Abstract
Supraventricular tachycardia is a frequently encountered arrhythmia in the pediatric population. Although it is usually not life threatening urgent treatment is generally required. Vagal techniques, such as ice water to the face and Valsalva maneuvers are easy, noninvasive and can be attempted with most patients. Adenosine is a highly effective intravenous agent with few serious side effects. DC cardioversion remains an acceptable first-line therapy if the patient has serious hemodynamic compromise, if other therapies are unsuccessful or if the physician feels most comfortable with cardioversion. For most children, chronic drug therapy has been replaced by potentially curative radiofrequency ablation.
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