Paroxysmal supraventricular tachycardia classification: Difference between revisions

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Latest revision as of 22:58, 16 July 2020

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. Based on the on the underlying mechanism of tachycardia PSVT can be divided into 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. ECG findings include 2 subtypes: Short RP interval tachycardia and long RP 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]^[10]:
  - Atypical AVNRT (fast-slow)
  - Atrial tachycardia
  - Sinoatrial nodal reentrant tachycardia (SANRT)
  - Permanent junctional reciprocal tachycardia (PJRT)

References

↑ 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
↑ ^2.0 ^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
↑ ^3.0 ^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/
↑ ^4.0 ^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
↑ 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
↑ Hafeez Y, Grossman SA. Sinoatrial Nodal Reentrant Tachycardia (SANRT). In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2019.
↑ ^7.0 ^7.1 "2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary".
↑ Friedewald V.E. (2016) Supraventricular Tachycardia: (SVT/Paroxysmal Supraventicular Tachycardia/PSVT). In: Clinical Guide to Cardiovascular Disease. Springer, London
↑ 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
↑ Ban J. E. (2017). Neonatal arrhythmias: diagnosis, treatment, and clinical outcome. Korean journal of pediatrics, 60(11), 344–352. https://doi.org/10.3345/kjp.2017.60.11.344

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[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

[:0-2] 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

[:2-3] 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/

[:3-4] 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.

[:1-7] 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

[10] Ban J. E. (2017). Neonatal arrhythmias: diagnosis, treatment, and clinical outcome. Korean journal of pediatrics, 60(11), 344–352. https://doi.org/10.3345/kjp.2017.60.11.344

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@@ Line 23: / Line 23: @@
 ***[[AVRT]]
 ***[[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><ref>Ban J. E. (2017). Neonatal arrhythmias: diagnosis, treatment, and clinical outcome. ''Korean journal of pediatrics'', ''60''(11), 344–352. <nowiki>https://doi.org/10.3345/kjp.2017.60.11.344</nowiki></ref>:
 ***[[Atypical AVNRT]] (fast-slow)
 ***[[Atrial tachycardia]]

Paroxysmal supraventricular tachycardia classification: Difference between revisions

Latest revision as of 22:58, 16 July 2020

Overview

Classification

References

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