October 1985

Ventricular Tachycardia in Acute Rheumatic Fever

Author Affiliations

From the Department of Medicine (Drs Freed, Sacks, and Ellman) and the Division of Rheumatology (Dr Ellman), Michael Reese Hospital and Medical Center, Chicago.

Arch Intern Med. 1985;145(10):1904-1905. doi:10.1001/archinte.1985.00360100174029

• A 19-year-old man presented with fever, migratory polyarthritis, and palpitations; a diagnosis of acute rheumatic fever was made. Twenty-four-hour ambulatory cardiac monitoring (Holter) performed during the patient's hospitalization revealed ventricular tachycardia. Although disturbances in cardiac conduction and rhythm are common during the acute phase of rheumatic fever, malignant ventricular arrhythmias, to our knowledge, have not been described. Recognition of this occurrence emphasizes the need for continuous cardiac monitoring in selected patients.

(Arch Intern Med 1985;145:1904-1905)