Abstract
Congenital paroxysmal Atrial Fibrillation in infants is a rare occurrence requiring a high index of suspicion. The majority have a Pre-excitation syndrome which may be concealed. It may be associated with specific structural congenital cardiac lesions. This Index case had only paroxysmal atrial tachyarrhythmia with no predisposing condition that subsided spontaneously and is the first case documented in an AfroCaribbean infant. Learning objective This Case Report documents a rare Paroxysmal Atrial Fibrillation in an infant with spontaneous remission. This has never been documented in the English Medical Literature in an Afro-Caribbean.
Highlights
Congenital paroxysmal Atrial Fibrillation in infants was noted in only ten patients over seventeen years between 1958 and 1975 by Radford et al [1]
The spontaneous remission of the Atrial Tachyarrhythmia in the absence of a structural congenital cardiac lesion and absence of Pre-excitation syndrome is consistent with the majority of cases reports with similar findings
The prophylactic treatment of one year where the likelihood of recurrences would be expected would have been optimal but the fortuitous discontinuing of medication helped to confirm the spontaneous cessation of the tachyarrhythmia [6,7,8,9]
Summary
Congenital paroxysmal Atrial Fibrillation in infants was noted in only ten patients over seventeen years between 1958 and 1975 by Radford et al [1]. This Case Report documents a rare Paroxysmal Atrial Fibrillation in an infant with spontaneous remission. Paroxysmal atrial fibrillation in 5 months old Afro-Caribbean; Cardiometry; No.5; November 2014; p.66-70; doi:10.12710/cardiometry.2014.5.6670
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