• Am J Emerg Med · Jul 2021

    Case Reports

    Syncope in a 14yo female with ventricular tachycardia; an atypical etiology.

    • J W Lehman and B T Williams.
    • Dept of Emergency Medicine, Sarasota Memorial Hospital, 1540 S. Tamiami Trl. Suite 101, Sarasota, FL 34239, United States of America.
    • Am J Emerg Med. 2021 Jul 1; 45: 677.e5-677.e7.

    AbstractWide complex tachycardias are rare in the pediatric population and may be due to ventricular tachycardia, aberrant conduction or antidromic tachycardia each with multiple underlying etiologies. We present a 14 yo female in extremis with syncope at rest witnessed by her mother, found in ventricular tachycardia by EMS who challenged with IVF hydration and amiodarone. Consecutive adequate fluid challenges and antiarrhythmics in the emergency department failed requiring synchronized cardioversion for stabilization. Subsequent viral panels, imaging, genetic testing and cardiac biopsy confirmed a diagnosis of arrhythmogenic right (and left) ventricular dysplasia.Copyright © 2020 Elsevier Inc. All rights reserved.

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