| Autor: |
Nathan Wei, Avani Lamba, BS, Sonia Franciosi, PhD, Ian H. Law, BSE, MD, FHRS, Luis A. Ochoa, MD, Christopher L. Johnsrude, MD, MS, Sit Yee Kwok, MBChB, CEPS-P, Teng Hong Tan, MBBS, Santokh S. Dhillon, MBBS, MD, FHRS, CCDS, Anne Fournier, MD, Stephen P. Seslar, MD, PhD, CCDS, CEPS-P, Elizabeth A. Stephenson, MD, FHRS, CEPS-P, Andrew D. Blaufox, MD, FHRS, CEPS-P, Michel Cabrera Ortega, MD, Jeffrey N. Bone, MSc, Ash Sandhu, BS, Carolina A. Escudero, MD, MS, Shubhayan Sanatani, BS, MD, FHRS, CCDS |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
CJC Pediatric and Congenital Heart Disease, Vol 1, Iss 1, Pp 11-22 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2772-8129 |
| DOI: |
10.1016/j.cjcpc.2021.09.001 |
| Popis: |
Background: Several medication choices are available for acute and prophylactic treatment of refractory supraventricular tachycardia (SVT) in infants. There are almost no controlled trials, and medication choices are not necessarily evidence based. Our objective was to report the effectiveness of management strategies for infant SVT. Methods: A registry of infants admitted to hospital with re-entrant SVT and no haemodynamically significant heart disease were prospectively followed at 11 international tertiary care centres. In addition, a systematic review of studies on infant re-entrant SVT in MEDLINE and EMBASE was conducted. Data on demographics, symptoms, acute and maintenance treatments, and outcomes were collected. Results: A total of 2534 infants were included: n = 108 from the registry (median age, 9 days [0-324 days], 70.8% male) and n = 2426 from the literature review (median age, 14 days; 62.3% male). Propranolol was the most prevalent acute (61.4%) and maintenance treatment (53.8%) in the Registry, whereas digoxin was used sparingly (4.0% and 3.8%, respectively). Propranolol and digoxin were used frequently in the literature acutely (31% and 33.2%) and for maintenance (17.8% and 10.1%) (P < 0.001). No differences in acute or prophylactic effectiveness between medications were observed. Recurrence was higher in the Registry (25.0%) vs literature (13.4%) (P |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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