2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society
Abstract
comparative and descriptive studies, case series, cohort studies, systematic reviews, and expert opinion.Only selected references are cited.The Task Force recognizes the need for objective, independent Evidence Review Committees (ERCs) that include methodologists, epidemiologists, clinicians, and biostatisticians who systematically survey, abstract, and assess the evidence to address key clinical questions posed in the PICOTS format (P=population, I=intervention, C=comparator, O=outcome, T=timing, S=setting). 4,5 Practical considerations, including time and resource constraints, limit the ERCs to evidence that is relevant to key clinical questions and lends itself to systematic review and analysis that could affect the strength of corresponding recommendations.Recommendations developed by the GWC on the basis of the systematic review are marked " SR ". Guideline-Directed Medical TherapyThe term guideline-directed medical therapy refers to care defined mainly by ACC/AHA Class I recommendations.For these and all recommended drug treatment regimens, the reader should confirm dosage with product insert material and carefully evaluate for contraindications and interactions.Recommendations are limited to treatments, drugs, and devices approved for clinical use in the United States. Class of Recommendation and Level of EvidenceThe Class of Recommendation (COR; ie, the strength of the recommendation) encompasses the anticipated magnitude and certainty of benefit in proportion to risk…
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The ACC/AHA guideline considers ablation possible in highly select patients refractory to medical therapy.
“The combination of beta-blocker and ivabradine therapy is given a class IIb recommendation and ablation is considered possible in highly select patients refractory to medical therapy.”
From Inappropriate sinus tachycardia (2019) · cites this paper as [4]
The ACC/AHA guideline gives ivabradine a class IIa recommendation.
“Beta-blocker therapy is given a class IIb recommendation whereas, similar to the HRS consensus document, ivabradine is given a class IIa recommendation.”
From Inappropriate sinus tachycardia (2019) · cites this paper as [4]
The ACC/AHA guideline gives beta-blocker therapy a class IIb recommendation.
“Beta-blocker therapy is given a class IIb recommendation whereas, similar to the HRS consensus document, ivabradine is given a class IIa recommendation.”
From Inappropriate sinus tachycardia (2019) · cites this paper as [4]
The ACC/AHA guideline gives the combination of beta-blocker and ivabradine therapy a class IIb recommendation.
“The combination of beta-blocker and ivabradine therapy is given a class IIb recommendation and ablation is considered possible in highly select patients refractory to medical therapy.”
From Inappropriate sinus tachycardia (2019) · cites this paper as [4]
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References 575 · Cited by 595
- Authors
- Page, R. L., Joglar, J. A., Caldwell, M. A., Calkins, H., Conti, J. B., Deal, B. J., Estes, N. A. M., Field, M. E., Goldberger, Z. D., Hammill, S. C., Indik, J. H., Lindsay, B. D., Olshansky, B., Russo, A. M., Shen, W.-K., Tracy, C. M., & Al-Khatib, S. M.
- Affiliations
- Writing committee members are required to recuse themselves from voting on sections to which their specific relationships with industry and other entities may apply; see Appendix 1 for recusal information. HRS Representative. ACC/AHA Representative. ACC/AHA Task Force on Performance Measures Liaison. ACC/AHA Task Force on Clinical Practice Guidelines Liaison. Former Task Force member; current member during this writing effort.
- ORCID
- Venue
- Circulation
- Published
- 2016-04-05
- Volume
- 133
- Issue
- 14
- Pages
- e27-74
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2125640901
- Cited by
- 595
- References
- 575
- Citations by year
- 2026: 15 · 2025: 24 · 2024: 47 · 2023: 45 · 2022: 43 · 2021: 75 · 2020: 86 · 2019: 65 · 2018: 55 · 2017: 87 · 2016: 43 · 2015: 7 · 2013: 1
- FWCI
- 46.58
- Type
- journal article
- Language
- en
- Update notices
- correction (2016-09-13)
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Keywords
- supraventricular tachycardia, adult patients, guideline-directed medical therapy, antiarrhythmic drugs, catheter ablation
- MeSH terms
- Adolescent, Adult, Cardiovascular Agents, Child, Child, Preschool, Combined Modality Therapy, Cost-Benefit Analysis, Decision Making, Diagnostic Techniques, Cardiovascular, Electrocardiography, Female, Humans, Male, Pregnancy, Pregnancy Complications, Cardiovascular, Quality of Life, Tachycardia, Supraventricular, Catheter Ablation, Evidence-Based Medicine, Disease Management, Young Adult
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