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The aim of this guideline is to provide consistent guidance on the assessment and management of paediatric supra-ventricular tachycardia (SVT).
The most common cause of paediatric tachyarrhythmia is a supra-ventricular tachycardia (SVT). These are common in infancy and childhood with an incidence of between 1:250 and 1:1000. Most cases are due to re-entrant pathways and occur in otherwise normal children. They can be very well tolerated for several hours meaning some children may not present until haemodynamic compromise is evident. They can also present in patients with underlying congenital cardiac conditions, cardiac conduction disorders or cardiac failure which may be secondary to the tachyarrhythmia.
Last reviewed: 01 July 2022
Next review: 28 February 2025
Author(s): Mark Davidson, Paediatric Intensivist ScotSTAR (Chair of Writing Group)
Version: 1
Author Email(s): sas.cpg@nhs.scot
Co-Author(s): Rebecca Goldman, Consultant Pediatrician Ninewells; Karen McLeod, Consultant Cardiologist RHC-Glasgow; Karen Pearson, Consultant Anaesthetist Ninewells; Danni Seddon, Consultant Anaesthetist RHC-Glasgow; Leanne Daly, Retrieval Nurse ScotSTAR; Treasa Magee, Retrieval Nurse ScotSTAR; Lauren Williams, PICU Pharmacist RHC-Glasgow; Scottish Paediatric Cardiac Service Guideline Group RHC-Glasgow
Approved By: Guideline process endorsed by the Scottish Trauma Network Prehospital, Transfer and Retrieval group, as well as the Scottish Paediatric Cardiac Service Guidelines Group