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Titolo:
Supraventricular tachycardia in the neonate and infant
Autore:
Moak, JP;
Indirizzi:
George Washington Univ, Sch Med, Dept Cardiol, Childrens Natl Med Ctr, Washington, DC 20010 USA George Washington Univ Washington DC USA 20010 , Washington, DC 20010 USA
Titolo Testata:
PROGRESS IN PEDIATRIC CARDIOLOGY
fascicolo: 1, volume: 11, anno: 2000,
pagine: 25 - 38
SICI:
1058-9813(200005)11:1<25:STITNA>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
JUNCTIONAL ECTOPIC TACHYCARDIA; RADIOFREQUENCY CATHETER ABLATION; PARKINSON-WHITE SYNDROME; AUTOMATIC ATRIAL TACHYCARDIA; TERM FOLLOW-UP; ORAL SOTALOL; RECIPROCATING TACHYCARDIA; INTRAVENOUS AMIODARONE; TRANSCATHETER ABLATION; CARDIAC RHABDOMYOMAS;
Keywords:
supraventricular tachycardia; Wolff-Parkinson-White syndrome; AV nodal re-entry tachycardia; atrial tachycardia; junctional ectopic tachycardia; chaotic atrial tachycardia;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
126
Recensione:
Indirizzi per estratti:
Indirizzo: Moak, JP George Washington Univ, Sch Med, Dept Cardiol, Childrens Natl MedCtr, 111Michigan Ave NW, Washington, DC 20010 USA George Washington Univ 111 Michigan Ave NW Washington DC USA 20010
Citazione:
J.P. Moak, "Supraventricular tachycardia in the neonate and infant", PROG PEDI C, 11(1), 2000, pp. 25-38

Abstract

Supraventricular tachycardia (SVT) is the most common sustained arrhythmiato present in the neonatal and infancy age group. Predisposing factors (congenital heart disease, drug administration, illness and fever) occur only in 15% of infants. The presentation of SVT in the neonate is frequently subtle, and may include pallor, cyanosis, restlessness, irritability, feeding difficulty, tachypnea, diaphoresis and grunting. Congestive heart failure is more common in infants under 4 months of age (35% incidence). Age-relateddifferences in the distribution of SVT mechanisms occur in different age groups. In infants under 1 year of age, the mechanisms underlying SVT are atrial tachycardia (15%), AV nodal re-entry tachycardia (5%), and AV reciprocating tachycardia (80%). Options for acute management include: use of the diving reflex, intravenous adenosine, transesophageal pacing, and cardioversion. Intravenous administration of verapamil should be avoided. Data regarding freedom from recurrence of untreated SVT in the first year of life are limited, and may be in the range of 25-60%. Chronic therapy with digoxin, beta-blockers, flecainide, sotalol and amiodarone has proved effective in controlling recurrent episodes of SVT. Radiofrequency ablation can be employed successfully in medically refractory cases, but should be avoided in thisage group (increased complication rate). (C) 2000 Elsevier Science IrelandLtd. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/12/20 alle ore 16:16:58