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Öğe A rare case of complete penoscrotal transposition with hypospadias in a newborn(Galenos Yayincilik, 2017) Beyazit, Fatma; Pek, Eren; Aylanc, Hakan[Anstract Not Available]Öğe Ailevi Akdeniz Ateşi gen mutasyonu olan çocuklarda makula ve koroid kalınlıkları(Yusuf Haydar ERTEKİN, 2018) Battal, Fatih; Aylanc, Hakan; Yildirim, Sule; Ekim, Yeliz; Silan, Fatma; Ozdemir, OzturkGiriş: Bu çalışmanın amacı, MEFV gen mutasyonlu çocuklarda maküla ve koroid kalınlıklarının değerlendirilmesidir.Yöntem: MEFV gen mutasyonlu 35 çocuk ve kontrol grubu olarak 40 sağlıklı çocuk çalışmaya alındı. MEFV gen profilleri Pyrosequencing ve direct Sanger sequencing sekanslama teknikleri ile genotiplendirildi. Her bir hastanın sağ göz maküla ve koroid kalınlıkları spektral-alan optik koherens tomografi kullanılarak ölçüldü.Bulgular: Ortalama arteriolar ve venüler çaplar sırasıyla MEFV gen mutasyonu olan çocuklarda 95,75±11,98 µm ve 127,61±10,44 µm, kontrol grupta 110,19±11,10 µm ve 138,54±10,04 µm idi. MEFV gen mutasyonu olan çocuklarda sağlıklı kontrollere göre ortalama arteryol çapları (p<0,001), ortalama venüler çapları (p<0,001) daha ince idi ayrıca maküler kalınlık (p=0,016) ve koroid kalınlık (p=0,014) azalmıştı. Sonuç: MEFV gen mutasyonları olan çocuklarda retinal arteriyollerin, retinal venüllerin ve maküler ve koroidal incelmenin olduğu görüldü. Gelecekteki çalışmalar, Ailesel Akdeniz Ateşi olan çocuklarda endotel disfonksiyonunu invazif olmayan ve etkili yöntemlerle araştırmayı amaçlamalıdırÖğe Benign Acute Childhood Myositis due to Toxoplasmosis(All India Inst Medical Sciences, 2016) Yildirim, Sule; Battal, Fatih; Aylanc, Hakan; Tekin, Mustafa; Kaymaz, Nazan; Binnetoglu, Fatih Koksal; Topaloglu, Naci[Anstract Not Available]Öğe Do we really ponder about necessity of intravenous hydration in acute bronchiolitis?(Corporacion Editora Medica Valle, 2016) Yildirim, Sule; Kaymaz, Nazan; Topaloglu, Naci; Binnetoglu, Fatih Koksal; Tekin, Mustafa; Aylanc, Hakan; Battal, FatihObjective: The goal was to establish the role of intravenous hydration therapy on mild bronchiolitis. Methods: This was a retrospective case control study. Infants between 1 month and 2 years of age admitted to our general pediatrics ward between June 2012 and June 2013 with a diagnosis of uncomplicated acute bronchiolitis were enrolled to the study. Hospital medical files were reviewed to get information about children personal history, symptoms of the disease, disease severity scores and their management. Patients were classified into 4 groups according to the management; nebulized short-acting beta 2-agonist (salbutamol) +hydration; nebulized short-acting beta 2-agonist (salbutamol); hydration and neither bronchodilator nor hydration. We examined length of stay in the hospital as an outcome measure. Results: A total of 94 infants were studied. There was no significant difference between groups in terms of length of stay in hospital. Conclusions: IV hydration is not effective on length of stay in hospital in mild acute bronchiolitis patients.Öğe Doctors Need Different Doctors to Treat Their Relatives: A Subject That Does Not Receive Enough Attention in Medical Education(Galenos Publ House, 2022) Kaymaz, Nazan; Yildirim, Sule; Battal, Fatih; Aylanc, HakanDue to having medical knowledge, sometimes doctors may not need to refer to other doctors in case of illness of themselves or their relatives. Therefore, the correct diagnosis may be delayed. This paper discussed this issue from the perspective of a daughter whose father, a doctor, caused the diagnosis of her diseases to be delayed. However, delay in diagnosis is difficult to measure, reasons for the delay can originate from the system or can be caused by the course of the disease, by the patient, and sometimes by physicians, as in our patient.Öğe Does intrauterine tobacco exposure increase the pain perception of newborns?