ACUTE TREATMENT OF REFRACTORY AND INSTABLE PEDIATRIC SUPRAVENTRICULAR TACHYCARDIA

Abstract

INTRODUCTION: Cardiac arrhythmias are generally caused by changes in the heart's electrical conduction system, congenital heart defects or surgical damage to the conduction system. Such events range from bradyarrhythmias to tachyarrhythmias and can cause serious harm in children. METHODS: This study is a narrative review on the classification and treatment of arrhythmias in children. 13 articles were selected from the databases: PubMed, Scielo and Google Scholar. RESULT: The selected articles were listed according to year of publication and methodology. DISCUSSION: The first step in managing arrhythmia is diagnosis. Once this is achieved, the approach depends on many factors, including the likelihood of recurrence, the hemodynamic effect, and the effect of the arrhythmia on the child. Non-invasive assessment and stratification should be divided into patients without heart disease and patients with congenital heart disease, and treatment should be based on these conditions. CONCLUSIONS. Medications such as amiodarone, digoxin, calcium channel blockers, vaginal maneuvers and electrical cardioversion should be used after identifying the type of arrhythmia to reduce morbidity and mortality in children with this disease.