TREATMENT OF AN INFANT WITH PAROXYSMAL AURICULAR TACHYCARDIA

[摘要] Paroxysmal tachycardia occurs more frequently in infants, than is generally recognized; and, undoubtedly, is frequently misdiagnosed.A case is reported of an infant who had 31 attacks of paroxysmal tachycardia between the ages of eight days and five and a half months. Many of the paroxysms would not stop spontaneously and heart failure would occur.Quinidine, acetyl-beta-methylcholine, and digitalis were all found to be effective in controlling the attacks. The first two seemed to be more effective than the last. Because of the violent reaction to acetyl-beta-methylcholine, it is thought best to use this method only if the other two fail to bring relief.

[学科分类] 儿科学