Cardioversion of a supraventricular tachycardia (SVT) in a 7-year-old using a postural modification of the Valsalva manoeuvre.

2.50
Hdl Handle:
http://hdl.handle.net/11287/620365
Title:
Cardioversion of a supraventricular tachycardia (SVT) in a 7-year-old using a postural modification of the Valsalva manoeuvre.
Authors:
Morley-Smith, E. J.; Gagg, J.; Appelboam, Andrew
Abstract:
A boy aged 7 years presented with his parents to the emergency department (ED). He had a known diagnosis of paroxysmal supraventricular tachycardia (SVT) and was under the care of paediatricians. He had been suffering episodes of palpitations and chest pain for over a year and had been prescribed atenolol 25 mg ON, though the side effects meant he had not taken it for a month prior to presentation. He had 2 previous confirmed episodes of SVT, one that reverted with Valsalva manoeuvres, and the other with intravenous adenosine. In the ED, an ECG was recorded showing SVT at 180 bpm. Aside from his tachycardia, he was haemodynamically stable. The postural modification of the Valsalva technique was performed within 5 min of arrival, with reversion to sinus rhythm occurring during the leg-lift phase on the first attempt. After 30 min of observation, the child remained stable and was discharged home.
Citation:
Cardioversion of a supraventricular tachycardia (SVT) in a 7-year-old using a postural modification of the Valsalva manoeuvre. 2017, 2017 BMJ Case Rep
Publisher:
BMJ
Journal:
BMJ Case Reports
Issue Date:
4-May-2017
URI:
http://hdl.handle.net/11287/620365
DOI:
10.1136/bcr-2016-218083
PubMed ID:
28473422
Additional Links:
http://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=28473422
Note:
RD&E staff can access the full-text of this article - click on the Additional Link above and log in with your NHS OpenAthens username and password.
Type:
Case Report
Language:
en
ISSN:
1757-790X
Appears in Collections:
Emergency Department; 2017 RD&E publications

Full metadata record

DC FieldValue Language
dc.contributor.authorMorley-Smith, E. J.en
dc.contributor.authorGagg, J.en
dc.contributor.authorAppelboam, Andrewen
dc.date.accessioned2017-07-20T12:51:48Z-
dc.date.available2017-07-20T12:51:48Z-
dc.date.issued2017-05-04-
dc.identifier.citationCardioversion of a supraventricular tachycardia (SVT) in a 7-year-old using a postural modification of the Valsalva manoeuvre. 2017, 2017 BMJ Case Repen
dc.identifier.issn1757-790X-
dc.identifier.pmid28473422-
dc.identifier.doi10.1136/bcr-2016-218083-
dc.identifier.urihttp://hdl.handle.net/11287/620365-
dc.description.abstractA boy aged 7 years presented with his parents to the emergency department (ED). He had a known diagnosis of paroxysmal supraventricular tachycardia (SVT) and was under the care of paediatricians. He had been suffering episodes of palpitations and chest pain for over a year and had been prescribed atenolol 25 mg ON, though the side effects meant he had not taken it for a month prior to presentation. He had 2 previous confirmed episodes of SVT, one that reverted with Valsalva manoeuvres, and the other with intravenous adenosine. In the ED, an ECG was recorded showing SVT at 180 bpm. Aside from his tachycardia, he was haemodynamically stable. The postural modification of the Valsalva technique was performed within 5 min of arrival, with reversion to sinus rhythm occurring during the leg-lift phase on the first attempt. After 30 min of observation, the child remained stable and was discharged home.en
dc.language.isoenen
dc.publisherBMJen
dc.relation.urlhttp://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=28473422en
dc.rightsArchived with thanks to BMJ Case Reportsen
dc.subjectWessex Classification Subject Headings::Cardiologyen
dc.subjectWessex Classification Subject Headings::Diseases & disorders of systemic, metabolic or environmental origin::Emergency medicineen
dc.titleCardioversion of a supraventricular tachycardia (SVT) in a 7-year-old using a postural modification of the Valsalva manoeuvre.en
dc.typeCase Reporten
dc.identifier.journalBMJ Case Reportsen
dc.description.noteRD&E staff can access the full-text of this article - click on the Additional Link above and log in with your NHS OpenAthens username and password.en
dc.type.versionPublisheden

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