Paroxysmal Permanent Junctional Reciprocating Tachycardia (PJRT) is caused after rapid and sudden pacing of excitatory foci in atrioventricular junction . While it happens mostly in infants and children, it is rarely seen in adults.

 A 30-year-old female came to our emergency department repeatedly with the chief complaint of palpitation. She was later diagnosed with PSVT and throughout her several referrals, she received adenosine or verapamil depending on her condition. Consequently, her rate was controlled. In the period of pregnancy, these attacks became frequent. For delivery, she was admitted to our intensive care unit due to cardiac concerns. Throughout her hospitalization, a relation between feeding and attacks were observed furthermore, attacks were controlled by stimulating gag reflex . Finally, with the diagnosis of PJRT, she underwent ablation therapy.

  PJRT is usually triggered by some drugs or situation like pregnancy and swallowing. Ablation is the definite and choice treatment in adults.

  SOURCE: URMIA MED J 2014: 25(5): 468 ISSN: 1027-3727