Wolff-Parkinson-White syndrome presenting with steroid-induced bradycardia in a patient with acute rheumatic fever

Cardiol Young. 2018 Nov;28(11):1375-1377. doi: 10.1017/S1047951118001336. Epub 2018 Aug 2.

Abstract

Steroids are used in the treatment of acute rheumatic fever with moderate-to-severe carditis. Corticosteroids have several cardiovascular side affects that are more common in adults than in children. Corticosteroid-related bradycardia is a rarely seen side effect. Children with bradycardia following oral corticosteroid use are rarely reported previously. We present a child who developed bradycardia after oral corticosteroid treatment and concurrent Wolff-Parkinson-White pattern.

Keywords: Acute rheumatic fever; arrhythmia; echocardiography.

Publication types

  • Case Reports

MeSH terms

  • Administration, Oral
  • Bradycardia / chemically induced*
  • Bradycardia / complications
  • Child
  • Echocardiography
  • Electrocardiography, Ambulatory
  • Female
  • Follow-Up Studies
  • Glucocorticoids / administration & dosage
  • Glucocorticoids / adverse effects
  • Humans
  • Prednisolone / administration & dosage
  • Prednisolone / adverse effects*
  • Rheumatic Fever / complications
  • Rheumatic Fever / drug therapy*
  • Time Factors
  • Wolff-Parkinson-White Syndrome / diagnosis
  • Wolff-Parkinson-White Syndrome / etiology*
  • Wolff-Parkinson-White Syndrome / physiopathology

Substances

  • Glucocorticoids
  • Prednisolone