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Paroxysmal supraventricular tachycardia in the rural setting- case reports and review
Thiraviam P Ashok1, Sanjay Sharma, Mahesh Jain
1Department of Child Health, Ibra Hospital, North Sharqiah Region, Sultanate of Oman.
Insights
Intravenous adenosine effectively treated paroxysmal supraventricular tachycardia in three Omani children. Long-term follow-up is crucial for managing this common pediatric arrhythmia.
Area of Science:
- Pediatric Cardiology
- Clinical Case Reports
Background:
- Paroxysmal supraventricular tachycardia (PSVT) is a common arrhythmia in children.
- Management strategies for pediatric PSVT range from conservative measures to invasive procedures.
Observation:
- A case series involving three Omani children (1 month to 10 years) with PSVT managed at a district hospital.
- All patients presented with symptomatic episodes requiring intervention.
Findings:
- Successful reversion to normal sinus rhythm was achieved in all three children following intravenous (IV) adenosine administration.
- Adenosine proved to be a safe and effective first-line treatment in this pediatric cohort.
Implications:
- This case report highlights the efficacy of IV adenosine for acute PSVT management in children within a district hospital setting.
- Emphasizes the importance of patient and family education regarding home management and recognition of recurrence for pediatric PSVT patients.
Abstract:
A case report of three Omani children age ranging from one month to ten years managed in a district hospital. All three children reverted to normal sinus rhythm after I.V. adenosine and are under follow up. A detailed review of management of Paroxysmal Supraventricular Tachycardia is discussed. Treatment options include no treatment, vagal manoeuvres, long term drug therapy, radiofrequency catheter ablation, and surgery. Recurrence may occur and patients have to be educated about home management and when to seek medical help.
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