Volume 13, Issue 4, Pages e92-e135 (April 2016)

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Presentation transcript:

Volume 13, Issue 4, Pages e92-e135 (April 2016) 2015 ACC/AHA/HRS guideline for the management of adult patients with supraventricular tachycardia: Executive summary Richard L. Page, MD, FACC, FAHA, FHRS, José A. Joglar, MD, FACC, FAHA, FHRS, Mary A. Caldwell, RN, MBA, PhD, FAHA, Hugh Calkins, MD, FACC, FAHA, FHRS, Jamie B. Conti, MD, FACC, Barbara J. Deal, MD, N.A. Mark Estes III, MD, FACC, FAHA, FHRS, Michael E. Field, MD, FACC, FHRS, Zachary D. Goldberger, MD, MS, FACC, FAHA, FHRS, Stephen C. Hammill, MD, FACC, FHRS, Julia H. Indik, MD, PhD, FACC, FAHA, FHRS, Bruce D. Lindsay, MD, FACC, FHRS, Brian Olshansky, MD, FACC, FAHA, FHRS, Andrea M. Russo, MD, FACC, FHRS, Win-Kuang Shen, MD, FACC, FAHA, FHRS, Cynthia M. Tracy, MD, FACC, Sana M. Al-Khatib, MD, MHS, FACC, FAHA, FHRS Heart Rhythm Volume 13, Issue 4, Pages e92-e135 (April 2016) DOI: 10.1016/j.hrthm.2015.09.018 Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 1 Differential diagnosis for adult narrow QRS tachycardia. Patients with junctional tachycardia may mimic the pattern of slow-fast AVNRT and may show AV dissociation and/or marked irregularity in the junctional rate. *RP refers to the interval from the onset of surface QRS to the onset of visible P wave (note that the 90-ms interval is defined from the surface ECG,30 as opposed to the 70-ms ventriculoatrial interval that is used for intracardiac diagnosis31). AV indicates atrioventricular; AVNRT, atrioventricular nodal reentrant tachycardia; AVRT, atrioventricular reentrant tachycardia; ECG, electrocardiogram; MAT, multifocal atrial tachycardia; and PJRT, permanent form of junctional reentrant tachycardia. Modified with permission from Blomström-Lundqvist et al.12 Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 2 Acute treatment of regular SVT of unknown mechanism. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 3 Ongoing management of SVT of unknown mechanism. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 4 Acute treatment of suspected focal atrial tachycardia. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 5 Ongoing management of focal atrial tachycardia. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 6 Acute treatment of AVNRT. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 7 Ongoing management of AVNRT. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 8 Acute treatment of orthodromic AVRT. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 9 Ongoing management of orthodromic AVRT. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 10 Acute treatment of atrial flutter. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 11 Ongoing management of atrial flutter. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 12 Ongoing management of junctional tachycardia. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 13 Acute treatment of SVT in ACHD patients. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions

Figure 14 Ongoing management of SVT in ACHD patients. Heart Rhythm 2016 13, e92-e135DOI: (10.1016/j.hrthm.2015.09.018) Copyright © 2016 Heart Rhythm Society Terms and Conditions