Wolff-parkinson-white syndrome diagnosed following binge drinking associated arrhythmia
Identifieur interne : 002218 ( Main/Corpus ); précédent : 002217; suivant : 002219Wolff-parkinson-white syndrome diagnosed following binge drinking associated arrhythmia
Auteurs : Pv Dissanayake ; R. WasalaSource :
- Archives of Disease in Childhood [ 0003-9888 ] ; 2012-05.
Abstract
Aims Binge drinking induced arrhythmia in apparently healthy individuals is a well known entity in adult literature. Epinephrine surge, ethanol, hypovolaemia and hypothermia are some common causative factors. The common type of arrhythmia seen is atrial fibrillation. The following case report describes a teenager with an undetected cardiac disease presenting with arrhythmia following binge drinking. We aim to increase the awareness among paediatricians about this condition as alcohol consumption is becoming a common problem in adolescence. Case Report A 14 year old previously healthy girl was brought to the emergency treatment unit in a semi-conscious state following excessive ingestion of alcohol. On admission she was found to be hypothermic (temperature 31.8 Celsius) and hypovolaemic with cold clammy extremities, pulse at 180 bpm and blood pressure at 80/38 mmHg. Her Glasgow coma scale reading was 13/15. No external injuries was present. An urgent ECG recording revealed a tachyarrhythmia compatible with ventricular tachycardia. Investigations revealed a low sodium and potassium levels in blood (134 mmol/L and 3.8 mmol/L respectively) and a partially compensated mild metabolic acidosis. Treatment was started with stabilisation, re-warming and fluid replacement which required two crystalloid boluses. The tachyarrhythmia resolved spontaneously following above management and the repeat ECG revealed sinus rhythm but a short PR interval and delta waves were noted. A diagnosis of Wolff-Parkinson-White syndrome was made which was later confirmed at a Tertiary care centre where this young girl underwent surgical ablation of the aberrant conduction pathway. Since then the patient has remained free of further arrhythmias. Conclusion The above case report clearly highlights the danger of binge drinking as despite having a potential arrhythmogenic condition since birth the patient did not have an arrhythmia until she was exposed to alcohol. The spontaneous remission of the tachyarrhythmia following correction of hypothermia and hypovolaemia resulting from binge drinking further confirms this. The presentation with a ventricular arrhythmia emphasise the importance of being aware of atypical presentations of a known disease as both alcohol ingestion and WPW syndrome usually present with supra ventricular arrhythmias.
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DOI: 10.1136/archdischild-2012-301885.316
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<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title>Wolff-parkinson-white syndrome diagnosed following binge drinking associated arrhythmia</title><author><name sortKey="Dissanayake, Pv" sort="Dissanayake, Pv" uniqKey="Dissanayake P" first="Pv" last="Dissanayake">Pv Dissanayake</name><affiliation><mods:affiliation>Paediatrics, Sandwell and West Birmingham Hospitals, NHS Trust, West Bromwich, Birmingham, UK</mods:affiliation></affiliation></author><author><name sortKey="Wasala, R" sort="Wasala, R" uniqKey="Wasala R" first="R" last="Wasala">R. Wasala</name><affiliation><mods:affiliation>Paediatrics, Sandwell and West Birmingham Hospitals, NHS Trust, West Bromwich, Birmingham, UK</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:AD4C2930D08C37E6A0B41B307EFD04534B1E5BA7</idno><date when="2012" year="2012">2012</date><idno type="doi">10.1136/archdischild-2012-301885.316</idno><idno type="url">https://api.istex.fr/document/AD4C2930D08C37E6A0B41B307EFD04534B1E5BA7/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">002218</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a">Wolff-parkinson-white syndrome diagnosed following binge drinking associated arrhythmia</title><author><name sortKey="Dissanayake, Pv" sort="Dissanayake, Pv" uniqKey="Dissanayake P" first="Pv" last="Dissanayake">Pv Dissanayake</name><affiliation><mods:affiliation>Paediatrics, Sandwell and West Birmingham Hospitals, NHS Trust, West Bromwich, Birmingham, UK</mods:affiliation></affiliation></author><author><name sortKey="Wasala, R" sort="Wasala, R" uniqKey="Wasala