Yenidoğan Döneminde Dirençli Supraventriküler Taşikardi Olgusu

Öz

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.

Anahtar Kelimeler

• aritmi,supraventriküler taşikardi,yenidoğan,adenozin

Resistant-Supraventricular Tachycardia in neonatal period

Öz

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.

Anahtar Kelimeler

• arrhythmia,supraventricular tachycardia

Kaynakça

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