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Arq Bras Cardiol ; 76(1): 63-74, 2001 Jan.
Artigo em Inglês, Português | MEDLINE | ID: mdl-11175485

RESUMO

Syncope in children is primarily related to vagal hyperreactivity, but ventricular tachycardia (VT) way rarely be seen. Catecholaminergic polymorphic VT is a rare entity that can occur in children without heart disease and with a normal QT interval, which may cause syncope and sudden cardiac death. In this report, we describe the clinical features, treatment, and clinical follow-up of three children with syncope associated with physical effort or emotion and catecholaminergic polymorphic VT. Symptoms were controlled with beta-blockers, but one patient died suddenly in the fourth year of follow-up. Despite the rare occurrence, catecholaminergic polymorphic VT is an important cause of syncope and sudden death in children with no identified heart disease and normal QT interval.


Assuntos
Morte Súbita Cardíaca/etiologia , Síncope/etiologia , Taquicardia Ventricular/complicações , Antagonistas Adrenérgicos beta/uso terapêutico , Criança , Eletrocardiografia , Feminino , Seguimentos , Humanos , Nadolol/uso terapêutico , Taquicardia Ventricular/diagnóstico , Taquicardia Ventricular/tratamento farmacológico
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