Newborn in cardiogenic shock

作者：Wagner Franziska^*; Gebauer Roman A.; Paech Christian

来源：Heart, 2018, 104(6): 493-493.

DOI：10.1136/heartjnl-2017-311974

<jats:sec id="s1"><jats:title>Clinical introduction</jats:title><jats:p>A 2-month-old baby boy was referred to our centre due to tachycardia and acute heart failure. The ECG showed a narrow complex tachycardia with a heart rate of 300 beats per minute (Figure 1). Echocardiographically, a patent foramen ovale and a parachute mitral valve with mild regurgitation were diagnosed; cardiac function was highly impaired.</jats:p><jats:fig id="F1" position="float" orientation="portrait"><jats:label>Figure 1</jats:label><jats:caption><jats:p>ECG (50 mm/s) showing the small complex tachycardia.</jats:p></jats:caption><jats:graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="heartjnl-2017-311974f1.tif" position="float" orientation="portrait" /></jats:fig></jats:sec><jats:sec id="s2"><jats:title>Question</jats:title><jats:p>Which of the following is the most likely diagnosis?<jats:list list-type="alpha-upper"><jats:list-item><jats:p>Ectopic atrial tachycardia</jats:p></jats:list-item><jats:list-item><jats:p>Atrial flutter</jats:p></jats:list-item><jats:list-item><jats:p>Chaotic atrial tachycardia</jats:p></jats:list-item><jats:list-item><jats:p>Focal micro re-entrant tachycardia</jats:p></jats:list-item><jats:list-item><jats:p>Atrial fibrillation</jats:p></jats:list-item></jats:list></jats:p></jats:sec>

• 出版日期2018-3