(Dove Medical Press Ltd, 2016) Tekin, Mustafa; Yildirim, Sule; Aylanc, Hakan; Kaymaz, Nazan; Battal, Fatih; Topaloglu, Naci; Baser, EsraBackground: This study aimed to assess whether there was a difference in the pain-perception levels of newborns born to mothers who smoked during pregnancy and newborns born to mothers who were not exposed to active or passive smoking during pregnancy. Materials and methods: A total of 60 newborns born by normal spontaneous vaginal birth between June 2013 and June 2014 were included in the study: 30 born to mothers who smoked during pregnancy, and 30 born to mothers not exposed to smoking. Mothers or newborns who had taken analgesics or sedative medications in the previous 24 hours, newborns not born at term, and sick newborns were not included in the study. During the routine hepatitis B-vaccination injection given at postnatal 48 hours, the newborns' behavior was monitored and recorded by video camera. The data obtained from the recordings were evaluated according to the Neonatal Pain, Agitation, and Sedation Scale and analyzed with SPSS 20. Results: The median pain score of the group exposed to tobacco smoke in utero was 8.5, while the median pain score of the unexposed group was 6 (P<0.001). Conclusion: Exposure to tobacco smoke in utero may increase the pain-perception levels of newborns.Öğe Early detection of myocardial deformation by 2D speckle tracking echocardiography in normotensive obese children and adolescents(Turkish Soc Cardiology, 2015) Binnetoglu, Fatih Koksal; Yildirim, Sule; Topaloglu, Naci; Tekin, Mustafa; Kaymaz, Nazan; Aylanc, Hakan; Karakurt, HasanObjective: To evaluate the left venticular myocardial deformation parameters in normotensive obese children and adolescents by using 2-D speckle tracking echocardiography. Methods: This observational cross-sectional study included 69 children and adolescents (aged between 10-18), 38 were normotensive obese and 31 were normal weighted. All children underwent detailed two-dimentional, Doppler and two-dimentional speckle tracking echocardiography. Student t-test, Mann-Whitney U test, chi-square test and Pearson's correlation were used in statistical analysis. Multiple linear regression analysis was used the determine independent variables on global longitudinal strain (GLS). Results: While in normal limits, diastolic blood pressure was significantly higher in obese group. Left ventricular end-diastolic diameter (LVDd) and end-systolic diameter (LVDs), interventricular septal thickness (IVSd), left ventricular posterior wall thickness (LPWD) and left ventricular mass index (LVM)/height2.7 were significantly higher in obese group compared to healthy peers (p=0.004, p=0.011, p<0.001, p=0.001, p<0.001) respectively. Obese subjects had reduced global longitudinal strain (GLS) values (p=0.001). Multiple linear regression analysis using the stepwise method were performed to assess the independent variables (age, body mass index, insulin resistance, systolic blood pressure, diastolic blood pressure, left ventricular diameters and LVM index (g/m2.7) affecting the dependent variable GLS. GLS was found significantly correlated with body mass index (BMI) (beta:0.440, p:0.001; 95% CI:0.104-0.311). Conclusion: Left ventricular strain parameters obtained by two dimentional speckle tracking echocardiography were diminished in obese children compared to normal subjects indicating that obesity in childhood is linked to decreased myocardial deformation even in the absence of comorbidities in early stages.Öğe Effect of delivery mode on postpartum neonatal body temperatures(Taylor & Francis Ltd, 2016) Topaloglu, Naci; Binnetoglu, Fatih Koksal; Yildirim, Sule; Tekin, Mustafa; Kaymaz, Nazan; Aylanc, Hakan; Battal, FatihObjective: It is known that general and local anesthesia practices disrupt the delicate balance of thermoregulation center which is already sensitive to very tiny differences of temperatures in a normal subject. We aimed to evaluate and compare the rectal temperatures of newborns born with normal vaginal delivery and cesarean section.Methods: We performed a prospective study of 106 term newborn - 40 born with normal vaginal delivery (group 1) and 66 born with cesarean section [51 spinal anesthesia (group 2), 15 general anesthesia (group 3)]. Only term babies were included in the study. Babies of eclamptic, pre-eclamptic and diabetic mothers and babies with chronic systemic diseases were excluded. Pregnants who underwent elective cesarean section were included in the study. Adolescent pregnants, pregnants with increased risks and pregnants with complicated operations were excluded. Mothers' temperatures were measured before and