What is the role of electrical cardioversion in the treatment of sinus tachycardia in children?

Updated: Sep 15, 2020
  • Author: Catharine A Bon, MD; Chief Editor: Kirsten A Bechtel, MD  more...
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Answer

Answer

If chemical cardioversion is unsuccessful or not available, electrical cardioversion is indicated. The regimen is as follows:

  • If possible, sedate the patient beforehand, but do not delay cardioversion

  • Deliver a synchronized shock at 0.5-1 J/kg

  • If this is not successful, increase the charge to 2 J/kg


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