Bellavance M
Département de pédiatrie, Centre hospitalier universitaire de Sherbrooke, Sherbrooke (Québec).
Paediatr Child Health. 2001 Oct;6(8):585-9. doi: 10.1093/pch/6.8.585.
Supraventricular tachycardia is the most common symptomatic arrhythmia in children. Therefore, paediatricians should be familiar with this problem. There has been great progress recently. Pathophysiological mechanisms are better known and pharmacological options more diversified. Also, curative therapy is available by catheter ablation. This article reviews this cardiac rate disorder under a number of perspectives: definition, epidemiology, categories (mainly Wolff-Parkinson-White syndrome and atrioventricular node reentry), clinical features, differential diagnosis, therapeutic options and prognosis.
室上性心动过速是儿童最常见的有症状心律失常。因此，儿科医生应熟悉这一问题。近年来取得了很大进展。病理生理机制已更为人所知，药理学选择也更多样化。此外，导管消融可作为根治性治疗方法。本文从多个角度对这种心率紊乱进行综述：定义、流行病学、分类（主要是预激综合征和房室结折返性心动过速）、临床特征、鉴别诊断、治疗选择和预后。
