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Paroxysmal supraventricular tachycardia

MedGen UID:
18314
•Concept ID:
C0030590
•
Disease or Syndrome
Synonyms: Paroxysmal Supraventricular Tachycardia; Paroxysmal Supraventricular Tachycardias; Supraventricular Tachycardia, Paroxysmal; Tachycardia, Paroxysmal Supraventricular
SNOMED CT: Paroxysmal supraventricular tachycardia (67198005)
 
HPO: HP:0004763

Definition

An episodic form of supraventricular tachycardia with abrupt onset and termination. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVParoxysmal supraventricular tachycardia

Conditions with this feature

Atrial conduction disease
MedGen UID:
863722
•Concept ID:
C4015285
•
Disease or Syndrome
A rare genetic cardiac disease characterized by variably expressed atrial tachyarrhythmia (such as atrial flutter, paroxysmal or chronic atrial fibrillation, ectopic atrial tachycardia, or multifocal atrial tachycardia), infra-Hisian conduction system disease, and vulnerability to dilated cardiomyopathy. Age of onset ranges between childhood and adulthood.
See: Condition Record
Short stature, facial dysmorphism, and skeletal anomalies with or without cardiac anomalies 1
MedGen UID:
1778119
•Concept ID:
C5542952
•
Disease or Syndrome
See: Condition Record
Atrial conduction disease
Short stature, facial dysmorphism, and skeletal anomalies with or without cardiac anomalies 1

Professional guidelines

PubMed

Diagnosis and Management of Paroxysmal Supraventricular Tachycardia.
Peng G, Zei PC
JAMA 2024 Feb 20;331(7):601-610. doi: 10.1001/jama.2024.0076. PMID: 38497695
Diagnosis and treatment of fetal and pediatric age patients (0-12 years) with Wolff-Parkinson-White syndrome and atrioventricular accessory pathways.
Leoni L, Bronzetti G, Colonna D, Porcedda G, Rimini A, Silvetti MS; Area Pediatrica, Associazione Italiana di Aritmologia e Cardiostimolazione (AIAC)
J Cardiovasc Med (Hagerstown) 2023 Sep 1;24(9):589-601. Epub 2023 May 29 doi: 10.2459/JCM.0000000000001484. PMID: 37409656Free PMC Article
Paroxysmal Supraventricular Tachycardia: Pathophysiology, Diagnosis, and Management.
Al-Zaiti SS, Magdic KS
Crit Care Nurs Clin North Am 2016 Sep;28(3):309-16. Epub 2016 Jun 7 doi: 10.1016/j.cnc.2016.04.005. PMID: 27484659

Recent clinical studies

Etiology

Adenosine response and failure to convert paroxysmal supraventricular tachycardia in the emergency department.
Alghadeer SM, Almohammed OA, Alshaya AI, Alsaif S, Albogami S, Althunayyan SM
Eur J Emerg Med 2023 Oct 1;30(5):341-346. Epub 2023 Jun 13 doi: 10.1097/MEJ.0000000000001050. PMID: 37310949
Essentials of Paroxysmal Supraventricular Tachycardia for the Pediatrician.
Borquez AA, Williams MR
Pediatr Ann 2021 Mar;50(3):e113-e120. Epub 2021 Mar 1 doi: 10.3928/19382359-20210217-01. PMID: 34038647
Prevalence and incidence of patients with paroxysmal supraventricular tachycardia in the United States.
Rehorn M, Sacks NC, Emden MR, Healey B, Preib MT, Cyr PL, Pokorney SD
J Cardiovasc Electrophysiol 2021 Aug;32(8):2199-2206. Epub 2021 Jun 14 doi: 10.1111/jce.15109. PMID: 34028109
Supraventricular Tachycardia.
Mahtani AU, Nair DG
Med Clin North Am 2019 Sep;103(5):863-879. doi: 10.1016/j.mcna.2019.05.007. PMID: 31378331
Contemporary Burden and Correlates of Symptomatic Paroxysmal Supraventricular Tachycardia.
Go AS, Hlatky MA, Liu TI, Fan D, Garcia EA, Sung SH, Solomon MD
J Am Heart Assoc 2018 Jul 7;7(14) doi: 10.1161/JAHA.118.008759. PMID: 29982228Free PMC Article

