Clinical Case Database / Category: Patient Management
The acute management of supraventricular tachycardia
Publication details
Caroline Scally
Foundation Years Journal, volume 7, issue 6, p.6 (123Doc Education, London, June 2013)
Abstract
A 24 year old male is referred to the medical receiving unit with a 4 hour history of sudden onset of palpitation which he describes as a feeling of his heart racing. He denies any chest pain, breathlessness or light-headedness. These symptoms came on while he was sitting watching TV. He had consumed 4 pints of beer.
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Authors
Caroline Scally
Cardiolgy Registrar
The department of Cardiology
Aberdeen Royal Infirmary
Foresterhill
Aberdeen
carolinescally@nhs.net
References
1. ACC/AHA/ESC Guidelines for the Management of Patients With Supraventricular Arrhythmias A Report of the American College of Cardiology/ American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias) Developed in Collaboration with NASPE-Heart Rhythm Society Circulation 2003.
2. Klein GJ, Yee R, Leitch JW, Pharmacological Management of Supraventricular Tachycardia. Pacing and Clinical electrophysiology, 13: 1516-1524.
3. David J. Fox, Alexander Tischenko, Andrew D. Krahn, Allan C. Skanes, Lorne J. Gula, Raymond K. Yee, George J. Klein, Supraventricular Tachycardia: Diagnosis and Management. Mayo Clinic Proceedings, Volume 83, Issue 12, Pages 1400-1411
4. Link MS, Evaluation and initial treatment of supraventricular tachycardia. N Engl J Med 2012; 367:1438-48
5. Etienne Delacrétaz, M.D. Supraventricular Tachycardia. N Engl J Med 2006;354:1039-1051
6. Josephson ME, Kastor JA, Supraventricular tachycardia: Mechanisms and management. Annals of Internal Medicine 1997; 87(3):346-358
7. Orejarna LA, Vidaillet H jr, DeStefano F, et al. Paroxysmal Supraventricular tachycardia in the general population. J Am Coll Cardiol 1998;31:150-7
8. diMarco JP, sellers, TD, Lerman BB, Greenburg ML, Berne RM, Belardinelli L. Diagnostic and therapeutic use of adenosine in patients with supraventricular tachyarrythmias. J Am Coll Cardiol 1985;6:417-25
9. Delaney B, Loy J, Kelly AM. The relative efficacy of adenosine versus verapamil for the treatment of stable paroxysmal supraventricular tachycardia in adults: a meta-analysis. Eur J emerg Med 2011;18:148-52
10. Cairns CB, Niemann JT. Intravenous adenosine in the emergency department management of paroxysmal supraventricular tachycardia. Ann Emerg Med 1991;20:717-21.
11. Glatter KA, Cheng J, Dorostkar P, et al. Electrophysiologic effects of adenosine in patients with supraventricular tachycardia. Circulation 1999;99:1034-40
12. Resusitation guidelines on the management of peri-arrest arrythmias, Resus council UK 2010
13. John M Millar, Douglan P Zipes. Therapy for Cardiac Arrythmias In. Peter Libby MD, Robert O. Bonow MD, Douglas P. Zipes MD, Douglas L. Mann MD FACC Braunwald’s Heart Disease: A Textbook of Cardiovascular Medicine 8th edition. Saunders 2008
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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