R" first="R" last="Wasala">R. Wasala</name><affiliation><mods:affiliation>Paediatrics, Sandwell and West Birmingham Hospitals, NHS Trust, West Bromwich, Birmingham, UK</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Archives of Disease in Childhood</title><title level="j" type="abbrev">Arch Dis Child</title><idno type="ISSN">0003-9888</idno><idno type="eISSN">1468-2044</idno><imprint><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><date type="published" when="2012-05">2012-05</date><biblScope unit="volume">97</biblScope><biblScope unit="issue">Suppl 1</biblScope><biblScope unit="page" from="A132">A132</biblScope></imprint><idno type="ISSN">0003-9888</idno></series><idno type="istex">AD4C2930D08C37E6A0B41B307EFD04534B1E5BA7</idno><idno type="DOI">10.1136/archdischild-2012-301885.316</idno><idno type="href">archdischild-97-A132.pdf</idno><idno type="ArticleID">archdischild-2012-301885.316</idno><idno type="local">archdischild;97/Suppl_1/A132</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0003-9888</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract">Aims Binge drinking induced arrhythmia in apparently healthy individuals is a well known entity in adult literature. Epinephrine surge, ethanol, hypovolaemia and hypothermia are some common causative factors. The common type of arrhythmia seen is atrial fibrillation. The following case report describes a teenager with an undetected cardiac disease presenting with arrhythmia following binge drinking. We aim to increase the awareness among paediatricians about this condition as alcohol consumption is becoming a common problem in adolescence. Case Report A 14 year old previously healthy girl was brought to the emergency treatment unit in a semi-conscious state following excessive ingestion of alcohol. On admission she was found to be hypothermic (temperature 31.8 Celsius) and hypovolaemic with cold clammy extremities, pulse at 180 bpm and blood pressure at 80/38 mmHg. Her Glasgow coma scale reading was 13/15. No external injuries was present. An urgent ECG recording revealed a tachyarrhythmia compatible with ventricular tachycardia. Investigations revealed a low sodium and potassium levels in blood (134 mmol/L and 3.8 mmol/L respectively) and a partially compensated mild metabolic acidosis. Treatment was started with stabilisation, re-warming and fluid replacement which required two crystalloid boluses. The tachyarrhythmia resolved spontaneously following above management and the repeat ECG revealed sinus rhythm but a short PR interval and delta waves were noted. A diagnosis of Wolff-Parkinson-White syndrome was made which was later confirmed at a Tertiary care centre where this young girl underwent surgical ablation of the aberrant conduction pathway. Since then the patient has remained free of further arrhythmias. Conclusion The above case report clearly highlights the danger of binge drinking as despite having a potential arrhythmogenic condition since birth the patient did not have an arrhythmia until she was exposed to alcohol. The spontaneous remission of the tachyarrhythmia following correction of hypothermia and hypovolaemia resulting from binge drinking further confirms this. The presentation with a ventricular arrhythmia emphasise the importance of being aware of atypical presentations of a known disease as both alcohol ingestion and WPW syndrome usually present with supra ventricular arrhythmias.</div></front></TEI><istex><corpusName>bmj</corpusName><author><json:item><name>PV Dissanayake</name><affiliations><json:string>Paediatrics, Sandwell and West Birmingham Hospitals, NHS Trust, West Bromwich, Birmingham, UK</json:string></affiliations></json:item><json:item><name>R Wasala</name><affiliations><json:string>Paediatrics, Sandwell and West Birmingham Hospitals, NHS Trust, West Bromwich, Birmingham, UK</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>British Congenital Cardiac Association</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Aims Binge drinking induced arrhythmia in apparently healthy individuals is a well known entity in adult literature. Epinephrine surge, ethanol, hypovolaemia and hypothermia are some common causative factors. The common type of arrhythmia seen is atrial fibrillation. The following case report describes a teenager with an undetected cardiac disease presenting with arrhythmia following binge drinking. We aim to increase the awareness