Diagnosis

Essentials of Paroxysmal Supraventricular Tachycardia for the Pediatrician.
Borquez AA, Williams MR
Pediatr Ann 2021 Mar;50(3):e113-e120. Epub 2021 Mar 1 doi: 10.3928/19382359-20210217-01. PMID: 34038647
Diagnosis and cure of supraventricular tachycardia.
Morady F
Heart Rhythm 2021 Apr;18(4):651-652. doi: 10.1016/j.hrthm.2020.11.010. PMID: 33795072
Supraventricular Tachycardia.
Mahtani AU, Nair DG
Med Clin North Am 2019 Sep;103(5):863-879. doi: 10.1016/j.mcna.2019.05.007. PMID: 31378331
Paroxysmal Supraventricular Tachycardia: Pathophysiology, Diagnosis, and Management.
Al-Zaiti SS, Magdic KS
Crit Care Nurs Clin North Am 2016 Sep;28(3):309-16. Epub 2016 Jun 7 doi: 10.1016/j.cnc.2016.04.005. PMID: 27484659
Preexcitation Syndromes.
Bhatia A, Sra J, Akhtar M
Curr Probl Cardiol 2016 Mar;41(3):99-137. Epub 2015 Nov 10 doi: 10.1016/j.cpcardiol.2015.11.002. PMID: 26897561

Therapy

Adenosine response and failure to convert paroxysmal supraventricular tachycardia in the emergency department.
Alghadeer SM, Almohammed OA, Alshaya AI, Alsaif S, Albogami S, Althunayyan SM
Eur J Emerg Med 2023 Oct 1;30(5):341-346. Epub 2023 Jun 13 doi: 10.1097/MEJ.0000000000001050. PMID: 37310949
Supraventricular Tachycardia.
Mahtani AU, Nair DG
Med Clin North Am 2019 Sep;103(5):863-879. doi: 10.1016/j.mcna.2019.05.007. PMID: 31378331
Paroxysmal Supraventricular Tachycardia: Pathophysiology, Diagnosis, and Management.
Al-Zaiti SS, Magdic KS
Crit Care Nurs Clin North Am 2016 Sep;28(3):309-16. Epub 2016 Jun 7 doi: 10.1016/j.cnc.2016.04.005. PMID: 27484659
Paroxysmal supraventricular tachycardias.
Lowenstein SR, Halperin BD, Reiter MJ
J Emerg Med 1996 Jan-Feb;14(1):39-51. doi: 10.1016/0736-4679(95)02061-6. PMID: 8655936
Verapamil in arrhythmia.
Krikler DM
Br J Clin Pharmacol 1986;21 Suppl 2(Suppl 2):183S-189S. doi: 10.1111/j.1365-2125.1986.tb02869.x. PMID: 3530300Free PMC Article

Prognosis

Adenosine response and failure to convert paroxysmal supraventricular tachycardia in the emergency department.
Alghadeer SM, Almohammed OA, Alshaya AI, Alsaif S, Albogami S, Althunayyan SM
Eur J Emerg Med 2023 Oct 1;30(5):341-346. Epub 2023 Jun 13 doi: 10.1097/MEJ.0000000000001050. PMID: 37310949
Prevalence and incidence of patients with paroxysmal supraventricular tachycardia in the United States.
Rehorn M, Sacks NC, Emden MR, Healey B, Preib MT, Cyr PL, Pokorney SD
J Cardiovasc Electrophysiol 2021 Aug;32(8):2199-2206. Epub 2021 Jun 14 doi: 10.1111/jce.15109. PMID: 34028109
Dexmedetomidine Sedation for Paroxysmal Supraventricular Tachycardia Ablation Is Not Associated With Alteration of Arrhythmia Inducibility.
Slupe AM, Minnier J, Raitt MH, Zarraga IGE, MacMurdy KS, Jessel PM
Anesth Analg 2019 Dec;129(6):1529-1535. doi: 10.1213/ANE.0000000000003359. PMID: 31743172
Hospitalization rate of paroxysmal supraventricular tachycardia in Sweden.
Rosengren P, Li X, Sundquist J, Sundquist K, Zöller B
Ann Med 2018 Nov;50(7):556-564. Epub 2018 Oct 15 doi: 10.1080/07853890.2018.1521525. PMID: 30192639Free PMC Article
Contemporary Burden and Correlates of Symptomatic Paroxysmal Supraventricular Tachycardia.
Go AS, Hlatky MA, Liu TI, Fan D, Garcia EA, Sung SH, Solomon MD
J Am Heart Assoc 2018 Jul 7;7(14) doi: 10.1161/JAHA.118.008759. PMID: 29982228Free PMC Article