after the interventions. Rectal temperatures of the babies were measured immediately after birth.Results: Environmental temperature was maintained at 22-24 degrees C. Pre-operative mother temperatures were 36.310.30 degrees C in group 1, 36.36 +/- 0.26 degrees C in group 2 and 36.39 +/- 0.19 degrees C in group 3 (p=0.414). Post-operative mother temperatures were 36.39 +/- 0.27 degrees C in group 1, 36.29 +/- 0.31 degrees C in group 2 and 36.25 +/- 0.28 degrees C in group 3 (p=0.215). Rectal temperatures of the babies born with normal vaginal delivery were significantly higher than the others. It was lowest in the general anesthesia group (37.5 +/- 0.6 degrees C, 37.2 +/- 0.2 degrees C and 36.8 +/- 0.4 degrees C in group 1, 2 and 3, respectively). The temperature differences between groups were statistically significant p<0.001).Conclusions: In conclusion, it is worthy to note that temperatures of the newborns can differ according to the delivery mode. Physicians and health professionals that take care of the newborns should be aware of this difference.Öğe Evaluation of the diagnostic value of clinical characteristics and situations associated with primary headache in children: International classification of headache Disorders-3 edition(Elsevier, 2020) Cokyaman, Turgay; Aylanc, HakanObjective: In the childhood period, diagnosis of primary headache is based on anamnesis essentially. This study investigated the effects of characteristics of headache (type of pain, localization and attack time), family migraine history and total duration from onset of headache to clinical diagnosis on primary headache diagnosis. Patients and Methods: Headache history was taken from children aged 6-18 years with a suitable form of International Classification of Headache Disorders, 3rd edition. Children's demographic findings were recorded. Headache characteristics (type of pain, localization and attack time), whether there is family migraine history and total duration from onset of headache to clinical diagnosis were recorded and sensitivity and specificity were calculated. The effects of pulsatile pain, forehead localization, attack time >= 2 h, family history of migraine and total time from onset of headache to clinical diagnosis on final diagnosis of primary headache (migraine without aura or others) were also assessed with regression analysis. Results: Of a total of 277 patients, 52 % were diagnosed with migraine without aura. Regression analysis revealed that family history of migraine was the most determinant factor for migraine without aura diagnosis (OR 2.922, 95 %CI 1.622-5.264). This was followed by the pursuing risk coefficients for migraine without aura diagnosis in order of forehead localization (OR 2.751, 95 %CI 1.537-4.923), attack time of >= 2 h (OR 2.615, 95 %CI 1.406-4.864), nausea (OR 2.163, 95 %CI 1.192-3.924), pulsatile pain (OR 2.102, 95 %CI 1.185-3.729) and total duration (OR 1.973, 95 %CI 1.105-3.521). Conclusion: Family history of migraine and total duration of longer than 6 months from onset of headache to clinical diagnosis may be additional markers for migraine without aura diagnosis. Due to difficulties experienced in diagnosis of primary headache based on anamnesis in the childhood period, there is a need for additional diagnostic markers.Öğe Familial intragenic X-linked OPHN1 gene deletion in a newborn male infant with low birth weight and distinctive facial appearance that diagnosed by advanced microarray-CGH method(Sivas Cumhuriyet University, 2022) Aylanc, Hakan; Sılan, Fatma; Çokyaman, Turgay; Akcan, Mehmet Berkay; Özdemir, ÖztürkThe oligophrenin-1 (OPHN1) gene is localized in the Xq12 region and it encodes the rho-GTPase-activating protein which spans 500 kb in size and consists of 25 exons. Gene plays crucial role in synaptic function and dendritic morphogenesis. Here we report a 391 kb deletion in OPHN1 gene in a mother and her newborn male child with recognizable pattern of clinical and neuroradiological hallmarks. Mother has short stature, and her son has distinctive facial appearance, bilateral choroid plexus cysts and low birth weight (1600 g). After clinical evaluation, the current large intragenic gene deletion was identified by microarray-CGH and confirmed by MLPA techniques. The P106 MRX probemix kit (MRC Holland