Articles Vol. 64 No. 1 27/12/2022

11. THE RESULT OF TREATMENT OF SUPRAVENTRICULAR TACHYCARDIA IN THE EMERGENCY DEPARTMENT, VIETNAM NATIONAL CHILDREN'S HOSPITAL

Linh Nguyen Thi Hue1,2, Duy Le Ngoc3,4, Vinh Ngo Anh3,4
1 Thai Nguyen University of Medicine and Pharmacy
2 Trường Đại học Y Dược Thái Nguyên
3 Central Children's Hospital
4 Bệnh viện Nhi Trung ương
Corresponding author: vinhinc@yahoo.com
DOI: 10.52163/yhc.v64i1.576
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Abstract

Objective: To evaluate the results of emergency treatment of supraventricular tachycardia in
children according to the APLS 2021 protocol at the Emergency Department - National Children’s
Hospital. Subjects and research methods: Children who were diagnosed with supraventricular
tachyarrhythmias when admitted to the Emergency - Anti-toxicity Department of the National
Children’s Hospital. Results: Children over one year old accounted for the majority (76%). There
are 46 cases of successful cessation, accounting for 92%. Treating supraventricular tachycardia is
mainly used with drugs (accounting for 90), in which adenosine is primarily used (96%). There were
76.6% cases of successful cessation with adenosine and the highest rate of successful termination of
the second dose, accounting for 57.7%. The rate of successful cessation in the group of children under
one year old and over one year old did not have a statistically significant difference (p>0.05). The
rate of acute heart failure decreased compared to before cessation with a difference with statistical
significance p < 0.05. Conclusion: Adenosine is an effective, safe, first-choice drug in managing
supraventricular tachycardia in children.

Keywords
Treatment results, supraventricular tachycardia, National Children’s Hospital.
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