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MGH Cardiology Board Review pp 394–413Cite as

Supraventricular Arrhythmias

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Abstract

Supraventricular arrhythmias are relatively common, can occur in people of all ages, and may be associated with symptoms, morbidity, and mortality. In this chapter, we review the diagnosis and treatment of this class of arrhythmias.

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Abbreviations

AF:

Atrial fibrillation

AFL:

Atrial flutter

AT:

Atrial tachycardia

AV:

Atrioventricular

AVNRT:

Atrioventricular nodal reentrant tachycardia

AVRT:

Atrioventricular reentrant tachycardia

BB:

Beta blockers

BBB:

Bundle branch block

BPM:

Beats per minute

CCB:

Calcium channel blockers

CHD:

Coronary heart disease

EKG:

Electrocardiogram

EPS:

Electrophysiologic study

HF:

Heart failure

ICD:

Implantable cardioverter defibrillator

IST:

Inappropriate sinus tachycardia

LBB(B):

Left bundle branch (block)

LGL:

Lown-Ganong-Levine syndrome

MAT:

Multifocal atrial tachycardia

NCT:

Narrow complex tachycardia(s)

NPJT:

Non-paroxysmal junctional tachycardia

PJRT:

Permanent junctional reciprocating tachycardia

POTS:

Postural Orthostatic Tachycardia Syndrome

PV:

Pulmonary vein

RBB(B):

Right bundle branch (block)

SA:

Sinoatrial

SACT:

Sinoatrial conduction time

SCD:

Sudden cardiac death

SNRT:

Sinoatrial nodal reentrant tachycardia

ST:

Sinus tachycardia

SVT:

Supraventricular tachycardia(s)

TTE:

Transthoracic echocardiography

VF:

Ventricular fibrillation

WCT:

Wide complex tachycardia(s)

WPW:

Wolff-Parkinson-White syndrome

References

  1. Josephson ME. Clinical cardiac electrophysiology: techniques and interpretations. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2008.

    Google Scholar 

  2. Shine KI, Kastor JA, Yurchak PM. Multifocal atrial tachycardia. Clinical and electrocardiographic features in 32 patients. N Engl J Med. 1968;279(7):344–9.

    Article  PubMed  CAS  Google Scholar 

  3. Healey JS, Connolly SJ, Gold MR, Israel CW, Van Gelder IC, Capucci A, et al. ASSERT Investigators. Subclinical atrial fibrillation and the risk of stroke. N Engl J Med. 2012;366(2):120–9.

    Article  PubMed  CAS  Google Scholar 

  4. Fuster V, Rydén LE, Cannom DS, et al. ACCF/AHA/HRS focused updates incorporated into the ACC/AHA/ESC 2006 Guidelines for the management of patients with atrial fibrillation. J Am Coll Cardiol. 2011;57(11):101–98.

    Article  Google Scholar 

  5. Calkins H, Kuck KH, Cappato R, et al. HRS/EHRA/ECAS expert consensus statement on catheter and surgical ablation of atrial fibrillation: recommendations for patient selection, procedural techniques, patient management and follow-up, definitions, endpoints, and research trial design: a report of the Heart Rhythm Society (HRS) Task Force on Catheter and Surgical Ablation of Atrial Fibrillation. Heart Rhythm. 2012;9(4):632–96.

    Article  PubMed  Google Scholar 

  6. Gage BF, Waterman AD, Shannon W, Boechler M, Rich MW, Radford MJ. Validation of clinical classification schemes for ­predicting stroke: results from the National Registry of Atrial Fibrillation. JAMA. 2001;285(22):2864–70.

    Article  PubMed  CAS  Google Scholar 

  7. Lip GY, Nieuwlaat R, Pisters R, Lane DA, Crijns HJ. Refining clinical risk stratification for predicting stroke and thromboembolism in atrial fibrillation using a novel risk factor-based approach: the euro heart survey on atrial fibrillation. Chest. 2010;137(2):263–72.

    Article  PubMed  Google Scholar 

  8. Braunwald E, editor. Heart disease: a textbook of cardiovascular medicine. 3rd ed. Philadelphia: Saunders; 1988.

    Google Scholar 

  9. Obeyesekere MN, Leong-Sit P, Massel D, et al. Risk of arrhythmia and sudden death in patients with asymptomatic preexcitation: a meta-analysis. Circulation. 2012;125(19):2308–15.

    Article  PubMed  Google Scholar 

  10. Brugada P, Brugada J, Mont L, Smeets J, Andries EW. A new approach to the differential diagnosis of a regular tachycardia with a wide QRS complex. Circulation. 1991;83(5):1649–59.

    Article  PubMed  CAS  Google Scholar 

  11. Vereckei A, Duray G, Szénási G, Altemose GT, Miller JM. Application of a new algorithm in the differential diagnosis of wide QRS complex tachycardia. Eur Heart J. 2007;28(5):589–600.

    Article  PubMed  Google Scholar 

  12. Blomström-Lundqvist C, Scheinman MM, Aliot EM, et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias – executive summary. J Am Coll Cardiol. 2003;42(8):1493–531.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Harvard Medical School Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA

    William J. Kostis PHD, MD (Clinical and Research Fellow)

  2. Harvard Medical School, Boston, USA

    Jeremy N. Ruskin MD (Associate Professor of Medicine)

  3. Cardiac Arrhythmia Service, Cardiology Division, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA

    Jeremy N. Ruskin MD (Director)

Authors
  1. William J. Kostis PHD, MD
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  2. Jeremy N. Ruskin MD
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  3. Jeremy N. Ruskin MD
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Editor information

Editors and Affiliations

  1. Cardiology Division Yawkey Building 5B, Room 5850, Massachusetts General Hospital, Boston, Massachusetts, USA

    Hanna K. Gaggin

  2. Cardiology Division Yawkey Building, Suite 5984, Massachusetts General Hospital, Boston, Massachusetts, USA

    James L. Januzzi, Jr.

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© 2014 Springer-Verlag London

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Kostis, W.J., Ruskin, J.N., Ruskin, J.N. (2014). Supraventricular Arrhythmias. In: Gaggin, H., Januzzi, Jr., J. (eds) MGH Cardiology Board Review. Springer, London. https://doi.org/10.1007/978-1-4471-4483-0_23

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  • DOI: https://doi.org/10.1007/978-1-4471-4483-0_23

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4482-3

  • Online ISBN: 978-1-4471-4483-0

  • eBook Packages: MedicineMedicine (R0)

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