C1- 0416, Amsterdam) and Coffalyser software were used for MLPA and Agilent sure print G3 HUMAN CGH 60k Microarray platform and Agilent cytogenomics 4.0.2.21 software (Singapore) were used for advance chromosomal genotyping for mother and his son in the presented results. Presented results showed that mother with X chromosome deletion has a great risk to have a son with mental retardation due to deleted X chromosome transmission in 50% possibility. If the son has clinical findings, the genotype should be screened by using the advanced genetic methodology. Results also showed that once these cases are first diagnosed correctly, they may be candidate to IVF for preimplantation genetic diagnosis by giving appropriate genetic counseling. It is also comment that pregnant women who have the history of having X-linked mental retarded child or a mentally retarded brother need to be tested genetically for prenatal diagnosis.Öğe Giant Fibrolipoma Extending Throughout a Whole Extremity: A Rare Child Case Report(Derman Medical Publ, 2016) Aylanc, Nilufer; Golge, Umut Hatay; Aylanc, Hakan; Resorlu, Hatice; Goksel, FerdiWe present the case of a 4-year-old boy with congenitally asymmetrical lower extremities, his left being bigger than his right. The patient underwent imaging modalities after birth; a huge lipomatoid proliferation on his left thigh extended throughout the limb from the hip to the distal foot, showing isointensity with lipoid tissue. After surgical resection of his left foot, fibrolipoma was diagnosed. A giant fibrolipoma of the whole extremity occurring in a pediatric patient is a rarity.Öğe Influenza B enfeksiyonu sırasında gelişen akut selim çocukluk çağı miyozit olgusu(Çanakkale Onsekiz Mart Üniversitesi, 2022) Devril, Beste; Çelik, Taylan; Aylanc, HakanAkut selim çocukluk çağı miyoziti, viral enfeksiyonlar sırasında ortaya çıkan alt ekstremite distal kas gruplarında ağrı ve yürümede ani bozulma ile karakterize bir çocukluk çağı hastalığıdır. Özellikle orta çocukluk çağındaki erkek çocuklarda gözlenmektedir. Kreatin kinaz düzeyinde artış, kas gücü ve derin tendon reflekslerinin korunması, tutulan kaslarda hassasiyet miyozit tanısı için önemli bulgulardır. Kendi kendini sınırlayan bu hastalığın gereksiz ileri tetkik ve tedavi planlarını önlemek adına benzer klinik bulgular ile seyreden hastalıklardan ayrımı önemlidir. Akut selim çocukluk çağı miyozitinin tedavisinde çoğu zaman destek tedavisi yeterlidir. Bu yazıda Influenza B’ye bağlı viral üst solunum yolu enfeksiyonu sonrası yürüyememe şikâyeti ile kliniğimizdeki takip ettiğimiz sekiz yaşındaki bir erkek hasta ele alınmaktadırÖğe Investigation of Blood Betatrophin Levels in Obese Children with Non-Alcoholic Fatty Liver Disease(Korean Soc Pediatric Gastroenterology & Nutrition, 2018) Battal, Fatih; Turkon, Hakan; Aylanc, Nilufer; Aylanc, Hakan; Yildirim, Sule; Kaymaz, Nazan; Uysal, SemaPurpose: The prevalence of obesity has significantly increased among children and adolescents worldwide and is becoming an important health care problem in parallel with the increased prevalence of obesity pediatric non-alcoholic fatty liver disease. Betatrophin is a newly define hormone that is commonly secreted by liver and plays role in glucose tolerance. This study aimed to investigate the relationship between serum betatrophin levels and non-alcoholic fatty liver disease in obese children. Methods: The study included 40 obese children with a body mass index (BMI) above 95th centile, and 35 non-obese subjects with a BMI 3-85th centile, whose age and gender were similar to those of the patient group. For the evaluation of metabolic parameters fasting serum glucose, insulin, alanine aminotransferase, aspartate aminotransferase, lipid profile and serum betatrophin levels were measured. Total cholesterol: high-density lipoprotein cholesterol and low-density lipoprotein cholesterol: high-density lipoprotein cholesterol ratios were calculated as atherogenic indices. Results: Serum betatrophin levels of the obese subjects were similar to that of non-obese subjects (p=0.90). Betatrophin levels were not correlated with the metabolic parameters. Conclusion: In the present study, levels of betatrophin are not different between obese and insulin resistant children and non-obese subjects, and they are not correlated with atherogenic indices. To elucidate the exact role of betatrophin in obesity, further studies are required to identify the betatrophin receptor and/or other possible cofactors.