among paediatricians about this condition as alcohol consumption is becoming a common problem in adolescence. Case Report A 14 year old previously healthy girl was brought to the emergency treatment unit in a semi-conscious state following excessive ingestion of alcohol. On admission she was found to be hypothermic (temperature 31.8 Celsius) and hypovolaemic with cold clammy extremities, pulse at 180 bpm and blood pressure at 80/38 mmHg. Her Glasgow coma scale reading was 13/15. No external injuries was present. An urgent ECG recording revealed a tachyarrhythmia compatible with ventricular tachycardia. Investigations revealed a low sodium and potassium levels in blood (134 mmol/L and 3.8 mmol/L respectively) and a partially compensated mild metabolic acidosis. Treatment was started with stabilisation, re-warming and fluid replacement which required two crystalloid boluses. The tachyarrhythmia resolved spontaneously following above management and the repeat ECG revealed sinus rhythm but a short PR interval and delta waves were noted. A diagnosis of Wolff-Parkinson-White syndrome was made which was later confirmed at a Tertiary care centre where this young girl underwent surgical ablation of the aberrant conduction pathway. Since then the patient has remained free of further arrhythmias. Conclusion The above case report clearly highlights the danger of binge drinking as despite having a potential arrhythmogenic condition since birth the patient did not have an arrhythmia until she was exposed to alcohol. The spontaneous remission of the tachyarrhythmia following correction of hypothermia and hypovolaemia resulting from binge drinking further confirms this. The presentation with a ventricular arrhythmia emphasise the importance of being aware of atypical presentations of a known disease as both alcohol ingestion and WPW syndrome usually present with supra ventricular arrhythmias.</abstract><qualityIndicators><score>4.831</score><pdfVersion>1.6</pdfVersion><pdfPageSize>595.277 x 793.702 pts</pdfPageSize><refBibsNative>false</refBibsNative><keywordCount>1</keywordCount><abstractCharCount>2345</abstractCharCount><pdfWordCount>331</pdfWordCount><pdfCharCount>2285</pdfCharCount><pdfPageCount>1</pdfPageCount><abstractWordCount>335</abstractWordCount></qualityIndicators><title>Wolff-parkinson-white syndrome diagnosed following binge drinking associated arrhythmia</title><genre><json:string>abstract</json:string></genre><host><volume>97</volume><pages><first>A132</first></pages><issn><json:string>0003-9888</json:string></issn><issue>Suppl 1</issue><genre></genre><language><json:string>unknown</json:string></language><eissn><json:string>1468-2044</json:string></eissn><title>Archives of Disease in Childhood</title></host><publicationDate>2012</publicationDate><copyrightDate>2012</copyrightDate><doi><json:string>10.1136/archdischild-2012-301885.316</json:string></doi><id>AD4C2930D08C37E6A0B41B307EFD04534B1E5BA7</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/AD4C2930D08C37E6A0B41B307EFD04534B1E5BA7/fulltext/pdf</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/AD4C2930D08C37E6A0B41B307EFD04534B1E5BA7/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/AD4C2930D08C37E6A0B41B307EFD04534B1E5BA7/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a">Wolff-parkinson-white syndrome diagnosed following binge drinking associated arrhythmia</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><availability><p>BMJ</p></availability><date>2012-05-24</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a">Wolff-parkinson-white syndrome diagnosed following binge drinking associated arrhythmia</title><author><persName><forename type="first">PV</forename><surname>Dissanayake</surname></persName><affiliation>Paediatrics, Sandwell and West Birmingham Hospitals, NHS Trust, West Bromwich, Birmingham, UK</affiliation></author><author><persName><forename type="first">R</forename><surname>Wasala</surname></persName><affiliation>Paediatrics, Sandwell and West Birmingham Hospitals, NHS Trust, West Bromwich, Birmingham, UK</affiliation></author></analytic><monogr><title level="j">Archives of Disease in Childhood</title><title level="j" type="abbrev">Arch Dis Child</title><idno type="pISSN">0003-9888</idno><idno type="eISSN">1468-2044</idno><imprint><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><date type="published" when="2012-05"></date><biblScope