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Previous Volume 354:1039-1051 March 9, 2006 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 28-year-old woman suddenly has rapid palpitations accompanied by chest pain and dizziness while playing her cello. She is brought to an emergency department. She has a faint regular pulse of 190 beats per minute. Her blood pressure is 82/54 mm Hg. Cardiovascular examination reveals no signs of heart failure. An electrocardiogram shows a regular tachycardia with a narrow QRS complex and . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

General Evaluation of Patients

Treatment

Short-Term Therapy

            Vagal Maneuvers

            Adenosine

            Other Agents

            Wide-QRS-Complex Supraventricular Tachycardia

Long-Term Management

Pharmacologic Therapy

            "Pill-in-the-Pocket" Approach

            Supraventricular Tachycardia with the Wolff–Parkinson–White Syndrome

            Catheter Ablation

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Swiss Cardiovascular Centre Bern, University Hospital Bern, Bern, Switzerland.

Address reprint requests to Dr. Delacrétaz at Swiss Cardiovascular Center Bern, University Hospital Bern, CH-3010 Bern, Switzerland, or at etienne.delacretaz@insel.ch.

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