Paroxysmal supraventricular tachycardia classification: Difference between revisions

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* PSVT can be [[Classification|classified]] based on the underling mechanism and ECG findings.
* PSVT can be [[Classification|classified]] based on the underling mechanism and ECG findings.


* PSVT may be classified based on the underlying mechanism of tachycardia into <ref>Fox, D. J., Tischenko, A., Krahn, A. D., Skanes, A. C., Gula, L. J., Yee, R. K., & Klein, G. J. (2008). Supraventricular Tachycardia: Diagnosis and Management. Mayo Clinic Proceedings, 83(12), 1400–1411</ref><ref name=":0">Ferguson JD, DiMarco JP. Contemporary management of paroxysmal supraventricular tachycardia. ''Circulation''. 2003;107(8):1096-1099. doi:10.1161/01.cir.0000059743.36226.e8</ref><ref>Hafeez Y, Armstrong TJ. Atrioventricular Nodal Reentry Tachycardia (AVNRT) [Updated 2020 May 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: <nowiki>https://www.ncbi.nlm.nih.gov/books/NBK499936/</nowiki></ref><ref>Lim W.Y., Baca M. (2020) Accessory Pathways and Atrioventricular Re-entrant Tachycardia (AVRT). In: Sohaib A. (eds) Decoding Cardiac Electrophysiology. Springer, Cham</ref><ref>Mahtani, A. U., & Nair, D. G. (2019). ''Supraventricular Tachycardia. Medical Clinics of North America, 103(5), 863–879.'' doi:10.1016/j.mcna.2019.05.007</ref><ref>Hafeez Y, Grossman SA. Sinoatrial Nodal Reentrant Tachycardia (SANRT). In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2019.</ref><ref name=":1">{{Cite web|url=https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000310|title=2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref>
* PSVT may be classified based on the underlying mechanism of tachycardia into <ref>Fox, D. J., Tischenko, A., Krahn, A. D., Skanes, A. C., Gula, L. J., Yee, R. K., & Klein, G. J. (2008). Supraventricular Tachycardia: Diagnosis and Management. Mayo Clinic Proceedings, 83(12), 1400–1411</ref><ref name=":0">Ferguson JD, DiMarco JP. Contemporary management of paroxysmal supraventricular tachycardia. ''Circulation''. 2003;107(8):1096-1099. doi:10.1161/01.cir.0000059743.36226.e8</ref><ref name=":2">Hafeez Y, Armstrong TJ. Atrioventricular Nodal Reentry Tachycardia (AVNRT) [Updated 2020 May 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: <nowiki>https://www.ncbi.nlm.nih.gov/books/NBK499936/</nowiki></ref><ref name=":3">Lim W.Y., Baca M. (2020) Accessory Pathways and Atrioventricular Re-entrant Tachycardia (AVRT). In: Sohaib A. (eds) Decoding Cardiac Electrophysiology. Springer, Cham</ref><ref>Mahtani, A. U., & Nair, D. G. (2019). ''Supraventricular Tachycardia. Medical Clinics of North America, 103(5), 863–879.'' doi:10.1016/j.mcna.2019.05.007</ref><ref>Hafeez Y, Grossman SA. Sinoatrial Nodal Reentrant Tachycardia (SANRT). In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2019.</ref><ref name=":1">{{Cite web|url=https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000310|title=2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref>
*** AV nodal reentry (AVNRT)
*** AV nodal reentry (AVNRT)
*** AV reentry (AVRT)
*** AV reentry (AVRT)
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* PSVT may be classified based on the ECG appearance into <ref name=":0" />:
* PSVT may be classified based on the ECG appearance into <ref name=":0" />:
** Short RP interval tachycardia <ref>Friedewald V.E. (2016) Supraventricular Tachycardia: (SVT/Paroxysmal Supraventicular Tachycardia/PSVT). In: Clinical Guide to Cardiovascular Disease. Springer, London</ref>:
** Short RP interval tachycardia <ref name=":2" /><ref name=":3" /><ref>Friedewald V.E. (2016) Supraventricular Tachycardia: (SVT/Paroxysmal Supraventicular Tachycardia/PSVT). In: Clinical Guide to Cardiovascular Disease. Springer, London</ref>:
*** AVNRT
*** AVNRT
*** AVRT
*** AVRT
*** Atrial tachycardia with first-degree AV block
*** Atrial tachycardia with first-degree AV block
** Prolonged RP interval tachycardia <ref name=":1" /> <ref>Blomström-Lundqvist C, Scheinman MM, Aliot EM, et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias--executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias). ''Circulation''. 2003;108(15):1871-1909. doi:10.1161/01.CIR.0000091380.04100.84</ref>:
** Prolonged RP interval tachycardia <ref name=":1" /><ref>Blomström-Lundqvist C, Scheinman MM, Aliot EM, et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias--executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias). ''Circulation''. 2003;108(15):1871-1909. doi:10.1161/01.CIR.0000091380.04100.84</ref>:
*** Atypical AVNRT (fast-slow)
*** Atypical AVNRT (fast-slow)
*** Atrial tachycardia
*** Atrial tachycardia

