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Paediatric treatment

Authoring team

The arrythmia can occasionally be terminated by vagal stimulation:

  • in the infant, elicit the dive reflex by immersing its face in ice-cold water
  • in the child, the Valsalva manoeuvre, carotid massage and orbital pressure may be effective

In an emergency, DC cardioversion is indicated.

Anti-arrhythmic drugs include:

  • in the infant: adenosine or flecainide
  • in the child: verapamil
  • digoxin is effective, but slow (and should NOT be used in the Wolff-Parkinson-White syndrome)

Longterm prophylaxis:

  • digoxin
  • beta-blockers

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