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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

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