unit="volume">97</biblScope><biblScope unit="issue">Suppl 1</biblScope><biblScope unit="page" from="A132">A132</biblScope></imprint></monogr><idno type="istex">AD4C2930D08C37E6A0B41B307EFD04534B1E5BA7</idno><idno type="DOI">10.1136/archdischild-2012-301885.316</idno><idno type="href">archdischild-97-A132.pdf</idno><idno type="ArticleID">archdischild-2012-301885.316</idno><idno type="local">archdischild;97/Suppl_1/A132</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2012-05-24</date></creation><langUsage><language ident="en">en</language></langUsage><abstract><p>Aims Binge drinking induced arrhythmia in apparently healthy individuals is a well known entity in adult literature. Epinephrine surge, ethanol, hypovolaemia and hypothermia are some common causative factors. The common type of arrhythmia seen is atrial fibrillation. The following case report describes a teenager with an undetected cardiac disease presenting with arrhythmia following binge drinking. We aim to increase the awareness among paediatricians about this condition as alcohol consumption is becoming a common problem in adolescence. Case Report A 14 year old previously healthy girl was brought to the emergency treatment unit in a semi-conscious state following excessive ingestion of alcohol. On admission she was found to be hypothermic (temperature 31.8 Celsius) and hypovolaemic with cold clammy extremities, pulse at 180 bpm and blood pressure at 80/38 mmHg. Her Glasgow coma scale reading was 13/15. No external injuries was present. An urgent ECG recording revealed a tachyarrhythmia compatible with ventricular tachycardia. Investigations revealed a low sodium and potassium levels in blood (134 mmol/L and 3.8 mmol/L respectively) and a partially compensated mild metabolic acidosis. Treatment was started with stabilisation, re-warming and fluid replacement which required two crystalloid boluses. The tachyarrhythmia resolved spontaneously following above management and the repeat ECG revealed sinus rhythm but a short PR interval and delta waves were noted. A diagnosis of Wolff-Parkinson-White syndrome was made which was later confirmed at a Tertiary care centre where this young girl underwent surgical ablation of the aberrant conduction pathway. Since then the patient has remained free of further arrhythmias. Conclusion The above case report clearly highlights the danger of binge drinking as despite having a potential arrhythmogenic condition since birth the patient did not have an arrhythmia until she was exposed to alcohol. The spontaneous remission of the tachyarrhythmia following correction of hypothermia and hypovolaemia resulting from binge drinking further confirms this. The presentation with a ventricular arrhythmia emphasise the importance of being aware of atypical presentations of a known disease as both alcohol ingestion and WPW syndrome usually present with supra ventricular arrhythmias.</p></abstract></profileDesc><revisionDesc><change when="2012-05-24">Created</change><change when="2012-05">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/AD4C2930D08C37E6A0B41B307EFD04534B1E5BA7/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus bmj" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="no"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Archiving and Interchange DTD v2.3 20070202//EN" URI="archivearticle.dtd" name="istex:docType"></istex:docType><istex:document><article article-type="abstract"><front><journal-meta><journal-id journal-id-type="hwp">archdischild</journal-id><journal-id journal-id-type="nlm-ta">Arch Dis Child</journal-id><journal-id journal-id-type="publisher-id">adc</journal-id><journal-title>Archives of Disease in Childhood</journal-title><abbrev-journal-title abbrev-type="publisher">Arch Dis Child</abbrev-journal-title><abbrev-journal-title>Arch Dis Child</abbrev-journal-title><issn pub-type="ppub">0003-9888</issn><issn pub-type="epub">1468-2044</issn><publisher><publisher-name>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">archdischild-2012-301885.316</article-id><article-id pub-id-type="doi">10.1136/archdischild-2012-301885.316</article-id><article-id pub-id-type="other">archdischild;97/Suppl_1/A132</article-id><article-id pub-id-type="other">archdischild;archdischild-2012-301885.316</article-id><article-id pub-id-type="other">A132</article-id><article-id pub-id-type="other">archdischild-2012-301885.316</article-id><article-categories><subj-group