Abstract

1. 1. A fatal case of supraventricular tachycardia in an infant with a ventricular rate of 365 per minute is presented. As far as can be learned, this is the fastest human ventricular rate ever recorded. 2. 2. The condition was unrecognized until just before death. The signs of congestive failure, which were respiratory difficulty, cyanosis, and congestion of the lungs, were misinterpreted. No evidence of organic heart disease was found at necropsy. 3. 3. Paroxysmal tachycardia is not rare in infants. The condition is amenable to treatment. A suspicion of this condition should be entertained in any child with an episodic history of cyanosis and respiratory difficulty. The more frequent use of the electrocardiogram in infants is recommended.

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