Chronic supraventricular tachycardia in children often subsides spontaneously over time, and digitalis can help control ventricular rates.
Answers are grounded in this paper and cite their sources.
May support expectant management and digitalis rate control in pediatric chronic SVT; hypothesis-generating from small case series.
Jacobsen, J. R., Andersen, E. D., Sandøe, E., Videbeek, J. and Wennevold, A. (Medical Department B and Department of Paediatrics, Rigshospitalet, Queen Louise's Hospital for Children, Copenhagen, and Departments of Cardiology and Paediatrics, århus Kommunehospital, århus, Denmark). Chronic supraventricular tachycardia in infancy and childhood. Acta Paediatr Scand, 64:597, 1975.–The results of a one to 19 year follow‐up study of 9 children with supraventricular tachycardia of more than one month's duration are reported. The ECG diagnosis of tachycardia was made before birth in one patient and between the ages of 8 months and 12 years in 8. Four had sustained and 4 had repetitive tachycardia, while one patient had both patterns at different times. Reciprocal rhythm was diagnosed in 3 patients and exit block in 2. Severe symptoms had occurred in 2 patients, but as a rule symptoms were mild or absent. No treatment abolished the arrhythmias but digitalis reduced the overall ventricular rate in 6 patients. After a duration of 1–7 years, 3 patients still had tachycardia at the follow‐up. In the remaining 6 patients the tachycardia had subsided 7 months to 10 years after the onset.
No takes yet. Share an insight, caveat, or question.
Jacobsen et al. (1975) studied this question.
Synapse has enriched 10 related papers. Consider them for comparative context: