Dijagnoza i konvencionalno liječenje supraventrikularne tahikardije u djece
DOI:
https://doi.org/10.13112/pc.1085Ključne riječi:
TAHIKARDIJA, SUPRAVENTRIKULARNA; ARITMIJE, SRČANE; SREDSTVA PROTIV ARITMIJE; DIJETESažetak
Supraventrikularna tahikardija je neprikladno ubrzan rad srca koji nastaje iz ili iznad atrioventrikularnog čvora. Jedna je od najčešćih aritmija u pedijatrijskoj populaciji. Postoji više vrsta SVT, ali u užem smislu riječi najčešće se misli na skupinu kružnih aritmija kao što su atrioventrikularna kružna tahikardija i atrioventrikularna nodalna kružna tahikardija. Supraventrikularna tahikardija se najčešće manifestira kao paroksizam, odnosno nastaje i prestaje naglo, uz dominiranje simptoma palpitacija, bolova u prsištu, blijedila. U manje djece dominiraju simptomi blijedila, nemira, plačljivosti, iritabilnosti i odbijanja obroka te tada često ostane neprimijećena što dovodi do razvoja srčanog zatajenja. Dijagnoza se postavlja na temelju elektrokardiografskog zapisa. Liječenje supraventrikularne tahikardije se bazira na akutnom zbrinjavanju i prevenciji aritmije. U današnje vrijeme u djece se supraventrikularna tahikardija uspješno liječi i ima jako nisku smrtnost.
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