[Supraventricular tachycardia in children].

Abstract

Supraventricular tachycardia is one of the most frequent arrhythmias in childhood. It may accompany congenital heart disease. W.P. W. syndrome, or a normal state of health. A re-entry circuit is the most commonly observed electrophysiological mechanism. Persistence is followed by decompensation. Drug management is based on digitalis, ATP, amiodarone, and verapamil. Atrial and ventricular pacing and surgery are alternatives when other means fail. Persistent tachycardia (i.e. its presence over long periods) is much less frequent that the paroxysmal form, and its aetiology is generally unknown. Even here, the clinical picture is substantially related to decompensation. Digitalis + amiodarone is the best treatment, though the arrhythmia may resolve spontaneously.

• Authors: T Battaglia, F Paparo, A Fumarulo, A Attanà, V Ciconte, S Caristo, Primerano, B Martini
• Journal: Minerva medica (Minerva Med) Vol. 74 Issue 47-48 Pg. 2887-91 (Dec 15 1983) ISSN: 0026-4806 [Print] Italy
• Vernacular Title: Le tachicardie sopraventricolari nell'infanzia.
• PMID: 6657130 (Publication Type: English Abstract, Journal Article)

Chemical References

• Digitalis Glycosides
• Adenosine Triphosphate
• Verapamil
• Amiodarone

Topics

• Adenosine Triphosphate (therapeutic use)
• Amiodarone (therapeutic use)
• Cardiac Pacing, Artificial
• Child
• Digitalis Glycosides (therapeutic use)
• Heart Defects, Congenital (complications)
• Humans
• Tachycardia (drug therapy, etiology)
• Verapamil (therapeutic use)
• Wolff-Parkinson-White Syndrome (complications)