subj-group-type="heading"><subject>British Congenital Cardiac Association</subject></subj-group></article-categories><title-group><article-title>Wolff-parkinson-white syndrome diagnosed following binge drinking associated arrhythmia</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Dissanayake</surname><given-names>PV</given-names></name></contrib><contrib contrib-type="author"><name><surname>Wasala</surname><given-names>R</given-names></name></contrib></contrib-group><aff>Paediatrics, Sandwell and West Birmingham Hospitals, NHS Trust, West Bromwich, Birmingham, UK</aff><pub-date pub-type="ppub"><month>5</month><year>2012</year></pub-date><pub-date pub-type="epub-original"><month>5</month><year>2012</year></pub-date><pub-date pub-type="epub"><day>24</day><month>5</month><year>2012</year></pub-date><volume>97</volume><volume-id pub-id-type="other">97</volume-id><volume-id pub-id-type="other">97</volume-id><issue>Suppl 1</issue><issue-id pub-id-type="other">archdischild;97/Suppl_1</issue-id><issue-id pub-id-type="other" content-type="supplement">Suppl_1</issue-id><issue-id pub-id-type="other">97/Suppl_1</issue-id><issue-title>Royal College of Paediatrics and Child Health Abstracts of the Annual Conference</issue-title><fpage>A132</fpage><permissions><copyright-statement>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</copyright-statement><copyright-year>2012</copyright-year></permissions><self-uri content-type="pdf" xlink:role="full-text" xlink:href="archdischild-97-A132.pdf"></self-uri><abstract><sec><title>Aims</title><p>Binge drinking induced arrhythmia in apparently healthy individuals is a well known entity in adult literature. Epinephrine surge, ethanol, hypovolaemia and hypothermia are some common causative factors. The common type of arrhythmia seen is atrial fibrillation. The following case report describes a teenager with an undetected cardiac disease presenting with arrhythmia following binge drinking. We aim to increase the awareness among paediatricians about this condition as alcohol consumption is becoming a common problem in adolescence.</p></sec><sec><title>Case Report</title><p>A 14 year old previously healthy girl was brought to the emergency treatment unit in a semi-conscious state following excessive ingestion of alcohol. On admission she was found to be hypothermic (temperature 31.8 Celsius) and hypovolaemic with cold clammy extremities, pulse at 180 bpm and blood pressure at 80/38 mmHg. Her Glasgow coma scale reading was 13/15. No external injuries was present. An urgent ECG recording revealed a tachyarrhythmia compatible with ventricular tachycardia. Investigations revealed a low sodium and potassium levels in blood (134 mmol/L and 3.8 mmol/L respectively) and a partially compensated mild metabolic acidosis. Treatment was started with stabilisation, re-warming and fluid replacement which required two crystalloid boluses. The tachyarrhythmia resolved spontaneously following above management and the repeat ECG revealed sinus rhythm but a short PR interval and delta waves were noted. A diagnosis of Wolff-Parkinson-White syndrome was made which was later confirmed at a Tertiary care centre where this young girl underwent surgical ablation of the aberrant conduction pathway. Since then the patient has remained free of further arrhythmias.</p></sec><sec><title>Conclusion</title><p>The above case report clearly highlights the danger of binge drinking as despite having a potential arrhythmogenic condition since birth the patient did not have an arrhythmia until she was exposed to alcohol. The spontaneous remission of the tachyarrhythmia following correction of hypothermia and hypovolaemia resulting from binge drinking further confirms this. The presentation with a ventricular arrhythmia emphasise the importance of being aware of atypical presentations of a known disease as both alcohol ingestion and WPW syndrome usually present with supra ventricular arrhythmias.