• Cardiology in the young · Jul 2017

    Review Case Reports

    High-dose adenosine for refractory supraventricular tachycardia: a case report and literature review.

    • Gal Dadi, Daniel Fink, and Giora Weiser.
    • 1Pediatric Department,Shaare Zedek Medical Center,Jerusalem,Israel.
    • Cardiol Young. 2017 Jul 1; 27 (5): 981-984.

    AbstractSupraventricular tachycardia is the most common significant arrhythmia in children. If prolonged, it may cause heart failure and progress to cardiogenic shock warranting prompt treatment. The recommended interventions following vagal manoeuvres are intravenous adenosine and in the unstable patient electrical cardioversion. We present an infant with an unstable supraventricular tachycardia that was resistant to electrical cardioversion and recommended doses of adenosine. He reverted to sinus rhythm with a higher dose of adenosine, suggesting that such doses may be required in refractory supraventricular tachycardia.

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