Yenidoğan Döneminde Dirençli Supraventriküler Taşikardi Olgusu

Year 2020, Volume: 4 Issue: 1, 45 - 50, 30.04.2020

Ayşegül Pala , Pınar Dervişoğlu , Öner Özdemir

https://doi.org/10.34084/bshr.714742

Abstract

Supraventriküler taşikardi (SVT) yenidoğan döneminde görülen en yaygın aritmidir. Kliniği asemptomatik seyirden kalp yetersizliği ve kardiyojenik şoka kadar değişkenlik gösterebilir. En sık görülen formu atriyoventriküler reentran tipi olmakla birlikte fokal atriyal taşikardi, nodal taşikardi, atriyal flutter ve fibrilasyon tipleri daha nadir olarak görülür. SVT prevalansı konjenital kalp hastası çocuklarda yaklaşık %7'dir. Vagal manevralar, farmakolojik tedavi ve kardiyoversiyon ile çoğu vakada başarı sağlanır. Bazı kontrol altına alınamayan SVT olgularında aritmik durum hemodinamiyi bozar ve istenmeyen sonuçlara neden olabilir. Bu yazıda yenidoğan döneminde akut kalp yetersizliği ile başvuran, ancak tedavisinin 80. saatinde aritminin kontrol altına alınabildiği dirençli SVT olgusu sunulmuştur.

Keywords

aritmi, supraventriküler taşikardi, yenidoğan, adenozin

Resistant-Supraventricular Tachycardia in neonatal period

Abstract

Supraventricular tachycardia (SVT) is the most common form of arrhythmia in the neonates. The clinic presentation can vary asymptomatic course to heart failure and cardiogenic shock. Atrioventricular reentrant type is predominant mechanism while focal atrial tachycardia, nodal tachycardia, atrial flutter, and fibrillation types are more rarely seen. The prevalence of SVT is about 7% in children with congenital heart disease. Vagal maneuvers, pharmacological therapy, and cardioversion successfully recover most cases. In some patients with resistant SVT, the arrhythmic condition deteriorates hemodynamic stability and may cause complications. In this case report, management of arrhythmia at the treatment of 80th hour in a neonatal patient with resistant SVT admitting with acute heart failure was presented.

Keywords

arrhythmia, supraventricular tachycardia

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.
• 2. 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.
• 3. 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.
• 4. Dadi, G., Fink, D., & Weiser, G. (2017). High-dose adenosine for refractory supraventricular tachycardia: A case report and literature review. Cardiology in the Young, 27(5), 981-984. doi:10.1017/S1047951116002626
• 5. Park M, Part 6: Arrytmias and Atrioventricular conduction Disturbances in Park's Pediatric Cardiology for Practitioners, 6e, Elsevier, India, 2014.