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A Case of Chronic Atrial Tachycardia Managed with Digoxin and Reserpine.

Journal of the Korean Pediatric Society 1984;27(1):79-83.
Published online January 31, 1984.
A Case of Chronic Atrial Tachycardia Managed with Digoxin and Reserpine.
Young Hee Kim, Young Ju Choi, Sang Il Rhee, Sang Woo Kim
Dept, of Pediatrics, In Je Medical College, Seoul Korea
만성 심방성 빈박증 (Chronic Atrial Tachycardia)의 치험 1례
김영회, 최영주, 이상일, 김상우
인제의과대학 소아과학교실
An 1 8/12 year old girl had chronic, repetitive left atrial tachycardia and it was unresponsive to usual antiarrythmic drugs. The chief complaints were cyclic lethargy and irritability, occasionally associated with cyanosis and sweating. Her heart rate showed marked variation, depending upon the time of the day and her state of consciousness. ECG showed supraventricular tachycardia with ectopic pace-maker, proposed by inverted p-wave in lead I and H. Intermittent A-V block was appeared after digitalization. Tachycardia, intermittently interrupted by normal sinus rhythm, was continued for about 2 years. Chest P-A showed pulmonary congestion without cardiomegaly. Other laboratory findings including EEG were normal. Tachycardia with ectopic focus was returned to normal sinus rhythm with combined therapy with digoxin and reserpine.
Key Words: Chronic atrial tachycardia, Digoxin and reserpine

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