</p></sec></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Wolff-parkinson-white syndrome diagnosed following binge drinking associated arrhythmia</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Wolff-parkinson-white syndrome diagnosed following binge drinking associated arrhythmia</title></titleInfo><name type="personal"><namePart type="given">PV</namePart><namePart type="family">Dissanayake</namePart><affiliation>Paediatrics, Sandwell and West Birmingham Hospitals, NHS Trust, West Bromwich, Birmingham, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">R</namePart><namePart type="family">Wasala</namePart><affiliation>Paediatrics, Sandwell and West Birmingham Hospitals, NHS Trust, West Bromwich, Birmingham, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="abstract" displayLabel="abstract"></genre><originInfo><publisher>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><dateIssued encoding="w3cdtf">2012-05</dateIssued><dateCreated encoding="w3cdtf">2012-05-24</dateCreated><copyrightDate encoding="w3cdtf">2012</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract>Aims Binge drinking induced arrhythmia in apparently healthy individuals is a well known entity in adult literature. Epinephrine surge, ethanol, hypovolaemia and hypothermia are some common causative factors. The common type of arrhythmia seen is atrial fibrillation. The following case report describes a teenager with an undetected cardiac disease presenting with arrhythmia following binge drinking. We aim to increase the awareness among paediatricians about this condition as alcohol consumption is becoming a common problem in adolescence. Case Report A 14 year old previously healthy girl was brought to the emergency treatment unit in a semi-conscious state following excessive ingestion of alcohol. On admission she was found to be hypothermic (temperature 31.8 Celsius) and hypovolaemic with cold clammy extremities, pulse at 180 bpm and blood pressure at 80/38 mmHg. Her Glasgow coma scale reading was 13/15. No external injuries was present. An urgent ECG recording revealed a tachyarrhythmia compatible with ventricular tachycardia. Investigations revealed a low sodium and potassium levels in blood (134 mmol/L and 3.8 mmol/L respectively) and a partially compensated mild metabolic acidosis. Treatment was started with stabilisation, re-warming and fluid replacement which required two crystalloid boluses. The tachyarrhythmia resolved spontaneously following above management and the repeat ECG revealed sinus rhythm but a short PR interval and delta waves were noted. A diagnosis of Wolff-Parkinson-White syndrome was made which was later confirmed at a Tertiary care centre where this young girl underwent surgical ablation of the aberrant conduction pathway. Since then the patient has remained free of further arrhythmias. Conclusion The above case report clearly highlights the danger of binge drinking as despite having a potential arrhythmogenic condition since birth the patient did not have an arrhythmia until she was exposed to alcohol. The spontaneous remission of the tachyarrhythmia following correction of hypothermia and hypovolaemia resulting from binge drinking further confirms this. The presentation with a ventricular arrhythmia emphasise the importance of being aware of atypical presentations of a known disease as both alcohol ingestion and WPW syndrome usually present with supra ventricular arrhythmias.</abstract><relatedItem type="host"><titleInfo><title>Archives of Disease in Childhood</title></titleInfo><titleInfo type="abbreviated"><title>Arch Dis Child</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0003-9888</identifier><identifier type="eISSN">1468-2044</identifier><identifier type="PublisherID">adc</identifier><identifier type="PublisherID-hwp">archdischild</identifier><identifier type="PublisherID-nlm-ta">Arch Dis Child</identifier><part><date>2012</date><detail type="title"><title>Royal College of Paediatrics and Child Health Abstracts of the Annual Conference</title></detail><detail type="volume"><caption>vol.</caption><number>97</number></detail><detail type="issue"><caption>no.</caption><number>Suppl 1</number></detail><extent unit="pages"><start>A132</start></extent></part></relatedItem><identifier type="istex">AD4C2930D08C37E6A0B41B307EFD04534B1E5BA7</identifier><identifier type="DOI">10.1136/archdischild-2012-301885.316</identifier><identifier type="href">archdischild-97-A132.pdf</identifier><identifier type="ArticleID">archdischild-2012-301885.316</identifier><identifier type="local">archdischild;97/Suppl_1/A132</identifier><accessCondition type="use and reproduction" contentType="copyright">Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</accessCondition><recordInfo><recordContentSource>BMJ</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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