How to Stop SVT in Kids

COMMENTARY

How to Stop SVT in Kids

Christopher J. Chiu, MD; Justin L. Berk, MD, MPH, MBA 

Disclosures

March 10, 2022

2

This transcript has been edited for clarity.

Christopher J. Chiu, MD: Welcome back to The Cribsiders and our video recap summary of one of our most recent podcast episodes. Justin, what are we reviewing today?

Justin L. Berk, MD, MPH, MBA: We had a great episode on supraventricular tachycardia (SVT). Our guest was Dr Mike Fahey from the University of Massachusetts. He's the chief of pediatric cardiology and program director for the pediatric residency program. He's the recipient of multiple teaching awards across training levels, and during this episode, he taught us how to approach narrow-complex tachycardia and the different types of SVT. We discussed treatment for SVT and he gave us "his bundle" of information on how to approach cardiac arrhythmia in kids.

Chiu: What's the most common cause of SVT in kids?

Berk: It's something called atrial ventricular reentry tachycardia (AVRT). There's an extra pathway that connects the atria to the ventricles, and it basically goes around the AV node. One of the most common forms of AVRT is Wolf-Parkinson-White (WPW) syndrome.

 

Chiu: So if I have a child in tachycardia and I get an EKG, what am I looking for?

Berk: This is the big thing. Sinus tachycardia is something that most people feel comfortable diagnosing.

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