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

Nguyen Thi Hue Linh1,2, Le Ngoc Duy3,4, Ngo Anh Vinh3,4
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
16 Views
9 Downloads
Keywords
Treatment results, supraventricular tachycardia, National Children’s Hospital.
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.

References
[1]
Mei-Hwan W, Hui-Chi C, Feng-Yu K et Google Scholar
[2]
al., “Postnatal cumulative incidence of Google Scholar
[3]
supraventricular tachycardia in a general pediatric Google Scholar
[4]
population: A national birth cohort database Google Scholar
[5]
study”, Heart Rhythm, 2016; 13(10), 2070-5. Google Scholar
[6]
Martial MM, Avram B, Gilles R, “Epidemiology Google Scholar
[7]
and outcome of tachyarrhythmias in tertiary Google Scholar
[8]
pediatric cardiac centers”, Cardiology, 2008; Google Scholar
[9]
(3), 191-6. Google Scholar
[10]
Chiu SN, Lu CW, Chang CW et al., Google Scholar
[11]
Radiofrequency catheter ablation of Google Scholar
[12]
supraventricular tachyarrhythmia in infants and Google Scholar
[13]
toddlers. Circulation Journal. 2009, 73(9):1717- Google Scholar
[14]
Jonathan L, Gaurav A, Dana LT et al., “Acute Google Scholar
[15]
Management of Refractory and Unstable Google Scholar
[16]
Pediatric Supraventricular Tachycardia”, Journal Google Scholar
[17]
of Pediatrics, 2017; 181, 177-182. Google Scholar
[18]
Patrick VV, Nigel MT, Jana D et al., European Google Scholar
[19]
Resuscitation Council Guidelines 2021: Google Scholar
[20]
Paediatric Life Support. Resuscitation, 2021; 161 Google Scholar
[21]
(2021), 327-387. Google Scholar
[22]
Hội Tim mạch học Việt Nam, Khuyến cáo 2010 Google Scholar
[23]
của Hội Tim mạch học Việt Nam về chẩn đoán Google Scholar
[24]
và điều trị một số rối loạn nhịp tim thường gặp. Google Scholar
[25]
Nhà xuất bản Y học, chi nhánh TP Hồ Chí Minh; Google Scholar
[26]
; tr. 195 – 205. Google Scholar
[27]
Hoàng Văn Toàn, Đặng Thị Hải Vân, Nguyễn Google Scholar
[28]
Thanh Hải, Đặc điểm lâm sàng, cận lâm sàng cơn Google Scholar
[29]
tim nhanh ở trẻ em tại Bệnh viện Nhi trung ương. Google Scholar
[30]
Tạp chí Nhi khoa, 14 (1), tr. 43-49, 2021. Google Scholar
[31]
Li M, Xiaomei L, Haiyan GE et al., “Effectiveness Google Scholar
[32]
of adenosine triphosphate on emergency Google Scholar
[33]
cardioversion of children with paroxysmal Google Scholar
[34]
supraventricular tachycardia”, Chinese Journal of Google Scholar
[35]
N.A. Vinh et al. / Vietnam Journal of Community Medicine, Vol 64, No 1 (2023) 79-8686 Google Scholar
[36]
Practical Pediatrics; 2021; 36(13), 990 -994. Google Scholar
[37]
Amanda Q, Janet L,Andrew D et al., “Age makes a Google Scholar
[38]
difference: Symptoms in pediatric upraventricular Google Scholar
[39]
tachycardia”, Journal of Arrhythmia, 2018, 34(5), Google Scholar
[40]
-571. Google Scholar
[41]
Bùi Gio An, Võ Công Đồng, “Đặc điểm chẩn Google Scholar
[42]
đoán và điều trị cấp cứu rối loạn nhịp nhanh ở Google Scholar
[43]
trẻ em nhập khoa cấp cứu Bệnh viện Nhi đồng Google Scholar
[44]
”, Tạp chí Y học thành phố Hồ Chí Minh; 2009; Google Scholar
[45]
(13), tr. 114-120. Google Scholar
[46]
Sandra Díaz-Parra, Pilar Sánchez-Yañez, Ignacio Google Scholar
[47]
Zabala-Argüelles et al., Use of adenosine in the Google Scholar
[48]
treatment of supraventricular tachycardia in a Google Scholar
[49]
pediatric emergency department. Pediatr Emerg Google Scholar
[50]
Care, 2014; 30(6), 388-93. Google Scholar
[51]
Henning C, “Pediatric arrhythmias in the Google Scholar
[52]
emergency department”, Emerg Med. 29, pp. Google Scholar
[53]
- 737, 2012. Google Scholar