Therapeutische Umschau. Revue thérapeutique
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The incidence of paediatric supraventricular tachycardias is approximately 0.1-0.4%. AV node and AV reentrant tachycardias represent the most common supraventricular tachycardias in children. Atrial ectopic tachycardias are the second most common group of pediatric arrhythmias with a predominance in younger children. ⋯ During the last decade the widespread use of newer antiarrhythmic agents and the invention of radiofrequency catheter ablation have revolutionized the treatment of supraventricular tachycardias in children. A thorough knowledge of these various treatments options is essential to achieve a safe and effective management of supraventricular tachycardias in children. This article focuses on diagnostic and therapeutic aspects of the most frequent supraventricular tachycardias.
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A growing, heterogeneous group of children with congenital heart disease is surviving into adulthood due to advances in medicine. These patients including those with simple and complex congenital heart disease and operated on during childhood are facing long-term complications. Superspecialist care and expertise are required during their life to deal with their unique problems the most common being ventricular failure, arrhythmias, valve and conduit longevity. ⋯ An interdisciplinary team offers all non-invasive and invasive facilities for diagnostic and therapeutic procedures in a supraregional referral center. A close collaboration among all physicians is crucial for optimal care and management. Integration of adolescents with congenital heart disease into an adult medical system improves both compliance and quality of care and supports the patient's esteem because many medical aspects and lifestyle issues are completely different from those during childhood.