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Wide complex rhythm in a well neonate: Where are the P waves?

Jee, Gabrielle, Wong, Amos, Ofoe, Victor and Uzun, Orhan 2023. Wide complex rhythm in a well neonate: Where are the P waves? Cardiology in the Young 33 (10) , pp. 2124-2127. 10.1017/S1047951123000963

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A neonate was seen for an evolving broad QRS complex rhythm initially captured at birth as intermittent escape beats on electrocardiogram. Continuous monitoring recorded features mimicking pre-excitation, but closer analysis revealed a regular broad QRS complex rhythm with isorhythmic atrioventricular dissociation, favouring a ventricular source. Treatment with flecainide and propranolol achieved successful control of the incessant arrhythmia with improvement in cardiac function on echocardiogram.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Publisher: Cambridge University Press
ISSN: 1047-9511
Date of First Compliant Deposit: 19 May 2023
Date of Acceptance: 28 April 2023
Last Modified: 06 Nov 2023 20:33

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