Supraventricular Tachycardias

Author: Jason M Kendall / Editor: Chris Gray / Reviewer: Thomas MacMahon, Tom White / Codes: A1Published: 10/02/2023

This session is designed to help you understand the principles, basic physiology, and clinical features of supraventricular tachycardias. It is written from a clinical standpoint, with testing based on scenarios, and the main text based on ECG interpretation.

Before this session you should have:

  • Basic knowledge of ECG interpretation
  • Some experience in assessment and treatment of patients presenting with arrhythmias

After completing this session you will be able to:

  • Distinguish electrocardiographically between the different types of supraventricular tachycardias
  • Describe the causes of the various types of supraventricular tachycardias
  • Interpret features of the history and examination which suggest a diagnosis of supraventricular tachycardias
  • Formulate appropriate management plans for each type of supraventricular tachycardias.

References:

  1. Mann DL, et al. Braunwald’s Heart Disease E-Book, 10th Edition. A Textbook of Cardiovascular Medicine. Saunders Co; 2014.
  2. Goodacre S, Irons R. ABC of clinical electrocardiography: Atrial arrhythmias. BMJ. 2002 Mar 9;324(7337):594-7.
  3. Borke J. Emergent Management of Atrial Flutter. Medscape, 2018.
  4. 2019 Guidelines on Supraventricular Tachycardia (for the management of patients with). ESC Clinical Practice Guidelines. European Society of Cardiology (ESC), 2019.
  5. Burns E, Buttner R. Focal Atrial Tachycardia (FAT). Life in the FastLane, 2022.
  6. Alabed S, Sabouni A, Providencia R, et al. Adenosine versus intravenous calcium channel antagonists for supraventricular tachycardia. Cochrane Database Syst Rev. 2017 Oct 12;10(10):CD005154.
  7. Rappaport S. Calcium channel blockers for stable SVT: A first line agent over adenosine?, 2016.

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