TY - JOUR
T1 - Supraventricular tachycardia
T2 - An overview of diagnosis and management
AU - Kotadia, Irum D.
AU - Williams, Steven E.
AU - O'Neill, Mark
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Supraventricular tachycardia (SVT) is a common cause of hospital admissions and can cause significant patient discomfort and distress. The most common SVTs include atrioventricular nodal re-entrant tachycardia, atrioventricular re-entrant tachycardia and atrial tachycardia. In many cases, the underlying mechanism can be deduced from electrocardiography during tachycardia, comparing it with sinus rhythm, and assessing the onset and offset of tachycardia. Recent European Society of Cardiology guidelines continue to advocate the use of vagal manoeuvres and adenosine as first-line therapies in the acute diagnosis and management of SVT. Alternative therapies include the use of beta-blockers and calcium channel blockers. All patients treated for SVT should be referred for a heart rhythm specialist opinion. Long-term treatment is dependent on several factors including frequency of symptoms, risk stratification, and patient preference. Management can range from conservative, if symptoms are rare and the patient is low risk, to catheter ablation which is curative in the majority of patients.
AB - Supraventricular tachycardia (SVT) is a common cause of hospital admissions and can cause significant patient discomfort and distress. The most common SVTs include atrioventricular nodal re-entrant tachycardia, atrioventricular re-entrant tachycardia and atrial tachycardia. In many cases, the underlying mechanism can be deduced from electrocardiography during tachycardia, comparing it with sinus rhythm, and assessing the onset and offset of tachycardia. Recent European Society of Cardiology guidelines continue to advocate the use of vagal manoeuvres and adenosine as first-line therapies in the acute diagnosis and management of SVT. Alternative therapies include the use of beta-blockers and calcium channel blockers. All patients treated for SVT should be referred for a heart rhythm specialist opinion. Long-term treatment is dependent on several factors including frequency of symptoms, risk stratification, and patient preference. Management can range from conservative, if symptoms are rare and the patient is low risk, to catheter ablation which is curative in the majority of patients.
KW - Arrhythmia
KW - ECG
KW - Narrow complex tachycardia
KW - SVT
KW - Supraventricular tachycardia
UR - http://www.scopus.com/inward/record.url?scp=85077940758&partnerID=8YFLogxK
U2 - 10.7861/clinmed.cme.20.1.3
DO - 10.7861/clinmed.cme.20.1.3
M3 - Review article
C2 - 31941731
AN - SCOPUS:85077940758
SN - 1470-2118
VL - 20
SP - 43
EP - 47
JO - Clinical medicine (London, England)
JF - Clinical medicine (London, England)
IS - 1
ER -