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High-dose adenosine for refractory supraventricular tachycardia: a case report and literature review

Published online by Cambridge University Press:  19 December 2016

Gal Dadi ,
Daniel Fink  and
Giora Weiser
Gal Dadi
Affiliation:
Pediatric Department, Shaare Zedek Medical Center, Jerusalem, Israel
Daniel Fink
Affiliation:
Pediatric Cardiology Unit, Shaare Zedek Medical Center, Jerusalem, Israel
Giora Weiser*
Affiliation:
Pediatric Emergency Department, Shaare Zedek Medical Center, Jerusalem, Israel
*
Correspondence to: G. Weiser, Pediatric Emergency Department, Shaare Zedek Medical Center, Bait Street 12, Jerusalem, Israel. Tel: 972-50-8685151; Fax: 972-2-6555783; E-mail: gioraweiser@gmail.com
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Abstract

Supraventricular tachycardia is the most common significant arrhythmia in children. If prolonged, it may cause heart failure and progress to cardiogenic shock warranting prompt treatment. The recommended interventions following vagal manoeuvres are intravenous adenosine and in the unstable patient electrical cardioversion. We present an infant with an unstable supraventricular tachycardia that was resistant to electrical cardioversion and recommended doses of adenosine. He reverted to sinus rhythm with a higher dose of adenosine, suggesting that such doses may be required in refractory supraventricular tachycardia.

Keywords

Tachycardiacardiogenic shocksupraventricularadenosine
Type
Brief Report
Information
Cardiology in the Young , Volume 27 , Issue 5 , July 2017 , pp. 981 - 984
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Copyright
© Cambridge University Press 2016 

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References

1. Ludomirsky, A, Garson, A Jr. Supraventricular tachycardia. In: Gillette PC, Garson, A Jr, (eds.). Pediatric Arrhythmias: Electrophysiology and Pacing. WB Saunders, Philadelphia, PA, 1990: 380.Google Scholar
2. Jaeggi, ET, Gilljam, T, Bauersfeld, U, Chiu, C, Gow, R. Electrocardiographic differentiation of typical atrioventricular node reentrant tachycardia from atrioventricular reciprocating tachycardia mediated by concealed accessory pathway in children. Am J Cardiol 2003; 91: 1084–1089.Google Scholar
3. Perry, JC. Supraventricular tachycardia. In: Garson A Jr, Bricker JT, Fisher DJ, Neish SR, (eds.). Science and Practice of Pediatric Cardiology, 2nd edn. Williams and Wilkins, Baltimore, MD, 1998: 2059.Google Scholar
4. Kleinman, ME, Chameides, L, Schexnayder, SM, et al. Part 14: pediatric advanced life support: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care. Circulation 2010; 122: S876–S908.Google ScholarPubMed
5. Díaz-Parra, S, Sánchez-Yañez, P, Zabala-Argüelles, I, Picazo-Angelin, B, Conejo-Muñoz, L, Cuenca-Peiró, V, et al. Use of adenosine in the treatment of supraventricular tachycardia in a pediatric emergency department. Pediatr Emerg Care 2014; 30: 388–393.Google Scholar
6. Qureshi, AU, Hyder, SN, Sheikh, AM, Sadiq, M. Optimal dose of adenosine effective for supraventricular tachycardia in children. J Coll Physicians Surg Pak 2012; 22: 648–651.Google Scholar
7. Bailey, AM, Baum, RA, Rose, J, Humphries, RL. High-dose adenosine for treatment of refractory supraventricular tachycardia in an emergency department of an academic medical center: a case report and literature review. J Emerg Med 2016; 50: 477–481.Google Scholar