Supraventricular Tachycardia
Clinical Features
Symptoms
Investigations
Management
Source
www.rch.org.au
Symptoms
- Infants - pallor, dyspnoea, poor feeding.
- Older children - palpitations , chest discomfort
- Regular tachycardia - HR usually 180-300/min
- Hypotension may be present.
- Heart failure, especially infants.
Investigations
- ECG
Management
- Continuous ECG trace + frequent BP
- Oxygen 10 litres / min by face mask, if required
- If child is shocked (ie. hypotensive, poor peripheral perfusion, impaired mental state) proceed to direct current cardioversion
- If child is not shocked treat with intravenous adenosine
Source
www.rch.org.au