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Case Reports in Pediatrics
Volume 2013 (2013), Article ID 572301, 4 pages
http://dx.doi.org/10.1155/2013/572301
Case Report

Psychiatric Disorder and Incessant Tachyarrhythmia in a Child

1Department of Pediatrics, UCLA Mattel Children's Hospital, Los Angeles, CA 90095, USA
2Department of Pediatrics, Division of Pediatric Cardiology, UCLA Mattel Children's Hospital, 10833 Le Conte Avenue, B2-427 MDCC, Los Angeles, CA 90095, USA

Received 29 January 2013; Accepted 17 February 2013

Academic Editors: B. Das, D. Fischer, J. Hruda, B. Resch, I. Riaño Galán, and D. I. Zafeiriou

Copyright © 2013 Peter Chau and Jeremy Moore. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The case of a 14-year-old female with ectopic atrial tachycardia who had been followed for a history of anxiety and depression is presented. The patient was admitted to the intensive care unit after she attempted suicide, at which point there was electrocardiographic evidence of the atrial arrhythmia. During subsequent invasive electrophysiology study, a focus near the tricuspid annulus was localized and targeted for ablation, followed by resolution of the psychiatric symptoms. The case highlights the overlap between psychiatric complaints and true cardiac arrhythmia. A review of the literature is presented, with a special emphasis on distinguishing these two entities as well as a synopsis of this uncommon arrhythmia in the pediatric population.