This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Larry E. Alves, MD; Julian W. Buser, MD; Edward P. Rose, MD
Memorial Hospital Belleville. III

JAMA. 1985;253(21):3092.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The recent article by Gillette et al¹ regarding chronic supraventricular tachycardia as a curable cause of congestive cardiomyopathy reminded us of a similar case that we treated in 1974.

Report of a Case.—

A 13-year-old girl originally presented with sustained, asymptomatic, narrow-complex, atrial tachycardia. She was treated with quinidine, 200 mg every six hours. This resulted in intermittent control of her tachycardia. When she experienced a sinus rhythm she was found to have a Wolff-Parkinson-White type B syndrome. Propranolol hydrochloride, in increasing dosages up to 40 mg every six hours, resulted in control of her arrhythmia. However, the patient subsequently developed left ventricular dilatation. She was hospitalized on Jan 28, 1975. Propranolol treatment was discontinued, and digoxin and diuretics were added to her therapeutic regimen. The quinidine dosage was increased to 200 mg every four hours to control her supraventricular tachycardia. A cardiac catheterization revealed a . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?