Abstract
Supraventricular tachycardia is the most common tachyarrhythmia seen in fetuses, neonates and infants. Sustained SVT may lead to congestive cardiac failure. Neonatal supraventricular tachycardia is more commonly associated with other cardiorespiratory and congenital problems and is uncommon in an otherwise healthy infant. Supraventricular tachycardia is also caused by neonatal sepsis but has rarely been reported. Here, we report two cases of SVT (Supraventricular tachycardia) induced by neonatal sepsis. Two neonates, one male and another female, both born to Indian mother had tachycardia with heart rate > 220 beats/minute along with poor perfusion, tachypnoea, fever and deranged coagulation profile. Both the babies had culture positive gram negative sepsis with normal echocardiography and supraventricular tachycardia on electrocardiograms which were treated with anti arrhythmic drugs and treatment of sepsis. This case report gives further insight into one more presentation and complication of neonatal sepsis.
Highlights
Sepsis is the commonest cause of morbidity and mortality resulting in 1.6 million deaths annually in developing countries.[1]
Gram negative organisms have become the major cause of neonatal sepsis in both early and late onset neonatal sepsis in India.[3]
We report two cases of supraventricular tachycardia induced by neonatal sepsis
Summary
Sepsis is the commonest cause of morbidity and mortality resulting in 1.6 million deaths annually in developing countries.[1]. A male baby of 2096 grams was referred to our centre for respiratory distress. ECG showed narrow QRS complex tachycardia with absent p wave. A female baby weighing 3100 grams was referred to our centre for persistent fever. She was born to 22 years primigravida mother by emergency caesarean section for foetal distress. Investigations showed high CRP, low platelet count, normal CSF and urine routine examination and culture. Baby started to improve clinically but again developed tachycardia with heart rate of 260 per minute. ECG showed narrow complex tachycardia with absent p wave. This was aborted after two doses of injection adenosine. Baby improved and was discharged after completion of antibiotic course
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