Supraventricular tachydysrhythmias in the emergency department.

Delbert D Clark, Morgan McGuire, Mary Jones, Heather Bruner, David Bruner

Journal: Emergency medicine practice 2021;22(8):1-28

PMID: 32678566

Abstract

Diagnosing and treating supraventricular tachycardias is routine in emergency medicine, and new strategies can improve efficiency and outcomes. This review provides an overview of supraventricular tachycardias, their pathophysiology, differential diagnosis, and electrocardiographic features. Clinical evidence guiding contemporary practice is determined largely by multiple observational studies, with few randomized controlled trials. Current prehospital and emergency department management strategies beyond the use of adenosine and calcium channel blockers are addressed. Diagnostic and therapeutic recommendations are provided, based on the best available evidence.

Address: Staff Physician, Emergency Medicine Department, Naval Hospital Camp Pendleton, Oceanside, CA.; Staff Physician, Emergency Medicine Department, Naval Medical Center San Diego, San Diego, CA.; Assistant Clinical Professor of Palliative Medicine, University of California San Diego, San Diego, CA.; Staff Physician, Department of Emergency Medicine, Scripps Mercy Hospital, San Diego, CA.

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MeSH Terms: Adenosine, Adolescent, Adrenergic beta-Antagonists, Adult, Aged, Atrial Fibrillation, Calcium Channel Blockers, Carotid Sinus, Diagnosis, Differential, Electrocardiography, Emergency Medicine, Emergency Service, Hospital, Female, Humans, Male, Massage, Middle Aged, Practice Guidelines as Topic, Pregnancy, Tachycardia, Sinoatrial Nodal Reentry, Tachycardia, Sinus, Tachycardia, Supraventricular, Young Adult