access 01-12-2011 | Case report

Unusual source of tachycardia in an adolescent

Authors: Marvin B Mata, Brian T Kloss, Jennifer A Campoli, Karen Teelin

Published in: International Journal of Emergency Medicine | Issue 1/2011

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.

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Title: Unusual source of tachycardia in an adolescent
Authors: Marvin B Mata
Brian T Kloss
Jennifer A Campoli
Karen Teelin
Publication date: 01-12-2011
Publisher: Springer Berlin Heidelberg
Published in: International Journal of Emergency Medicine / Issue 1/2011
Print ISSN: 1865-1372
Electronic ISSN: 1865-1380
DOI: https://doi.org/10.1186/1865-1380-4-9

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Unusual source of tachycardia in an adolescent

Abstract

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Abstract

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