Supraventricular tachycardia in children

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dc.contributor.authorVan der Merwe, D. M.
dc.contributor.authorVan der Merwe, P. L.
dc.date.accessioned2012-01-23T13:00:53Z
dc.date.available2012-01-23T13:00:53Z
dc.date.issued2004-04
dc.descriptionThe original publication is available at http://www.cvja.co.za/en_ZA
dc.description.abstractThe mechanisms causing different supraventricular tachycardias can be identified with the aid of the 12-lead ECG using Tippleā€™s approach. The main aims of this retrospective study were to use the 12-lead ECG to determine the underlying mechanisms of supraventricular arrhythmias and to evaluate the effectiveness of the treatment modalities used. Forty-one patients were included in the study. The main findings were: nine of the 41 patients had atrial tachycardias while junctional tachycardia occurred in 32/41 of our patients. The underlying mechanisms causing the junctional tachycardias were: AVNRT (n = 21), AVRT (n = 10) and JET (n = 1). Of the 10 patients presenting with AVRT, eight were less than one year old. AVNRT occurred more often in the older age group (>1 year of age). Fifteen of the 41 patients had spontaneous cessation of their supraventricular tachycardia. The drug most commonly used during the acute and long-term phases was digoxin. Amiodarone was used in six patients with an 80% success rate. In the early 80s verapamil was used in five patients with a 100% success rate. It is important to note that verapamil is no longer used in children due to its side effects. Lately, adenosine phosphate is the drug of choice in most supraventricular tachycardias. The management of supraventricular tachycardias in paediatric practice is mainly based on clinical studies and individual experience. Care must therefore be taken to choose medication regimens that are likely to be effective with the minimum risk of potentiating abnormal haemodynamics or conduction.en_ZA
dc.description.versionPublishers' Versionen_ZA
dc.format.extentp. 64 - 69
dc.identifier.citationVan der Merwe, D.M. & Van der Merwe, P.L. 2004. Supraventricular tachycardia in children. Cardiovascular Journal of South Africa, 15(2):64-69.en_ZA
dc.identifier.issn1680-0745 (online)
dc.identifier.issn1995-1892 (print)
dc.identifier.urihttp://hdl.handle.net/10019.1/19344
dc.language.isoen_ZAen_ZA
dc.publisherClinics Cardiv Publishingen_ZA
dc.rights.holderCardiovascular Journal of Africa holds the copyrighten_ZA
dc.subjectVentricular tachycardiaen_ZA
dc.subjectArrhythmia in childrenen_ZA
dc.subjectSupraventricular arrhythmiasen_ZA
dc.titleSupraventricular tachycardia in childrenen_ZA
dc.typeArticleen_ZA
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