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2025, Number 6

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Rev Mex Pediatr 2025; 92 (6)

Wolff-Parkinson-White syndrome as a cause of cardiogenic shock

Quintero-Aguirre E, García-Ortega WA, Herrera-Bazán C, Ramírez-Valencia CA

Language: Spanish
References: 19
Page: 227-231
PDF size: 1400.94 Kb.


ABSTRACT

Introduction: arrhythmias should be considered as part of the diagnostic approach in patients with cardiogenic shock. We present a pediatric patient with Wolff-Parkinson-White (WPW) syndrome. Case presentation: a 2-month-old male infant was admitted with shock and persistent tachycardia, initially with suspected sepsis. He subsequently developed supraventricular tachycardia that was refractory to adenosine, requiring cardioversion. The electrocardiogram showed a short PR interval and a delta wave, confirming WPW syndrome. He responded favorably to propranolol. Conclusion: in a critically ill patient presenting with an arrhythmia, WPW syndrome should be considered to determine the appropriate treatment. Once the acute event is controlled, these patients should be followed by pediatric cardiology specialists.


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