Ventricular arrhythmias are uncommon in acute rheumatic carditis. We report
the case of a child who presented with rheumatic carditis, prolonged corre
cted QT interval, and torsade de pointes. The episodes of torsade were cont
rolled with beta -blockade and cardiac pacing. The child subsequently died
as a result of brain injury; the autopsy revealed classic findings of acute
rheumatic carditis.