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ÇOCUKLUK ÇAĞINDA SUPRAVENTRIKULER TAŞIKARDIYE ACİL YAKLAŞIM

Journal Name:

  • İstanbul Tıp Fakültesi Dergisi

Publication Year:

  • 2000

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Acuie management of supraventıicuiar tachycardia m pedîatric paüents. Between January 1994 and December 1999 a total of 6145 patients were admitted to thc emergeney unit, of which 34 patients (0.55%) were diagnosed as having supraventricular tachycardia (SVT). A total of 40 SVT episodes occurred in these patients; they^jyite reviewed retrospectiveîy. The scx distribütion was 25 böys (73.5%) and 9 giriş (26T5%). Theirjıges ranged between 6 days and 15 years:,6 cases were in newborn period, 15 cases were betweerTl-12 months of age, and 19 cases were 'above; 1 year of age. Heart failure, poor feeding and irritability wcrc obseryed afnpng'newborns and infants, wherea's rapid heart rate was the most common complaint of children older than 5 years of age. Heart rate ranged between 167 and 300 beats per minute. As predisposing factors, 5 patients (14%) had Wolff-Parkinson-White (WPW) syndrome, 6 patients (18%) had congenital heart disease. Vagal stimulation was effective in 4 patients (10%). Successful pharmacological treatment ineluded digoxine 90%, verapamil 87.5%, ade-nosine 100%. İn three cases propranolol had to be used as additional therapy. In no case, car-dioversion was necessary. It is coneluded, İn the treatment of SVT, adenosine is the first cho-ice, and success rate of vagal stimulation is relatively low.
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Abstract (Original Language): 
1,1.1994 - 31.12.1999 tarihleri arasında Acil Birim'e yatırılanlar içinde supraventriküler taşi-kardi (SVT) tanısı alan hastaların dosyalan retrospektif olarak değerlendirildi. Bu dönemde, yatırılan 6145 hasta arasında 34 hasta (%0.55) toplam 40 kez SVT atağı ile başvurmuştu. Yir-mibeşi (%73.5) erkek, 9'u (26.5) kızdı..Yaşları 6 gün ile 15 yaş arasında değişiyordu; altı olgunun (%15) yaşı 1 aydan küçük, 15 olgu (%37.5) 1-12 ay arasında, L9 olgu (%47.5) ise 1 yaşın üstündeydi. Yenidoğan ve süt çocuklarında kalp yetmezliği, emmeme, irritabilite gibi bulgular varken, daha ileri yaş döneminde çarpıntı ön plandaydı. Kalp hızı dakikada 167 - 300 arasında ""değişiyordu. Beş hastada (%14) Wolff-Parkinson-Whitc (WPW) sendromu, 6 hastada (%18) konjenital kalp anomalisi saptandı. Tedavide, vagal uyan 4 olguda (%10) etkili oldu, İlaç tedavisinde başan oranları, digoksin ile %90, verapamil ile %87.5, adenozin ile %100'dü. Üç olguda ek olarak propranolol kullanıldı. Hiç bir olguda kardiyoverziyon gerekmedi. Sonuçta, tedavide adenozinin ilk seçenek olduğu, vagal uyarı ile başan oranlarının oldukça düşük olduğu düşünüldü.
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  • 4
382-386
  • Turkish

REFERENCES

References: 

1. Andersen ED, Jacobsen JR, Sandoe E, Videbaek J, Wen-rıevold A: Paroxysınal tachycardia in infancy and child-hood. Açta Paccüatr Scand 63: 341 (1973).
2. Aydın M, Baysal K, Kucııkoduk S, Çetinkaya F, Yaman ; S: Application of ice water to the initial treatment of supraventricular tachycardia. Türk J Pediatr 37: 15 (1995). i
3. Case CL: Diagnosis and trealmeııt of pediatric arrhy-thmias. Pediatr Cliıı North Anı 46: 347 (1999).
4. Chameides L: Dysrhytmias. In: Barkın RM (ed). Pediat- ; ric Emergency Medicine. Concepls and CSinica! Praclice j (2nd edition) St Louis: Mosby-Year Book (1997), sayfa: [
156. !;
5. Deal BJ, Keane JF, Gillette PC, Garson A Jr: Wolff-Paı-kinson-While syndrome and sııpravcntricıılar tachycardia duıing infancy: management and iblJow up. / Anı Col! Cardiol 5: 130 (1985).
6. Erickson LC, Cocalis MW: The acute management ot paroxysmal supraventricular tachycardia in children. Pe- K diatrRev 14:273 (1993). [:
7. Garson A Jr, Gillette PC. McNamara DG: Supraventricular tachycardia in children: cünical featııres, response to treatraenl, and long-temı fbllow-up in 217 patients. 3 Pe-diatr98: 875 (1981).
8. Gewitz MH, Vctter VL: Caıdiac Emcrgencies. In: Fleis-
her GR, Ludwig S (eds). Pediatric Emergency Medicine :;: {4th edition) Phİladelphia: Lippincott Williams & Willi¬ams (2000) sayfa: 659. :>
9. Ko JK, Deal BJ. Strasburger JF, Benson DW Jr: Supraventricular tachycardia mechanisms and their age distri-bution in pediatric patients. Anı J Cardiol 69: 1028 • . (1992). :/
10. Lndomirsky A, Garson A Jr: Supraventricular tachycar- :î dia. In: Gillette PC, Garson AG, Jr. (eds). Pediatric Arrh- £ yhmias: Electrophysiology and Pacing. Phİladelphia: WB Saundcrs Company (1990) sayfa: 380. ..
11. MııIIer G, Deal BJ, Benson DW Jr: "Vagal maneuvers" :-' and adenosin tor termination of airiovcntricular reentrant tachycardia. Am J Cardiol 74: 500 (1994).
12. Özme Ş, Lenk MK: Disritmiler. Katkı Pediatri Dergisi 4: £ 517 (1996). |
13. Radford D: Side efleets of verapamil in infants. Arch Dis :\: Child 58: 945 (1983).
14. Sacchetti A, Moycr V, Bariceila R, Cameron J, Moakcs ME: Primary cardiac arrhylmias in children. Pediatr EmergCare 15:95 (1999). i
15. Shahar E, Barzilay Z, Frand M: Verapamil in the trcat- >? ment of paroxysmal supraventricular tachycardia in in-fants and children. J Pediatr 98: 323 (I98İ).
16. Sperandeo V, Pieri D, Palazzalo P, Donzelli M, Spalaro
G: Supraventricular tachycardia in infants: ııse of the di- ;. vingrcflex. Aın JCardiol 51:286(1983).
17. Till JA, Shinebourne EA: Supraventricular tachycardia: diagnosis and current acute management. Arch Dİs Child 66: 647(1991).
18. Wu MH, Chang YC, Lin JL, Young ML, Wang JK, Luc HC: Probability of supraventricular tachycardia recur-rence in pediatric patients. Cardİology 85: 284 (1994).

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