Vitamin D as a Substitute of Catheter Ablation in a Paediatric Patient with High Burden Premature Ventricular Contractions: A Case Report
SD01-SD03
Correspondence
Gabriel Cismaru,
Viilor 46-50 Rehabilitation Hospital, Cluj-Napoca, Cluj, Romania.
E-mail: gabi_cismaru@yahoo.com
Catheter ablation is established as a treatment option for patients with high number Premature Ventricular Contractions (PVCs). However, complications can occur like cardiac tamponade, coronary artery injury or infectious endocarditis. Reversible causes such as hypocalcaemia, hypomagnesaemia and hypokalemia can be responsible for PVCs. Here, a case of nine-years-old boy, with vitamin D deficiency that presented high number PVCs which corrected using vitamin D dietary supplementation was described. Patient was hospitalised in the Cardiology Department for catheter ablation of PVCs. He presented with shortness of breath during football matches and asthenia. Electrocardiography (ECG) and Holter ECG demonstrated high number PVCs with a morphology consistent of Right Ventricular Outflow Tract (RVOT) origin. Catheter ablation was postponed until Vitamin D came to normal values. Dietary supplementation was performed, together with Holter ECG monitoring. After vitamin D normalisation, PVC burden reduced significantly without the need of catheter ablation or antiarrhythmic drugs. Catheter ablation and antiarrhythmic drugs can be avoided in patients with frequent PVCs and vitamin D deficiency.