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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

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