Key result
Vagal maneuvers successfully terminated right ventricular outflow tract ventricular tachycardia in a hemodynamically stable pediatric patient.
Why the study?
Do vagal maneuvers improve conversion to sustained sinus rhythm in pediatric patients with hemodynamically stable right ventricular outflow tract ventricular tachycardia?
Case Report (n=1)
Do vagal maneuvers improve conversion to sustained sinus rhythm in pediatric patients with hemodynamically stable right ventricular outflow tract ventricular tachycardia?
Vagal maneuvers may be a viable initial intervention for hemodynamically stable pediatric patients with right ventricular outflow tract ventricular tachycardia.
May support initial vagal maneuvers in stable pediatric RVOT VT; hypothesis-generating and requires prospective confirmation.
Ventricular tachycardia is a rare clinical entity in pediatric patients and typically requires chemical and/or electrical intervention to convert into a sustained sinus rhythm. However, for certain forms originating from the right ventricular outflow tract, conversion with adenosine and vagal maneuvers has been demonstrated in adult patients. In this case, we suggest that pediatric patients with right ventricular outflow tract ventricular tachycardia who are hemodynamically stable may benefit from a trial of vagal maneuvers.
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Chaszczewski et al. (2018) conducted a case report in Right ventricular outflow tract ventricular tachycardia (n=1). Vagal maneuvers was evaluated on Termination of ventricular tachycardia. Vagal maneuvers successfully terminated right ventricular outflow tract ventricular tachycardia in a hemodynamically stable pediatric patient.
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