Patient (condition)
 
Aliases:
Paroxysmal supraventricular tachycardia (PSVT)
SVT
Svts
Psvt
Psvts

Topic aliases are alternate phrasings for a particular topic.


A generic expression for any tachycardia that originates above the bundle of his.
www.nlm.nih.gov/cgi/mesh/...

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Adenosine terminates 90% of tachycardias due to AVNRT or AVRT. Adenosine does not usually terminate atrial tachycardia, although it is effective for terminating SNRT.
emedicine.medscape.com/ar...

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During pediatric cardiac-surgery and adult cardiac-surgery, SVT may revert with application of cold saline onto the surface of the myocardium by the surgeon.

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External defibrillation for SVT in children that are "shocked" (i.e. hypoperfused) is 1J/kg followed by 2J/kg if required.
#apls
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If a central venous line is present, SVT may revert to sinus rhythm on injection of cold (room temperature) volume through the central line. (eg 25ml in 10kg child)

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Good review papermin NEJM (subscription required)
dx.doi.org/10.1056/NEJMcp...

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