Öğe Lumbar magnetic resonance imaging findings in Guillain-Barre syndrome(Elsevier Science Inc, 2016) Resorlu, Mustafa; Guven, Mustafa; Aylanc, Hakan; Karatag, Ozan[Anstract Not Available]Öğe Mean platelet volume, red cell distribution width and ischemia modified albumin as a marker of oxidative damage and inflammation in obese children(Kuwait Medical Association, 2015) Aylanc, Hakan; Battal, Fatih; Yildirim, Sule; Kaymaz, Nazan; Tekin, Mustafa; Turkon, HakanObjectives: Childhood obesity is an important risk factor for adulthood obesity. The objective of this study was to evaluate the relationship between red cell distribution widths (RDW), ischemia modified albumin (IMA), mean platelet volume (MPV) and childhood obesity. Design: Prospective case-control study Setting: General pediatric outpatient clinics of the Department of Pediatrics, Canakkale Onsekiz Mart University Hospital, Turkey Subjects: One hundred and seven (57 obese and 50 normal weight) children and adolescents (aged 5-18 years) Interventions: Age, gender, body mass index (BMI) were recorded. The serum IMA and complete blood count level of the subjects were measured. RDW, MPV, hemoglobin (Hb), hematocrit (Hct), mean corpuscular volume (MCV), red blood cell (RBC), platelet count and white blood cell (WBC) count were measured as part of the automated complete blood count. Main Outcome Measures: The RDW and IMA were found significantly higher in obese children and adolescents than normal weighted ones (p < 0.001). MPV values were minimally increased in obese subjects as compared to normal weighted peers (p = 0.05). Results: Hb, MCV, platelet and WBC counts were similar between normal and obese subjects. The Hct and RBC count were significantly higher in obese subjects. Conclusions: In the present study we demonstrated that IMA and RDW levels are significantly higher in obese children and adolescents as compared to those with normal weight. The IMA and RDW had positive correlation with BMI. These results support that oxidative and inflammatory processes of obesity begin in childhood. © 2015, The Kuwait Medical Journal. All Rights Reserved.Öğe Mean Platelet Volume, Red Cell Distribution Width and Ischemia Modified Albumin as a Marker of Oxidative Damage and Inflammation in Obese Children(Kuwait Medical Assoc, 2015) Aylanc, Hakan; Battal, Fatih; Yildirim, Sule; Kaymaz, Nazan; Tekin, Mustafa; Turkori, HakanObjectives: Childhood obesity is an important risk factor for adulthood obesity. The objective of this study was to evaluate the relationship between red cell distribution widths (RDW), ischemia modified albumin (IMA), mean platelet volume (MPV) and childhood obesity. Design: Prospective case-control study Setting: General p ediatric outpatient clinics of the Department of Pediatrics, Canakkale Onsekiz Mart University Hospital, Turkey Subjects: One hundred and seven (57 obese and 50 normal weight) children and adolescents (aged 5 - 18 years) Interventions: Age, gender, body mass index (BMI) were recorded. The serum IMA and complete blood count level of the subjects were measured. RDW, MPV, hemoglobin (Hb), hematocrit (Hct), mean corpuscular volume (MCV), red blood cell (RBC), platelet count and white blood cell (WBC) count were measured as part of the automated complete blood count. Main Outcome Measures: The RDW and IMA were found significantly higher in obese children and adolescents than normal weighted ones (p < 0.001). MPV values were minimally increased in obese subjects as compared to normal weighted peers (p = 0.05). Results: Hb, MCV, platelet and WBC counts were similar between normal and obese subjects. The Hct and RBC count were significantly higher in obese subjects. Conclusions: In the present study we demonstrated that IMA and RDW levels are significantly higher in obese children and adolescents as compared to those with normal weight. The IMA and RDW had positive correlation with BMI. These results support that oxidative and inflammatory processes of obesity begin in childhood.