Clinical prediction guides

Diagnosis and Management of Paroxysmal Supraventricular Tachycardia.
Peng G, Zei PC
JAMA 2024 Feb 20;331(7):601-610. doi: 10.1001/jama.2024.0076. PMID: 38497695
Adenosine response and failure to convert paroxysmal supraventricular tachycardia in the emergency department.
Alghadeer SM, Almohammed OA, Alshaya AI, Alsaif S, Albogami S, Althunayyan SM
Eur J Emerg Med 2023 Oct 1;30(5):341-346. Epub 2023 Jun 13 doi: 10.1097/MEJ.0000000000001050. PMID: 37310949
Prevalence and incidence of patients with paroxysmal supraventricular tachycardia in the United States.
Rehorn M, Sacks NC, Emden MR, Healey B, Preib MT, Cyr PL, Pokorney SD
J Cardiovasc Electrophysiol 2021 Aug;32(8):2199-2206. Epub 2021 Jun 14 doi: 10.1111/jce.15109. PMID: 34028109
Contemporary Burden and Correlates of Symptomatic Paroxysmal Supraventricular Tachycardia.
Go AS, Hlatky MA, Liu TI, Fan D, Garcia EA, Sung SH, Solomon MD
J Am Heart Assoc 2018 Jul 7;7(14) doi: 10.1161/JAHA.118.008759. PMID: 29982228Free PMC Article
Verapamil in arrhythmia.
Krikler DM
Br J Clin Pharmacol 1986;21 Suppl 2(Suppl 2):183S-189S. doi: 10.1111/j.1365-2125.1986.tb02869.x. PMID: 3530300Free PMC Article

Recent systematic reviews

Sudden cardiac death, arrhythmias and abnormal electrocardiography in systemic sclerosis: A systematic review and meta-analysis.
Fairley JL, Ross L, Quinlivan A, Hansen D, Paratz E, Stevens W, Kistler PM, McLellan A, La Gerche A, Nikpour M
Semin Arthritis Rheum 2023 Oct;62:152229. Epub 2023 Jun 19 doi: 10.1016/j.semarthrit.2023.152229. PMID: 37354723
The Efficacy and Safety of Etripamil Nasal Spray for Acute Paroxysmal Supraventricular Tachycardia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
Abuelazm M, Kambalapalli S, Saleh O, Elzeftawy MA, Albakri K, Gowaily I, Abdelazeem B
Am J Cardiovasc Drugs 2023 Jul;23(4):379-391. Epub 2023 Jun 23 doi: 10.1007/s40256-023-00592-7. PMID: 37351813Free PMC Article
Effectiveness of the modified Valsalva manoeuvre in adults with supraventricular tachycardia: a systematic review and meta-analysis.
Lodewyckx E, Bergs J
Eur J Emerg Med 2021 Dec 1;28(6):432-439. doi: 10.1097/MEJ.0000000000000862. PMID: 34406136
WITHDRAWN: Adenosine versus intravenous calcium channel antagonists for the treatment of supraventricular tachycardia in adults.
Holdgate A, Foo A
Cochrane Database Syst Rev 2012 Feb 15;(2):CD005154. doi: 10.1002/14651858.CD005154.pub3. PMID: 22336809
The relative efficacy of adenosine versus verapamil for the treatment of stable paroxysmal supraventricular tachycardia in adults: a meta-analysis.
Delaney B, Loy J, Kelly AM
Eur J Emerg Med 2011 Jun;18(3):148-52. doi: 10.1097/MEJ.0b013e3283400ba2. PMID: 20926952

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