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Images in neonatal medicine
Functional 2:1 AV block in a preterm
  1. Stefan Kurath-Koller1,
  2. Nathalie Noessler1,
  3. Gerhard Pichler2,
  4. Nina Höller1
  1. 1 Pediatrics, Division of Pediatric Cardiology, Medizinische Universitat Graz, Graz, Austria
  2. 2 Pediatrics, Division of Neonatology, Medizinische Universitat Graz, Graz, Austria
  1. Correspondence to Dr Stefan Kurath-Koller, Pediatrics, Division of Pediatric Cardiology, Medizinische Universitat Graz, Graz 8010, Austria; stefan.kurath{at}medunigraz.at

https://doi.org/10.1136/archdischild-2021-321741

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    A very low birthweight infant (gestational age 28+3, 1.020 g) presented with ventricular tachycardia requiring cardiopulmonary resuscitation within the first day after birth. Aside from prematurity due to chorioamnionitis, the infant suffered from early onset sepsis and was ventilated with high frequency oscillation and nitric oxide. Following successful resuscitation, the infant required high amounts of catecholamines and showed bradycardia of 80 beats per minute (bpm) on ECG monitoring. Each QRS complex was encircled …

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    Footnotes

    • Contributors SK: pediatric cardiologist, diagnosed the condition and led treatment plan, drafted the manuscript. NN: pediatric cardiologist in training, provided pictures of the ECG tracing and helped formatting the picture for publication. NH: neonatologist, helped drafting the manuscript and formatting the picture. GP: neonatologist in charge, helped drafting the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.