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A. Samik Wahab
Department of Child Health, School of Medicine Gadjah Mada University, Yogyakarta
Health Professions Medicine & Pharmacology

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Paroxysmal Supraventricular Tachycardia in Children : The Role of Infectious Diseases and Its Relationship to Serum Enzyme A. Samik Wahab
Paediatrica Indonesiana Vol 29 No 9-10 (1989): September - October 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (646.148 KB) | DOI: 10.14238/pi29.9-10.1989.173-81

Abstract

The records of 28 children whose first episode of paroxysmal supraventricular tachycardia occurred before 12 years (median age 10 months) were reviewed. There were 17 males and 11 females. In 17 cases the first attack occurred before the first year and in 11 of these it occurred after the first year. One case had congenital heart disease (ASD). The WPW syndrome was diagnosed in 3 cases. When first seen, most of the infants presented with signs of incipient or manifest congestive heart failure. In almost ninetenth fo cases rhere was an increased of serum enzymes (lactic dehydrogenase, creatinephosphokinase and glutamic oxaloaccetic transaminase. Digitals was effective against congestive heart failure and when continued, might prevent failure during subsequent attacks. Antiarrhythmic agents other than digitals were not used. It is recommended to continue digitalis treatment for at least one year in all patients with SVT, whether or not the first episode terminated spontaneously.
Ventricular tachycardia in children with diphtheritic myocarditis A. Samik Wahab
Paediatrica Indonesiana Vol 29 No 9-10 (1989): September - October 1989
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (368.792 KB) | DOI: 10.14238/pi29.9-10.1989.182-7

Abstract

Nine children with diphtheritic ventricular tachycardia ranging in age from 2 to 11 years (mean 6.5 years) were observed and followed up until their terminal state. The ventricular tachycardia showed a left bundle branch block contour in 5 of 9 patients, right bundle branch block in four, multifocal pacemaker in three and unifocal in six patients. Fusion and captured beats were present in two and 4 patients respectively, Including one patient who had both. Four cases were without obvious atrio-ventricular dissociation. All patients were treated with standard therapy for diphtheria, and prednison was given to patients with myocarditis. Because of its controversial results, antwrrhythm1c agent was not given. The prognosis is very poor; all patients died one to 8 days after ventricular tachycardia appearance.
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