What are the physical findings characteristic of supraventricular tachycardia (SVT) in infants with Wolff-Parkinson-White (WPW) syndrome?

Updated: Jan 08, 2017
  • Author: Christopher R Ellis, MD, FACC, FHRS; Chief Editor: Mikhael F El-Chami, MD  more...
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Answer

An infant experiencing an episode of SVT is usually tachypneic and irritable; pallor is common. The pulse is very rapid and diminished in volume. The ventricular rate typically is 200-250 bpm, and the blood pressure is decreased. If the episode has been untreated for several hours, the patient often has poor perfusion, hepatomegaly, and cardiac failure. The child is usually anxious but hemodynamically stable. Tachypnea often accompanies the tachycardia.

Once the arrhythmia has been terminated, the physical examination findings are generally normal.


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