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[Supraventricular tachycardia in children]
Minerva Medica
|December 15, 1983
Summary
Supraventricular tachycardia (SVT) is a common childhood arrhythmia, often caused by re-entry circuits. Treatment involves medications like digitalis and amiodarone, with pacing or surgery as alternatives for persistent cases.
Area of Science:
- Pediatric Cardiology
- Electrophysiology
Context:
- Supraventricular tachycardia (SVT) is a frequent arrhythmia in children.
- SVT can occur in children with congenital heart disease, W.P.W. syndrome, or those who are otherwise healthy.
- Re-entry circuits are the most common electrophysiological mechanism underlying SVT.
Purpose:
- To review the diagnosis and management of supraventricular tachycardia in childhood.
- To discuss the electrophysiological mechanisms, clinical presentation, and treatment options for pediatric SVT.
Summary:
- SVT management includes pharmacologic options such as digitalis, ATP, amiodarone, and verapamil.
- Surgical interventions and pacing are considered when medical management fails.
- Persistent SVT, less common than paroxysmal SVT, often presents with decompensation and is best treated with digitalis and amiodarone, although spontaneous resolution can occur.
Impact:
- Provides a comprehensive overview of pediatric SVT for clinicians.
- Highlights the importance of timely diagnosis and appropriate treatment strategies.
- Informs therapeutic decisions for both paroxysmal and persistent forms of childhood SVT.