Permanent junctional reciprocating tachycardia: a rare, but not to be missed, cause of cardiogenic shock in adults

Eur Heart J Acute Cardiovasc Care. 2020 Sep;9(6):NP3-NP5. doi: 10.1177/2048872616676604. Epub 2016 Oct 24.

Abstract

We report the case of a 64-year-old woman who was admitted for cardiogenic shock caused by a permanent junctional reciprocating tachycardia. If this incessant and drug-refractory form of tachycardia is a well-known cause of tachycardia-induced cardiomyopathies in infants, its occurrence during adulthood is extremely rare. Catheter ablation is the recommended treatment of this condition.

Keywords: Cardiogenic shock; catheter ablation; heart failure; permanent junctional reciprocating tachycardia; tachycardia-induced cardiomyopathy.

Publication types

  • Case Reports

MeSH terms

  • Electrocardiography*
  • Female
  • Heart Conduction System / physiopathology*
  • Humans
  • Middle Aged
  • Rare Diseases
  • Shock, Cardiogenic / etiology*
  • Tachycardia, Reciprocating / complications*
  • Tachycardia, Reciprocating / diagnosis
  • Tachycardia, Reciprocating / physiopathology