PEDIATRICS Vol. 4 No. 2 August 1949, pp. 210-213
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WOLFF-PARKINSON-WHITE SYNDROME WITH CONGENITAL HEART DISEASE

ESTELLE E. KLEIBER M.D., F.A.C.P.

The syndrome of the shortened P-R interval associated with widened QRS as an anomaly of the conduction system of the heart has long been recognized in the adult.

Since few cases of Wolff-Parkinson-White syndrome have been reported in children in association with congenital heart disease, a case report is presented in a boy whose first episode of paroxysmal tachycardia occurred at seven months of age.

The diagnosis of congenital heart disease seems likely in view of the finding of a pronounced, widely heard systolic murmur first noted at the age of 2frac12 years, and never associated with rheumatism or other signs of infection.

A history of paroxysmal tachycardia in infants and children warrants cardiographic investigation between attacks.

Submitted on November 13, 1948