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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Abstract

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
URI:	https://orca.cardiff.ac.uk/id/eprint/159747

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