Torsade de pointes in a child with acute rheumatic fever.

Liberman, L; Hordof, A J; Alfayyadh, M; Salafia, C M; Pass, R H · J Pediatr · 2001

case_report · Level V

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Abstract

Ventricular arrhythmias are uncommon in acute rheumatic carditis. We report the case of a child who presented with rheumatic carditis, prolonged corrected QT interval, and torsade de pointes. The episodes of torsade were controlled with beta-blockade and cardiac pacing. The child subsequently died as a result of brain injury; the autopsy revealed classic findings of acute rheumatic carditis.

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