Revision as of 20:36, 16 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Noha Elzeiny, M.B.B.Ch, M.Sc.[2]

Overview

PSVT may be classified into several sub types based on underlying mechanism of tachycardia and ECG findings.

ECG findings include 2 subtypes: Short PR interval tachycardia and long PR interval tachycardia.

Classification

  • PSVT can be classified based on the underling mechanism and ECG findings.
  • PSVT may be classified based on the underlying mechanism of tachycardia into [1][2][3][4][5][6][7]
      • AV nodal reentry (AVNRT)
      • AV reentry (AVRT)
      • Atrial tachycardia
      • Sinoatrial nodal reentrant tachycardia (SANRT)
      • Intra atrial reentrant tachycardia (IART)
      • Junctional ectopic tachycardia and nonparoxysmal junctional tachycardia (nonreentrent tachycardia, rare in adults, however represent a common cause of PSVT in children )
  • PSVT may be classified based on the ECG appearance into [2]:
    • Short RP interval tachycardia [3][4][8]:
      • AVNRT
      • AVRT
      • Atrial tachycardia with first-degree AV block
    • Prolonged RP interval tachycardia [7][9]:
      • Atypical AVNRT (fast-slow)
      • Atrial tachycardia
      • Sinoatrial nodal reentrant tachycardia (SANRT)
      • Permanent junctional reciprocal tachycardia (PJRT)

References

  1. ↑ Fox, D. J., Tischenko, A., Krahn, A. D., Skanes, A. C., Gula, L. J., Yee, R. K., & Klein, G. J. (2008). Supraventricular Tachycardia: Diagnosis and Management. Mayo Clinic Proceedings, 83(12), 1400–1411
  2. ↑ 2.0 2.1 Ferguson JD, DiMarco JP. Contemporary management of paroxysmal supraventricular tachycardia. Circulation. 2003;107(8):1096-1099. doi:10.1161/01.cir.0000059743.36226.e8
  3. ↑ 3.0 3.1 Hafeez Y, Armstrong TJ. Atrioventricular Nodal Reentry Tachycardia (AVNRT) [Updated 2020 May 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499936/
  4. ↑ 4.0 4.1 Lim W.Y., Baca M. (2020) Accessory Pathways and Atrioventricular Re-entrant Tachycardia (AVRT). In: Sohaib A. (eds) Decoding Cardiac Electrophysiology. Springer, Cham
  5. ↑ Mahtani, A. U., & Nair, D. G. (2019). Supraventricular Tachycardia. Medical Clinics of North America, 103(5), 863–879. doi:10.1016/j.mcna.2019.05.007
  6. ↑ Hafeez Y, Grossman SA. Sinoatrial Nodal Reentrant Tachycardia (SANRT). In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2019.
  7. ↑ 7.0 7.1 "2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary".
  8. ↑ Friedewald V.E. (2016) Supraventricular Tachycardia: (SVT/Paroxysmal Supraventicular Tachycardia/PSVT). In: Clinical Guide to Cardiovascular Disease. Springer, London
  9. ↑ Blomström-Lundqvist C, Scheinman MM, Aliot EM, et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias--executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias). Circulation. 2003;108(15):1871-1909. doi:10.1161/01.CIR.0000091380.04100.84


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