Supraventricular tachycardia in infants: response to initial treatment.

Abstract

All patients with supraventricular tachycardia during the first 12 months of life who presented between 1977 and 1988 were identified by a retrospective survey of records in this hospital and by a questionnaire sent to paediatricians in the Northern region. Twenty two of 29 patients (76%) were in heart failure and seven (24%) had cardiogenic shock. Seven patients (24%) were free of symptoms. All had narrow QRS tachycardia at 215-315

Part 14: Pediatric Advanced Life Support

“…295,296 • In older children, carotid sinus massage or Valsalva maneuvers are safe. [297][298][299] • One method for performing a Valsalva maneuver is to have the child blow through a narrow straw.…”

Efficacy and safety of intravenous amiodarone for short-term treatment of paroxysmal supraventricular tachycardia in children

“…The use of digoxin is questioned [29] because this drug has variable efficacy [6,22], there is a delay in the appearance of its effects [10], and it may worsen preexcitation in patients with WPW syndrome [26].…”

ICDs in adults with congenital heart disease: an overview

“…Scarring and stretch can lead to changes in ionic properties, shortening of the action potential and increased excitability contributing to arrhythmias [7,8]. Abnormal electrical connections such as rapidly conducting accessory pathways and twin AV nodes can also cause rapidly conducting atrial arrhythmias, heart failure and sudden death [9,10]. Intra-atrial reentrant tachycardia (IART) is the most common type of supraventricular arrhythmia in CHD.…”