A CHILD WITH CARDIOGENIC-SHOCK AND SUPRAVENTRICULAR TACHYCARDIA PRESENTING IN NORMAL SINUS RHYTHM

We report a case of an infant who presented in profound cardiovascular collapse with a normal sinus rhythm initially, A diagnosis of supra c entricular tachycardia (SVT) was established only after hemodynamic st abilization, The possibility of SVT being masked because of severe met abolic derangements and/or painful therapeutic procedures should be ke pt in mind when managing cardiogenic shock in children, Such a conside ration is of practical significance in planning therapy, such as the a voidance of digitalis in a patient with Wolf-Parkinson-White syndrome.