Adenosine Conversion of Supraventricular Tachycardia Associated with High-Dose Epinephrine Therapy for Cardiac Arrest

Gerhardt, Robert T.; Furlong, Richard; Schrank, Kathleen; Ress, Bradford D.

doi:10.1017/s1049023x00027357

Cited by 3 publications

(1 citation statement)

References 11 publications

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“…The most prevalent arrhythmia overall and among supraventricular arrhythmias was PSVT. Congenital cardiac disease was the most common risk factor found 15 .…”

Section: Discussionmentioning

confidence: 99%

Frequency and Clinical Profile of Cardiac Arrhythmias and its Immediate Outcome in Children at Tertiary Care Hospital

Raza¹,

Shaikh²,

Korejo³

et al. 2023

PJMHS

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Objective: To determine the frequency and clinical profile of arrhythmia and its immediate outcome in children presenting to a tertiary care center. Study Design: A cross-sectional study. Duration and place of study: July 2021 to June 2022, the National Institute of Cardiovascular Diseases, Karachi. Methodology: A total of 100 children of both gender , ranging in age from 1 day to 18 years, who presented with the symptoms of syncope, decreased or increased heart rate, chest discomfort, breathlessness were included in this study. Children who presented with cardiac arrhythmias had varying proportions of several criteria of relevance, such as clinical characteristics, age and gender distribution. In patients with unexplained arrhythmias or syncope, a thorough history, general physical exam, and cardiac examinations—including 12-lead electrocardiograms, 2-D echocardiograms, and Holter studies—were conducted. Results: A total of 100 children were included in this study among them 70 children presented with tachyarrhythmia and 30 children presented with bradycardia. The average age was 8.13± 4.45 years. Among the tachyarrythmias group the most frequent initial symptoms recorded in 45 (64.28%) and 15 (21.42%) youngsters, respectively, were palpitation and chest pain. A total of 19 (27.14%) children were discovered to have acyanotic CHDs. SVT was found to be the most common type of arrhythmia in 25 (30.1%) children, followed by ventricular tachycardia and atrial fibrillation in 15 (21.42%) and 10 (14.28%) of the same age groups. A total of 3 (4.28%) of the hospitalized children died. Among the bradycardia group 80% of children were found with complete heart block, 53.3% syncope, 26.7% were asymptomatic, and 20% were with multiple findings of irritability, poor feeding, breathlessness, and syncope. 20% of them developed LV dysfunction. Conclusion: The most frequent presenting symptoms were palpitations and chest discomfort. The other most common types of arrhythmia were supraventricular tachycardia, atrial fibrillation, ventricular tachycardia and bradycardia. Children's hospital stays were generally short and the therapy for arrhythmias had favorable overall results, however, 4.28% of children in the tachyarrhythmia’s group died of heart failure, while there was no expiry in the bradycardia group. Keywords: Arrhythmias, palpitations, supraventricular and ventricular tachycardia, bradycardia and heart Block

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“…The most prevalent arrhythmia overall and among supraventricular arrhythmias was PSVT. Congenital cardiac disease was the most common risk factor found 15 .…”

Section: Discussionmentioning

confidence: 99%

Frequency and Clinical Profile of Cardiac Arrhythmias and its Immediate Outcome in Children at Tertiary Care Hospital

Raza¹,

Shaikh²,

Korejo³

et al. 2023

PJMHS

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Distribution of Tacyarrhythmia and Its Immediate Outcome Presenting In Pediatric Emergency Department at Tertiary Care Hospital

Raza¹,

Shaikh²,

Korejo³

et al. 2022

Preprint

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Objective To determine the distribution of different types of arrhythmia and immediate outcome in children presenting in emergency department of a tertiary care hospital. Study Design: An observational analytical cohort study. Place and Duration: The department of cardiology, National Institute of Cardiovascular Diseases (NICVD), Karachi from January 2022 to July 2022. Methodology: A total of 91 children of both genders aged 1 day to 18 years presenting with one or more of the following symptoms: chest pain, bradycardia, tachycardia and/or syncope and diagnosed as cases of arrhythmia were included. Detailed medical history and information about demographic and clinical parameters were obtained. Complete general and cardiac examinations including 12 leads ECG, 2-D Echo study and the holter study for those with unexplained arrhythmias, syncope were performed. Distribution of arrhythmia types and immediate treatment outcomes were noted. Results In a total of 91 children, 46 (50.5%) were male. The mean age was 8.13 ± 4.45 year. Palpitation and chest pain were the commonest presenting symptoms reported in 87 (95.6%) and 25 (27.5%) children respectively. Acyanotic CHDs were found in 29 (31.9%) children. Supraventricular tachycardia (SVT) was observed to be the most frequent type of arrhythmias noted in 31 (34.1%) children while atrial fibrillation and ventricular tachycardia were the other most common arrhythmias noted in 19 (20.9%) and 15 (16.5%) children respectively. Amiodarone was the most frequent choice of treatment that responded well in 35 (38.5%) children and was mainly utilized in children with supraventricular tachycardia. Propranolol responded well in 34 (37.4%) children. Mean duration of hospital stay was 4.55 ± 3.32 days while mortality was noted in 4 (4.4%) children. Conclusion Palpitation and chest pain were the commonest presenting symptoms among children with arrhythmias. Supraventricular tachycardia, atrial fibrillation and ventricular tachycardia were the other most frequent types of arrhythmia. Overall outcome of arrhythmias treatment was good.

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Clinical Profile of Cardiac Arrhythmias in Children Attending the Out Patient Department of a Tertiary Paediatric Care Centre in Chennai

Premkumar

Sundararajan

Sangaralingam

2016

JCDR

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Adenosine Conversion of Supraventricular Tachycardia Associated with High-Dose Epinephrine Therapy for Cardiac Arrest

Cited by 3 publications

References 11 publications

Frequency and Clinical Profile of Cardiac Arrhythmias and its Immediate Outcome in Children at Tertiary Care Hospital

Frequency and Clinical Profile of Cardiac Arrhythmias and its Immediate Outcome in Children at Tertiary Care Hospital

Distribution of Tacyarrhythmia and Its Immediate Outcome Presenting In Pediatric Emergency Department at Tertiary Care Hospital

Clinical Profile of Cardiac Arrhythmias in Children Attending the Out Patient Department of a Tertiary Paediatric Care Centre in Chennai

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