Case |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
Age |
1 month |
15 months |
2 years |
3 years |
3 years |
3 years |
6 years |
Sex |
M |
M |
F |
F |
M |
F |
F |
History of asthma |
no |
no |
yes |
yes |
yes |
yes |
no |
History of SVT |
no |
no |
yes |
yes |
yes |
no |
no |
History of heart disease |
yes |
no |
no |
no |
no |
no |
no |
Family history of arrhythmia |
no |
no |
no |
no |
yes |
no |
no |
Number of days of illness |
1 |
3 |
1 |
1 |
2 |
1 |
2 |
Pre-hospital beta-2 agonist |
N/A |
1 dose albuterol |
2 doses albuterol |
levalbuterol every 4 hours for 1 day |
2 doses albuterol |
2 doses levalbuterol |
4 doses albuterol |
Beta-2 agonist before SVT |
6 doses of albuterol 2.5 mg over 12 hours with decreasing interval (15 mg total) |
5 doses of albuterol 2.5 mg over 48 hours (12.5 mg total) |
2 doses of levalbuterol 0.63 mg over 1 hour (1.26 mg total) |
Arrived to ED in SVT after 2.5 mg albuterol at PCP office |
Arrived to ED in SVT after 1.26 mg levalbuterol at PCP office |
albuterol 10 mg/hr for 4 hours |
albuterol 20 mg/hr for 5 hours |
Patient location at onset of SVT |
ICU |
Hospital Floor |
ED |
PCP |
PCP |
ICU |
ICU |
Conversion |
adenosine 0.4mg (0.1 mg/kg) |
spontaneous |
2 doses adenosine 1.3 mg (0.1 mg/kg) |
adenosine 1.4 mg (0.1 mg/kg) then 2 doses 2.8 mg (0.2 mg/kg) |
3 doses adenosine 0.6 mg (0.1 mg/kg) then electrical cardioversion |
adenosine 1.5 mg (0.1 mg/kg) |
adenosine 12 mg (0.6 mg/kg) |
Disposition Physician-stated cause for SVT |
ICU albuterol |
ICU mediastinal mass |
ICU levalbuterol |
floor albuterol |
floor levalbuterol |
ICU undiagnosed WPW |
ICU albuterol |