Supraventricular tachycardia AHA recommendations for Management of IST

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2015 ACC/AHA Guideline Recommendations;
Acute Treatment of SVT of Unknown Mechanism
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Ongoing Management of IST
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S [2]

Overview

Evaluation for and treatment of reversible causes are recommended in patients with suspected IST. Ivabradine is reasonable for ongoing management in patients with symptomatic IST.^[1]

Management of IST(Inappropriate sinus tachycardia)

2015 AHA recommendations for management of IST are described below:^[1]

Acute treatment of IST (Inappropriate sinus tachycardia)

There are no specific recommendations for acute treatment of IST.

Treatment of ongoing IST

Class I
"1.Evaluation for and treatment of reversible causes are recommended in patients with suspected IST "(Level of Evidence: C-LD) "

Class IIa
"1.Ivabradine is reasonable for ongoing management in patients with symptomatic IST "(Level of Evidence: B-R) "

Class IIb
"1.Beta blockers may be considered for ongoing management in patients with symptomatic IST "(Level of Evidence:C-LD) "
"2.The combination of beta blockers and ivabradine may be considered for ongoing management in patients with IST ( "(Level of Evidence: C-LD) "

References

↑ ^1.0 ^1.1 Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ; et al. (2016). "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". J Am Coll Cardiol. 67 (13): e27–e115. doi:10.1016/j.jacc.2015.08.856. PMID 26409259.

[pmid26409259-1] 1.0 ^1.1 Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ; et al. (2016). "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". J Am Coll Cardiol. 67 (13): e27–e115. doi:10.1016/j.jacc.2015.08.856. PMID 26409259.

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