EMERGENCY MANAGEMENT OF PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA IN NEWBORNS: INSIGHTS FROM THREE RARE CLINICAL CASES

Van Chien Nguyen1, Ngoc Anh Tuan Hoang1, Duc Toan Nguyen1, El Eban H1, Thi Thuy Linh Vu2
1 Tay Nguyen Regional General Hospital
2 Tay Nguyen University

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Abstract

Supraventricular tachycardia (SVT) is a common arrhythmia in neonates. Most SVT in the neonate is due to a re-entrant mechanism. SVT may initially be asymptomatic, but when prolonged it may result in congestive cardiac failure and shock after a variable period. The efective treatment of any arrhythmia requires attention to overall hemodynamic status and the mechanism of arrhythmia. The present study reports three cases of neonatal patients were referred to our department with tachycardia and hemodynamic instability. Although there are still many limitations in treatment (the frst-line drug as Adenosine, ...), but we have successfully treated it with available resources at the our hospital. In this report, the authors present the clinical, paraclinical and outcomes features of neonatal arrhythmias with review of the literature.

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