Clinical Case Database / Category: Case Based Discussion

Supraventricular tachycardia in children

Publication details

Dr Armeta Nabahi, Dr Eliza Ryan, Dr Paul Heaton
Foundation Years Journal, volume 8, issue 6, p.42 (123Doc Education, London, June 2014)


Tachycardia is a common observation in children which can represent many different physiological and pathophysiological conditions. Identification of cardiac arrhythmias as the cause of tachycardia can be difficult. This case-based discussion aims to illustrate the factors within history, examination, and clinical investigations which can lead the Foundation Year doctor to consider arrhythmia in their differential diagnosis. In addition, this article outlines evidence-based management of the most common clinically significant arrhythmia presenting in paediatric patients - supraventricular tachycardia.

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Dr Armeta Nabahi (Corresponding author)

Paediatric Registrar ST7, Ward 10, Higher Kingston,
Yeovil District Hoapital, Somerset, BA21 4AT

Dr Eliza Ryan

Paediatric Specialty Doctor, Ward 10, Higher Kingston,
Yeovil District Hoapital, Somerset, BA21 4AT

Dr Paul Heaton (Corresponding author)

Consultant Paediatrician, Ward 10, Higher Kingston,
Yeovil District Hoapital, Somerset, BA21 4AT


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3.  Adlington H, Cumberbatch G. Carotid sinus massage: is it a safe way to terminate supraventricular tachycardia? Emerg Med J. 2009;26(6):459.

4.  Heaton, P. Supraventricular tachycardia: response to cardioinversion. Med J Australia 1995, 163:595-6.

5.  Kugler JD, Danford, DA. Management of infants, children, and adolescents with paroxysmal supraventricular tachycardia. J Pedaitr 1996, 129:324-38.

6.  Advanced Paediatric Life Support, The Practical Approach, Fifth edition ,M. Samuel, S. Wieteska,2013;112-113.

7.  UP to Date website and synchronized cardioversion&selectedTitle=1~150; 21 May 2014;14:53.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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