Psychiatric Disorder and Incessant Tachyarrhythmia in a Child

The case of a 14-year-old female with ectopic atrial tachycardia who had been followed for a history of anxiety and depression is presented. The patient was admitted to the intensive care unit after she attempted suicide, at which point there was electrocardiographic evidence of the atrial arrhythmi...

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Main Authors: Peter Chau, Jeremy Moore
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Pediatrics
Online Access:http://dx.doi.org/10.1155/2013/572301
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author Peter Chau
Jeremy Moore
author_facet Peter Chau
Jeremy Moore
author_sort Peter Chau
collection DOAJ
description The case of a 14-year-old female with ectopic atrial tachycardia who had been followed for a history of anxiety and depression is presented. The patient was admitted to the intensive care unit after she attempted suicide, at which point there was electrocardiographic evidence of the atrial arrhythmia. During subsequent invasive electrophysiology study, a focus near the tricuspid annulus was localized and targeted for ablation, followed by resolution of the psychiatric symptoms. The case highlights the overlap between psychiatric complaints and true cardiac arrhythmia. A review of the literature is presented, with a special emphasis on distinguishing these two entities as well as a synopsis of this uncommon arrhythmia in the pediatric population.
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spelling doaj-art-b6346a9f0408492b9a447e3e32e7d8502025-02-03T01:01:11ZengWileyCase Reports in Pediatrics2090-68032090-68112013-01-01201310.1155/2013/572301572301Psychiatric Disorder and Incessant Tachyarrhythmia in a ChildPeter Chau0Jeremy Moore1Department of Pediatrics, UCLA Mattel Children's Hospital, Los Angeles, CA 90095, USADepartment of Pediatrics, UCLA Mattel Children's Hospital, Los Angeles, CA 90095, USAThe case of a 14-year-old female with ectopic atrial tachycardia who had been followed for a history of anxiety and depression is presented. The patient was admitted to the intensive care unit after she attempted suicide, at which point there was electrocardiographic evidence of the atrial arrhythmia. During subsequent invasive electrophysiology study, a focus near the tricuspid annulus was localized and targeted for ablation, followed by resolution of the psychiatric symptoms. The case highlights the overlap between psychiatric complaints and true cardiac arrhythmia. A review of the literature is presented, with a special emphasis on distinguishing these two entities as well as a synopsis of this uncommon arrhythmia in the pediatric population.http://dx.doi.org/10.1155/2013/572301
spellingShingle Peter Chau
Jeremy Moore
Psychiatric Disorder and Incessant Tachyarrhythmia in a Child
Case Reports in Pediatrics
title Psychiatric Disorder and Incessant Tachyarrhythmia in a Child
title_full Psychiatric Disorder and Incessant Tachyarrhythmia in a Child
title_fullStr Psychiatric Disorder and Incessant Tachyarrhythmia in a Child
title_full_unstemmed Psychiatric Disorder and Incessant Tachyarrhythmia in a Child
title_short Psychiatric Disorder and Incessant Tachyarrhythmia in a Child
title_sort psychiatric disorder and incessant tachyarrhythmia in a child
url http://dx.doi.org/10.1155/2013/572301
work_keys_str_mv AT peterchau psychiatricdisorderandincessanttachyarrhythmiainachild
AT jeremymoore psychiatricdisorderandincessanttachyarrhythmiainachild