ECGs in the ED.

摘要

An 11-year-old girl who previously underwent orthotopic heart transplant presented to the emergency department for evaluation of vomiting. She had been well until 2 days ago when she began to have nausea and vomiting. There was no diarrhea, dysuria, or rash She denied palpitations, chest pain, shortness of breath, dizziness, sore throat, fever, headache, earache, or cough She had been doing well with respect to her transplant which occurred 7 months ago due to an idiopathic dilated cardiomyopathy. She has had no recent hospitalizations or surgeries She has been seen regularly in the heart transplant clinic and has had several routine cardiac catheterizations for biopsy evaluations She has no other medical problems She takes several medications for immunosuppressive therapy, but none of the doses have been changed recently. There are no known drug allergies The family history is noncontributory for congenital heart disease, cardiomyopathy, or sudden death. She attends sixth grade and lives with his parents and siblings