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Supraventricular Tachycardia Management in the Child

Aka: Supraventricular Tachycardia Management in the Child
  1. See Also
    1. Unstable Tachycardia
    2. Narrow Complex Tachycardia
    3. Wide Complex Tachycardia
    4. Cardiopulmonary Resuscitation
    5. Supraventricular Tachycardia Management in the Adult
  2. Precautions
    1. Distinguish SVT from Sinus Tachycardia (see Supraventricular Tachycardia for distinguising features)
    2. Do not use this algorithm for Sinus Tachycardia
  3. Management: Initial Stable SVT
    1. Vagal stimulation (if no delay)
      1. Carotid Massage
      2. Valsalva maneuver
      3. Ice water immersion
    2. Adenosine (if no delay)
      1. First: 0.1 mg/kg rapid IV push (maximum: 6 mg)
      2. Second: 0.2 mg/kg rapid IV push (maximum: 12 mg)
  4. Management: Unstable SVT or failed initial measures
    1. Synchronized Cardioversion (if no delay)
      1. Conscious Sedation
      2. Synchronized Cardioversion
        1. Initial dose: 0.5-1.0 Joules/kg
        2. Subsequent doses: Up to 2 Joules/kg
      3. Repeat cardioversion as needed
  5. Management: Refractory Narrow Complex Tachycardia
    1. Consult pediatric cardiology
    2. Consider either of following agents based on consultation (choose only one)
      1. Amiodarone 5 mg/kg IV over 20 to 60 minutes or
      2. Procainamide 15 mg/kg IV over 30 to 60 minutes
  6. References
    1. Pediatric Resucitation
      1. http://pediatrics.aappublications.org/content/126/5/e1361.full.html
      2. (2010) Pediatrics 126(5): e1361

Supraventricular tachycardia (C0039240)

Definition (NCI) A generic expression for any tachycardia that originates in the atria or the atrioventricular node. (NCI)
Definition (NCI) Tachyarrhythmia originating either from the atria or the atrioventricular node.
Definition (NCI) A disorder characterized by a dysrhythmia with a heart rate greater than 100 beats per minute that originates above the ventricles.
Definition (MSH) A generic expression for any tachycardia that originates above the BUNDLE OF HIS.
Concepts Disease or Syndrome (T047)
MSH D013617
ICD10 I47.1
SnomedCT 195104006, 6456007, 155363003, 266305002
English Supraventricular Tachycardias, Tachycardia, Supraventricular, Tachycardias, Supraventricular, SUPRAVENTRICULAR TACHYCARDIA, SVT, TACHYCARDIA SUPRAVENTRICULAR, TACHYCARDIA, SUPRAVENTRICULAR, Tachycardia, supraventricular, Supraventric. tachycardia NOS, Supraventricular tachycardia NOS, SVT - Supraventricular tachy, Supraventricular tachycardia, NOS, supraventricular tachycardia (diagnosis), supraventricular tachycardia, svt, Tachycardia supraventricular, Supraventricular tachycardia NOS (disorder), Tachycardia, Supraventricular [Disease/Finding], tachycardia supraventricular, supraventricular tachycardias, SVT - Supraventricular tachycardia, Supraventricular tachycardia (disorder), supraventricular; tachycardia, tachycardia; supraventricular, Supraventricular tachycardia, Supraventricular Tachycardia
French TACHYCARDIE SUPRAVENTRICULAIRE, TSV, Tachycardie supraventriculaire, Tachycardie supra-ventriculaire
Portuguese TAQUICARDIA SUPRAVENTRICULAR, Taquicardia supraventricular, Taquicardia Supraventricular
Spanish TAQUICARDIA SUPRAVENTRICULAR, TSV, Supraventricular tachycardia, taquicardia supraventricular (trastorno), taquicardia supraventricular, SAI (trastorno), taquicardia supraventricular, SAI, taquicardia supraventricular, Taquicardia supraventricular, Taquicardia Supraventricular
Dutch tachycardie supraventriculair, SVT, supraventriculair; tachycardie, tachycardie; supraventriculair, supraventriculaire tachycardie, Supraventriculaire tachycardie, Tachycardie, supraventriculaire
German SVT, Supraventrikulaere Tachykardie, TACHYKARDIE SUPRAVENTRIKULAER, Tachykardie supraventrikulaer, Supraventrikuläre Tachykardie, Tachykardie, supraventrikuläre
Japanese 上室性頻脈, ｼﾞｮｳｼﾂｾｲﾋﾝﾐｬｸ
Swedish Takykardi, supraventrikulär
Finnish Supraventrikulaarinen takykardia
Russian TAKHIKARDIIA SUPRAVENTRIKULIARNAIA, TAKHIKARDIIA NADZHELUDOCHKOVAIA, ТАХИКАРДИЯ НАДЖЕЛУДОЧКОВАЯ, ТАХИКАРДИЯ СУПРАВЕНТРИКУЛЯРНАЯ
Czech SVT, Tachykardie supraventrikulární, Supraventrikulární tachykardie, supraventrikulární tachykardie, tachykardie supraventrikulární
Korean 심실상성 빠른맥
Polish Svt, Tachykardia nadkomorowa, Częstoskurcz nadkomorowy
Hungarian SVT, Tachycardia, supraventricularis, Supraventricularis tachycardia
Italian Tachicardia sopraventricolare
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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