Publications by authors named "Sakethram S Vijayashankar"

Question: Recently, a 3-year-old patient in my practice urgently needed to go to the emergency department. The patient was found to have supraventricular tachycardia (SVT) and needed immediate treatment with adenosine. What evidence is currently available for management of SVT in children?

Answer: Supraventricular tachycardia is a common cardiac condition in the pediatric population that manifests as a narrow QRS complex tachycardia on electrocardiography.

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Article Synopsis
  • The study aimed to investigate the clinical features and outcomes of newborns who experience left ventricle (LV) dysfunction within the first 48 hours after birth, excluding cases with perinatal asphyxia or structural heart issues.
  • Researchers conducted a retrospective analysis involving 19 identified infants from a larger pool, noting that the majority had no discernible underlying cause for their LV dysfunction, although some had been exposed to drugs during pregnancy.
  • The findings suggest that LV dysfunction may arise from the challenges of adapting to life outside the womb, and while most infants recovered within two weeks, three infants unfortunately did not survive.
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Necrotizing enterocolitis (NEC) is a relatively rare but devastating entity associated classically with the preterm cohort in the neonatal intensive care unit. Preterm and term babies with congenital heart disease are at risk of a number of comorbidities because of the hemodynamic derangements due to a structurally abnormal heart and the corrective procedures adopted. Necrotizing enterocolitis is one of the dreaded complications associated with this cohort and impacts the course of these babies in the hospital in a major way.

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Accelerated idioventricular rhythm (AIVR) is an uncommon but benign rhythm, seen most commonly in children. It is associated with reperfusion injury after myocardial infarction in adults. In children, it is usually seen as an idiopathic finding in the absence of heart disease.

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