{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:32:39Z","timestamp":1787070759609,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:p>Conduction abnormalities in neonates are not common and some arrhythmias may resolve spontaneously, while refractory abnormalities may persist. Some rare arrhythmias may be associated with congestive cardiac failure (CCF) or shock, requiring immediate intervention. Most supraventricular tachycardias (SVT) respond to adenosine and are rarely refractory. If not managed properly, it may result in more complications, prolonged hospital stays, and mortality. Here, we are reporting the case of a 20-day-old baby who presented with poor feeding, respiratory distress, lethargy, and tachycardia. The heart rate was at 248 beats per minute, and the electrocardiogram showed a narrow QRS complex arrhythmia. The baby was diagnosed with arrhythmia with CCF and was loaded with adenosine. The baby did not respond to increasing subsequent adenosine doses, so the baby needed an amiodarone infusion, digoxin therapy, and cardioversion. The baby was successfully managed and discharged on tablet propranolol and syrup digoxin, which were discontinued at subsequent visits. Refractory arrhythmias are not a rare phenomenon and can be seen in neonates too, so any baby, if not responding to conventional treatment and adenosine, must be treated with second-line antiarrhythmic drugs.<\/jats:p>","DOI":"10.4103\/jfmpc.jfmpc_948_23","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T14:00:30Z","timestamp":1781791230000},"page":"2137-2139","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A varying presentation of refractory supra ventricular tachycardia in a newborn: A rare and unusual case report"],"prefix":"10.4103","volume":"15","author":[{"given":"Aditi","family":"Rawat","sequence":"first","affiliation":[{"name":"Department of Neonatology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahaveer S.","family":"Lakra","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sagar A. R.","family":"Karotkar","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhavana","family":"Lakhkar","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amar","family":"Taksande","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,6,18]]},"reference":[{"key":"R1-20260619","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1017\/S1047951100003206","article-title":"Irregular heart rate in the foetus: Not always benign","volume":"6","author":"Simpson","year":"1996","journal-title":"Cardiol Young"},{"key":"R2-20260619","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/S1058-9813(00)00033-3","article-title":"Supraventricular tachycardia in the neonate and infant","volume":"11","author":"Moak","year":"2000","journal-title":"Prog Pediatr Cardiol"},{"key":"R3-20260619","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1136\/adc.2005.077636","article-title":"Guidelines and adenosine dosing in supraventricular tachycardia","volume":"90","author":"Dixon","year":"2005","journal-title":"Arch Dis Child"},{"key":"R4-20260619","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1067\/mhj.2001.111765","article-title":"Amiodarone is safe and highly effective therapy for supraventricular tachycardia in infants","volume":"141","author":"Etheridge","year":"2001","journal-title":"Am Heart J"},{"key":"R5-20260619","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.ipej.2019.09.004","article-title":"Neonatal supraventricular tachycardia","volume":"19","author":"Srinivasan","year":"2019","journal-title":"Indian Pacing Electrophysiol J"},{"key":"R6-20260619","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1007\/s00246-012-0306-8","article-title":"The Ross classification for heart failure in children after 25 years: A review and an age-stratified revision","volume":"33","author":"Ross","year":"2012","journal-title":"Pediatr Cardiol"},{"key":"R7-20260619","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1097\/PEC.0b013e3181ce2f6a","article-title":"Intravenous amiodarone used alone or in combination with digoxin for life-threatening supraventricular tachyarrhythmia in neonates and small infants","volume":"26","author":"Dilber","year":"2010","journal-title":"Pediatr Emerg Care"},{"key":"R8-20260619","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1161\/01.CIR.0000109494.05317.58","article-title":"Amiodarone therapy for drug-refractory fetal tachycardia","volume":"109","author":"Strasburger","year":"2004","journal-title":"Circulation"},{"key":"R9-20260619","first-page":"617","article-title":"A case report of neonatal supraventricular tachycardia resolved with single-syringe adenosine","volume":"4","author":"McDowell","year":"2020","journal-title":"Clin Pract Cases Emerg Med"},{"key":"R10-20260619","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/s13052-020-00876-7","article-title":"Neonatal supraventricular tachycardia and necrotizing enterocolitis: Case report and literature review","volume":"46","author":"Mecarini","year":"2020","journal-title":"Ital J Pediatr"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_948_23","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:36:08Z","timestamp":1787067368000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_948_23"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_948_23","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5]]},"assertion":[{"value":"2023-06-09","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}