Abstract
Abstract This chapter is a case-based discussion of the management of supraventricular tachycardia (SVT) in children. The case illustrates the challenges of medical management of SVT in neonatal life and infancy, both in terms of acute presentation, as well as longer-term medical care and outpatient monitoring to reduce recurrences of paroxysmal tachycardias as the child grows. Ultimately, the child benefits from an electrophysiology study (EPS) and catheter ablation. The chapter more broadly covers the varying clinical presentations of SVT in children and common treatment strategies employed. The electrophysiological mechanisms of SVT commonly seen in children are outlined. There is a review of the evidence behind the medical management of SVT in children, including a practical guide on the choice of anti-arrhythmic medication for different mechanisms of tachycardia, based on current guidelines. Finally, the chapter summarizes the invasive treatment option of EPS and ablation in children.
Published Version
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