Fatih BOLAT, Sinan USLU, Serdar CÖMERT, Aygün DİNDAR, Ali BÜLBÜL, Asiye NUHOĞLU

Yenidoğanda Supraventriküler Taşikardi Vakası: Güncel Tedavi Yaklaşımı

Supraventriküler taşikardi çocukluk çağının ve yenidoğan döneminde en sık karşılaşılan kardiak aritmidir. Sıklığı 1967’lerde 1:25,000 olarak bildirilirken, tanı yöntemlerin- de iyileşme ile günümüzde bütün çocukluk yaşlarında 1:100, yenidoğan döneminde 1:200-250 sıklıkta tanımlan- maktadır. Yenidoğanlarda klinik bulgular çocukluk çağın- daki supraventriküler taşikardiye göre daha ağır seyret- mektedir. Kalp yetersizliği ve hidrops fetalis şeklinde klinik bulgularla karşımıza çıkabilir. Acil tedavisi gerekli olup; bazen ilaçlara dirençli ve yineleyebilen ataklar nedeniyle yenidoğan döneminde morbidite ve mortaliteye neden ola- bilir. Bu makalede yenidoğan döneminde kalp yetersizliği ile başvuran ve amiadaron tedavisi ile taşikardisi kontrol altına alınan supraventriküler taşikardili bir vaka sunul- muştur

Anahtar Kelimeler:

Supraventriküler taşikardi, yenidoğan, tedavi

A Case Report with Neonatal Supraventricular Tachycardia: Review of Current Treatment

Supraventricular tachycardia is the most common cardiac arrhythmia in neonatal period and childhood. While the incidence of supraventricular tachycardia was reported to be 1:25,000 at 1967, with more sensitive diagnostic met- hods the incidence during neonatal period and in all ages of childhood is now estimated to be 1:100 and 1:200-250 respectively. Clinical findings are more severe in neonates with supraventricular tachycardia than in older children. Supraventricular tachycardia may present with heart failu- re and hydrops fetalis. Symptoms of supraventricular tach- ycardia requires immediate treatment and supraventricular tachycardia may be a cause of morbidity and mortality during neonatal period due to recurrent attacks of arrhy- thmia refractory to drug treatment. In this case report a neonate with supraventricular tachycardia who presented with heart failure and treated with amiodaron is presen- ted

Keywords:

Supraventricular Tachycardia, newborn, treatment,

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