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Supraventriküler taşikardi, çocukluk yaş grubunda görülebilen önemli kardiyak sorunlardan biridir ve sıklığı 1/250 - 1/1000 arasında değişir. Huzursuzluk, emme bozukluğu, taşipne, taşikardi ve kalp yetersizliği ile bulgu verebilir. Genellikle supraventriküler taşikardili hastalarda eşlik eden bir doğumsal kalp hastalığı yoktur, antiaritmikler ile kontrol altına alınabilir. Kontrol altına alınamayan vakalar ağır seyretmektedir ve kalp yetmezliği bulguları ile ortaya çıkabilir. Tedavide acil yaklaşım çok önemlidir ve tedavide kullanılan farklı ilaçlar acil servislerde hazır bulundurulmalıdır. Bu makalede huzursuzluk şikayetiyle çocuk acil servise başvuran 55 günlük bebek tartışılıp adenozin ile taşikardisi kontrol altına alınan supraventriküler taşikardi vakası sunularak, tedavi yaklaşımı literatür bilgileri eşliğinde gözden geçirilmiştir.
Supraventricular tachycardia is one of the major heart problems that can be seen in childhood and its frequency ranges from 1/250 - 1/1000. It may present with symptoms of restlessness, sucking disorder, tachypnea, tachycardia and heart failure. Generally, patients with supraventricular tachycardia do not have a concomitant congenital heart disease, they can be controlled by antiarrhythmics. Uncontrolled cases may be severe and may present with signs of heart failure. An urgent approach to treatment is very important, and different drugs used in treatment should be available in the emergency department. In this article, a 55-day-old baby who was admitted to the emergency department with the complaint of restlessness was presented and a case of supraventricular tachycardia with adenosine and tachycardia was presented.
Supraventricular tachycardia is one of the major cardiac problems that can be seen in childhood and its frequency ranges from 1/250 - 1/1000. It may present with symptoms of restlessness, sucking disorder, tachypnea, tachycardia and heart failure. Generally, patients with supraventricular tachycardia do not have a concomitant congenital heart disease, they can be controlled by antiarrhythmics. Uncontrolled cases may be severe and may present with signs of heart failure. An urgent approach to treatment is very important, and different drugs used in treatment should be available in the emergency department. In this article, a 55-day-old baby who was admitted to the emergency department with the complaint of restlessness was presented and a case of supraventricular tachycardia with adenosine and tachycardia was presented.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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