Öğe Noninvasive assessment of the retina and the choroid using enhanced-depth imaging optical coherence tomography shows microvascular impairments in childhood obesity(Mosby-Elsevier, 2016) Ersan, Ismail; Battal, Fatih; Aylanc, Hakan; Kara, Selcuk; Arikan, Sedat; Tekin, Mustafa; Gencer, BaranPURPOSE To evaluate the retinal vascular diameters and macular and subfoveal choroidal thicknesses of obese and nonobese children using enhanced-depth imaging spectral domain optical coherence tomography (EDI SD-OCT). METHODS The retinal vascular diameters of the 4 largest retinal arterioles and venules and macular and subfoveal choroidal thickness measurements of 40 obese children (body mass index [BMI] z score above +2.0 standard deviations) were obtained by EDI SD-OCT and compared with those of 40 age- and sex-matched nonobese children. Anthropometric measures, including weight and height, were also obtained. BMI z score was defined using standardized protocols. RESULTS The mean BMI z scores of obese children were 2.59 +/- 0.62; of nonobese children, -0.20 +/- 0.92. The mean diameter of retinal arterioles was significantly smaller (P = 0.002) in obese children compared to nonobese children, whereas the mean diameter of retinal venules was larger (P = 0.008). The macular and subfoveal choroidal thicknesses were significantly thinner (P = 0.031 and 0.014, resp.) in obese children compared to non obese children. CONCLUSIONS The narrower retinal arterioles, wider retinal venules, and thinner macular and subfoveal choroidal thicknesses in obese children seem to be associated with microvascular impairments in childhood obesity.Öğe NONINVASIVE ASSESSMENT OF THE RETINA AND THE CHOROID USING ENHANCED-DEPTH IMAGING OPTICAL COHERENCE TOMOGRAPHY SHOWS MICROVASCULAR IMPAIRMENTS IN CHILDHOOD OBESITY REPLY(Mosby-Elsevier, 2016) Ersan, Ismail; Battal, Fatih; Aylanc, Hakan; Kara, Selcuk; Arikan, Sedat; Tekin, Mustafa; Gencer, Baran[Anstract Not Available]Öğe Paternal and Maternal Holding-Cuddling for Procedural Pain in Healthy Term Neonates(Ataturk Univ, 2025) Aytekin Ozdemir, Aynur; Yilmaz Kurt, Fatma; Kucukoglu, Sibel; Atay, Selma; Aski, Nesrin; Aylanc, HakanObjective: Holding-cuddling helps reduce procedural pain. Studies have focused on the effect of the maternal holding-cuddling (MHC) method on heel prick pain in healthy-term neonates. However, there is limited study on the impact of paternal holding-cuddling (PHC) on procedural pain during heel pricks in neonates. This paper looked into the impact of MHC and PHC on heel prick pain and crying duration in healthy-term neonates. Methods: This quasi-experimental study occurred in the obstetrics clinic of a university hospital in western T & uuml;rkiye. The sample comprised 92 full-term neonates and their parents, divided into three groups: control (n=32), MHC (n=30), and PHC (n=30). The data were collected using a personal information form, a Neonatal Follow-up Form, and the Neonatal Infant Pain Scale (NIPS). The study received approval from an ethics committee. Results: The MHC and PHC groups had a lower NIPS score than the control group during and after the procedure (P<.05). The MHC and PHC groups had a lower crying duration than the control group (P<.05). There was no difference in NIPS scores and crying duration between the MHC and PHC groups (P>.05). Conclusion: Full-term infants held and cuddled by their parents tend to feel less pain and cry less during heel pricks. Nurses should use MHC and PHC to help infants have less pain during heel pricks.Öğe Permanent Junctional Reciprocating Tachycardia-induced Dilated Cardiomyopathy: A Case Report(Galenos Yayincilik, 2017) Yildirim, Fatih Battal Sule; Aylanc, Hakan; Binnetoglu, Fatih Koksal; Kaymaz, Nazan; Akdeniz, CelalWe present a four-year-old girl who was admitted to our hospital with the complaints of dyspnea, tachypnea, cough, excess sweating and fatigue. Electrocardiogram (ECG) in the tachycardic girl showed inverted P waves in leads 2, 3 and aVF along with a P-R interval of 0.16 sec and an R-P interval of 0.28 sec. Transthoracic echocardiography revealed an enlarged and spherical left ventricle with diminished systolic functions. Holter ECG confirmed long R-P tachycardia with a rate of 140-160 beats/minute. She was diagnosed as having permanent junctional reciprocating tachycardia-induced dilated cardiomyopathy and successfully treated with catheter ablation and flecainide.
