Diagnosis and management of supraventricular tachycardia

Whinnett, Z. I.; Sohaib, S. M. A.; Davies, D. W.

doi:10.1136/bmj.e7769

Cited by 47Cardiac Arrhythmias and TreatmentsCardiac electrophysiology and arrhythmiasAtrial Fibrillation Management and Outcomes

Diagnosis and management of supraventricular tachycardia

Whinnett, Z. I., Sohaib, S. M. A., Davies, D. W.·2012·BMJ

DOI 10.1136/bmj.e7769

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Abstract

#### Summary points #### Sources and selection criteria As well as using our personal reference collections, we searched PubMed to identify peer reviewed original articles, meta-analyses, observational studies, and reviews, as well as searching Clinical Evidence (http://clinicalevidence.bmj.com) and the Cochrane Collaboration databases. We used the search terms supraventricular tachycardia, atrioventricular nodal re-entry tachycardia, atrioventricular re-entry tachycardia, atrial flutter, atrial tachycardia, Wolff-Parkinson-White syndrome. We selected randomised controlled studies or meta-analyses when available; if none were available, we used observational studies and registry data. The term supraventricular tachycardia (SVT) encompasses many tachycardias in which atrial or atrioventricular nodal tissue are essential for sustaining the arrhythmia (box 1). In practice, however, the term SVT is generally used to refer to atrioventricular nodal re-entry tachycardia (AVNRT), atrioventricular re-entry tachycardia (AVRT), and atrial tachycardia1; in this review we follow that convention. We reviewed the literature to provide an up to date summary of our understanding of the mechanism for these arrhythmias, and we describe the approach to their diagnosis and management. Atrial fibrillation has been reviewed recently2 so is not discussed in detail here. Much of the clinical evidence in this field is derived from observational and registry data, with a limited number of …

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Not all patients with manifest ventricular preexcitation develop paroxysmal SVT.
“However, not all patients with manifest ventricular preexcitation develop paroxysmal SVT.6,8”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [8]

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Authors: Whinnett, Z. I., Sohaib, S. M. A., & Davies, D. W.
Affiliations: Imperial College Healthcare NHS Trust (GB)
Corresponding author: Davies, D. W.
ORCID: Whinnett, Z. I.
Venue: BMJ
Publisher: BMJ
Published: 2012-12-11
Volume: 345
Issue: dec11 1
Pages: e7769-e7769
ISSN: 1756-1833 (ISSN-L)
DOI: 10.1136/bmj.e7769
OpenAlex: W1967347440
Cited by: 47
References: 41
Citations by year: 2025: 1 · 2024: 3 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 3 · 2017: 3 · 2016: 5 · 2015: 11 · 2014: 3 · 2013: 2
FWCI: 3.29
Type: journal article
Language: en
Open access: closed
Locations: BMJ (publishedVersion)
PubMed (publishedVersion)
HighWire Press Open Archive (submittedVersion)
Funders: British Heart Foundation (SP/10/002/28189, FS/11/92/29122, FS/10/38/28268)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Keywords: supraventricular tachycardia, atrioventricular nodal reentrant tachycardia, atrial tachycardia, Wolff-Parkinson-White syndrome, atrial flutter, arrhythmia mechanisms, diagnosis, management
MeSH terms: Anti-Arrhythmia Agents, Diagnosis, Differential, Echocardiography, Electric Countershock, Electrocardiography, Humans, Tachycardia, Atrioventricular Nodal Reentry, Tachycardia, Supraventricular, Valsalva Maneuver, Catheter Ablation

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Diagnosis and management of supraventricular tachycardia

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