Сlinical case of ventricular tachycardia in a newborn

Ventricular tachycardia (VT) is rare in newborns and has a wide range of clinical manifestations from asymptomatic to severe heart failure and cardiac arrest. Treatment of ventricular arrhythmias remains a very difficult task for a doctor today, in each case this issue is solved individually. The purpose of this study is to demonstrate a clinical case of a newborn with VT. A retrospective analysis of the patient’s medical history was performed, which was examined and treated in the Department of Neonatal Pathology. From the sixth day of life, the child’s anxiety was noted, and arrhythmic heart sounds were heard during auscultation. An ECG revealed cardiac arrhythmias in the form of unstable recurrent monomorphic ventricular tachycardia with a frequency of 142-200 beats per minute. An instrumental examination was performed at the children’s multidisciplinary hospital – no organic heart diseases were detected. The patient was prescribed protective antiarrhythmic therapy with propafenone with a positive effect and subsequent dynamic monitoring. No rhythm disturbances were detected during treatment with daily ECG monitoring. The child’s condition in the department remained stable. He was discharged for outpatient treatment with recommendations for dose adjustment according to the child’s weight. During a follow-up examination after 1 month, a sinus rhythm is recorded according to ECG data, no ventricular rhythm disturbances were detected. The above clinical case of VT in a newborn makes it possible to focus the attention of neonatologists, pediatric cardiologists, and pediatricians on the features of the clinic, diagnosis, and treatment of this rare pathology.

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