Supraventricular tachycardia is any tachyarrhythmia that requiresatrial or atrioventricular junctional tissue for its initiationand maintenance. Decades ago the term "paroxysmal atrial tachycardia"was coined to describe supraventricular tachycardia that beganand ended abruptly. This term has become obsolete, however,since it is now clear that many such arrhythmias arise in theatrioventricular junction, not in atrial muscle itself. Muchof our present knowledge about the sites of origin and mechanismsof supraventricular tachycardia has been derived from cellularelectrophysiologic studies and from clinical electrophysiologicstudies using the technique of programmed electrical stimulation.1,2We have learned that such arrhythmias . . . [Full Text of this Article]
Mechanisms of Supraventricular Tachycardia
Atrioventricular Nodal Reentrant Tachycardia
Supraventricular Tachycardia Mediated by Accessory Pathways
Nonparoxysmal Junctional Tachycardia
Sinus-Node Reentrant Tachycardia
Unifocal Atrial Tachycardia
Multifocal Atrial Tachycardia
Initial Management
Differential Diagnosis
Therapy
Long-Term Medical Therapy
Catheter Ablation
Recommendations for Management
Source Information
From the Cardiac Arrhythmia Service and Clinical Electrophysiology Laboratory, Brigham and Women's Hospital and Harvard Medical School, Boston.
Address reprint requests to Dr. Friedman at the Cardiovascular Division, Brigham and Women's Hospital, 75 Francis St., Boston, MA 02115.
References
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Supraventricular Tachycardia
Hintringer F., Pürerfellner H., Aichinger J., DeGroff C. G., Grille W., Asbeck F., Ganz L. I., Friedman P. L.
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N Engl J Med 1995;
333:323-324, Aug 3, 1995.
Correspondence
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(1995). Supraventricular Tachycardia. NEJM
333: 323-324
[Full Text]