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==Overview==
==Overview==
Supraventricular tachycardia is a [[tachycardia]] or rapid rhythm of the heart in which the origin of the electrical signal is either the [[atria]] or the [[AV node]]. The best method to diagnose SVT, is through electrocardiography.
Supraventricular tachycardia is a [[tachycardia]] or rapid rhythm of the heart in which the origin of the electrical signal is either the [[atria]] or the [[AV node]]. The best method to diagnose SVT is through electrocardiography. Presentation on EKG will vary depending on the subtype. In general, [[QRS complex]]es tend to be tall and narrow, [[P waves]] are absent, and rate is greater than 100 beats per minute.


==Electrocardiogram==
==Electrocardiogram==
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The EKG below is an example demonstrating a rapid heart rate at the rate of nearly 300 beats per minute indicating a paroxysmal supraventricular tachycardia.
Shown below is an example of a EKG demonstrating a rapid heart rate at the rate of nearly 300 beats per minute indicating a paroxysmal supraventricular tachycardia.


[[Image:Paroxysmal_supraventricular_tachycardia.jpg|center|500px]]
[[Image:Paroxysmal_supraventricular_tachycardia.jpg|center|500px]]
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;For more EKG examples of supraventricular tachycardia, click [[Supraventricular_tachycardia_EKG_examples|here]]


;Fore more EKG examples of ventricular fibrillation, click [[Supraventricular_tachycardia_EKG_examples|here]]
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==References==
==References==

Revision as of 22:42, 24 October 2012

Supraventricular tachycardia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Among the Different Types of Supraventricular Tachycardia

Differentiating Supraventricular Tachycardia from Ventricular Tachycardia

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

EKG Examples

Chest X Ray

Echocardiography

Cardiac Catheterization

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

2015 ACC/AHA Guideline Recommendations

Acute Treatment of SVT of Unknown Mechanism
Ongoing Management of SVT of Unknown Mechanism
Ongoing Management of IST
Acute Treatment of Suspected Focal Atrial Tachycardia
Acute Treatment of Multifocal Atria Tachycardia
Ongoing Management of Multifocal Atrial Tachycardia
Acute Treatment of AVNRT
Ongoing Management of AVNRT
Acute Treatment of Orthodromic AVRT
Ongoing Management of Orthodromic AVRT
Asymptomatic Patients With Pre-Excitation
Management of Symptomatic Patients With Manifest Accessory Pathways
Acute Treatment of Atrial Flutter
Ongoing Management of Atrial Flutter
Acute Treatment of Junctional Tachycardia
Ongoing Management of Junctional Tachycardia
Acute Treatment of SVT in ACHD Patients
Ongoing Management of SVT in ACHD Patients
Acute Treatment of SVT in Pregnant Patients
Acute Treatment and Ongoing Management of SVT in Older Population

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Supraventricular tachycardia electrocardiogram On the Web

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Overview

Supraventricular tachycardia is a tachycardia or rapid rhythm of the heart in which the origin of the electrical signal is either the atria or the AV node. The best method to diagnose SVT is through electrocardiography. Presentation on EKG will vary depending on the subtype. In general, QRS complexes tend to be tall and narrow, P waves are absent, and rate is greater than 100 beats per minute.

Electrocardiogram

Shown below is an EKG example of supraventricular tachycardia. The heart rate is around 185 bpm. It is somewhat unusual presentation for someone with angina. The arrhythmia terminated with adenosine which has a powerful cholinergic effect that blocks conduction through the AV node.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:E345.jpg


Shown below is an EKG depicting a tachycardia at a rate of 190/min with narrow QRS complexes indicating supraventricular tachycardia.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:De-AW00011.jpg


Shown below is an EKG recording of a patient who goes from sinus rhythm to a wide complex tachycardia at about 130/min. The wide QRS though disappears after nine complexes and is replaced by narrow complexes at a slightly slower rate. No p wave activity is seen. This is a supraventricular tachycardia with a form of abberancy. In this case we are probably seeing a rate dependent left bundle branch block or the effect of a left bundle branch block which persists for the nine complexes because of continued block in the left bundle from the depolarizations from the intact right bundle.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/Main_Page


Shown below is an example of a EKG demonstrating a rapid heart rate at the rate of nearly 300 beats per minute indicating a paroxysmal supraventricular tachycardia.

Copyleft image obtained courtesy of ECGpedia, http://en.ecgpedia.org/wiki/File:De-AW00012.jpg


For more EKG examples of supraventricular tachycardia, click here


References


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