Conversion of paroxysmal supraventricular tachycardia in a child with a slow verapamil infusion: case report and literature review

The American Journal of Emergency Medicine
G P Young, A S Taylor

Abstract

The investigators present the case of a 12-month-old female with Down's syndrome and an endocardial cushion defect who presented acutely ill in paroxysmal supraventricular tachycardia (PSVT). Unsuccessful vagal maneuvers were followed by a slow intravenous infusion of verapamil, during which the rhythm converted. The discussion which follows highlights the many issues to be addressed in the acute management of pediatric PSVT including the varied presentations, underlying etiologies, differential diagnosis, electrocardiographic findings, electrophysiologic mechanisms, and prognosis. The literature review concludes with a discussion of the many different therapies available for pediatric PSVT including vagal maneuvers, cardioversion, overdrive pacing, and pharmacologic therapies. In particular, the relative merits of verapamil and adenosine are discussed.

References

Nov 1, 1979·The Journal of Pediatrics·J W Newburger, J F Keane
May 1, 1979·Circulation·J Soler-SolerJ Roca-Llop
Nov 1, 1979·Japanese Heart Journal·J G ShakibiA Yazdanyar
Feb 1, 1979·The Journal of Pediatrics·D W SapireA C O'Riordan
Jan 1, 1991·Annals of Emergency Medicine·L S BinderD Atkinson
Feb 1, 1988·The American Journal of Cardiology·E D OverholtJ P DiMarco
May 1, 1988·Annals of Emergency Medicine·L A WalkerE Bayne
Dec 1, 1987·Archives of Disease in Childhood·C R KirkS A Qureshi
Jun 1, 1986·Archives of Internal Medicine·J I Haft, M A Habbab
Sep 1, 1984·The American Journal of Cardiology·W E Gaum, S Kaplan
Oct 1, 1983·International Journal of Cardiology·A T WeissM S Gotsman
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May 1, 1983·American Heart Journal·P C GilletteD G McNamara
Sep 1, 1981·The American Journal of Cardiology·C J PorterD G McNamara

Citations

Oct 24, 2001·Indian Journal of Pediatrics·V Grech
Mar 1, 1993·The American Journal of Emergency Medicine·R B Vukmir

Related Concepts

Trisomy 21, Mitotic Nondisjunction
Electrocardiographic Recorders
Emergencies [Disease/Finding]
Intravenous Infusion Procedures
Paroxysmal Reciprocal Tachycardia
Finoptin

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