Solve this exciting clinical case, specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 9-day-old full-term girl with a temperature of 38.3°C arrived at the ER with tachycardia (210 beats/min), tachypnea (62 breaths/min), and a history of nasal congestion.
Her blood pressure was 87/63 mm Hg, and oxygen saturation was 97% at the time of admission. Investigations: · The 12-lead ECG revealed consistent tachycardia at 215 beats/min. With a 1:1 ventricular-atrial (VA) connection, a putative retrograde p-wave inscription was seen 140 ms after the beginning of QRS.