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March 1970

Ventricular Tachycardia and Transposition of the Great Arteries: Occurrence in an Infant 1 Hour of Age and Favorable Response to Septostomy

Author Affiliations

Brooklyn, NY
From the Division of Pediatric Cardiology, Maimonides Medical Center, and the State University of New York, Downstate Medical Center, Brooklyn, NY.

Am J Dis Child. 1970;119(3):278-279. doi:10.1001/archpedi.1970.02100050280021

In June 1969, Addy and Littlewood1 stated, "We have been unable to find in the English literature any well documented evidence of ventricular tachycardia occurring in the newborn period." We should like to present the case of a newborn who developed ventricular tachycardia at the age of 1 hour.

Report of a Case  A full-term male infant weighing 3,175 gm (7 lb) was born at Maimonides Medical Center on June 22, 1969 at 7:30 PM, the second of an uncomplicated twin delivery. Pregnancy was complicated by acute pyelonephritis during the last trimester. The Apgar score was 9 at 1 minute and 10 at 5 minutes. On examination in the nursery, cyanosis and retractions were noted; the temperature was 97 F (36.1 C); the heart rate was 150 beats per minute; and the respiratory rate was 60 breaths per minute. Heart sounds were within normal limits; no murmur was heard

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