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.
ShebaniSONgGAStaffordP, et al. Radiofrequency ablation on veno-arterial extracorporeal life support in treatment of very sick infants with incessant tachymyopathy. Europace2015; 17: 622–627.
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MeiltzAWeberRHalimiF, et al. Permanent form of junctional reciprocating tachycardia in adults: peculiar features and results of radiofrequency catheter ablation. Europace2006; 8: 21–28.
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KangKTPottsJERadbillAE. Permanent junctional reciprocating tachycardia in children: a multicenter experience. Heart Rhythm2014; 11: 1426–1432.