Isolated Junctional Tachycardia in a Child After Noncardiac Surgery: An Uncommon Clinical Presentation |
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Authors: | Chenni S. Sriram Roger D. White Malini Madhavan Bryan C. Cannon |
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Affiliation: | (1) Division of Pediatric Cardiology, Department of Pediatric and Adolescent Medicine, Mayo Clinic College of Medicine, 200 First Street SW, Rochester, MN 55905, USA;(2) Division of Cardio/Thoracic Anesthesia, Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA;(3) Division of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA; |
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Abstract: | Isolated junctional tachycardia is rare in children but has been reported after cardiac surgery. To date, it has not been reported after noncardiac surgery. This report describes the case of a 3-year-old boy with no cardiac history who experienced transient junctional tachycardia after a right pyeloplasty. Medical therapy was not prescribed initially due to lack of symptoms. However, symptomatic junctional tachycardia recurred, prompting institution of oral beta-blocker therapy. Isolated junctional tachycardia should not be overlooked in the differential diagnosis of pediatric supraventricular tachycardia after noncardiac surgery. |
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