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Paroxysmal Tachycardia in the Newborn

TEHILA R. SHAPIRO, M.D.; ERNEST N. EHRENFELD, M.D.
AMA Am J Dis Child. 1960;99(2):248-251. doi:10.1001/archpedi.1960.02070030250018.
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Introduction  Paroxysmal tachycardia is uncommon in the newborn, although in a few cases this condition was diagnosed even in utero.1-4 The early recognition of this rhythm disturbance is of major importance, as when untreated congestive heart failure rapidly develops. On the other hand, prompt treatment frequently leads to recovery of the infants. Many cases pass unrecognized or are misdiagnosed as upper respiratory infection or pneumonia.The clinical picture, prognosis, and treatment in older children has repeatedly been discussed,5-8 but reports of this condition in the newborn are scant.9-11,13 Among about 200 cases of paroxysmal tachycardia described in the past 65 years, only a few occurred in the first days of life.1-3,10 Supraventricular tachycardia is the commoner type of paroxysmal tachycardia in infancy, while atrial flutter is rare and only single cases have been reported in the newborn.2,3,11,13 No cases of ventricular tachycardia or atrial fibrillation

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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