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. 2016;5(3):210-224.
doi: 10.15420/aer.2016:5.3.GL1.

Executive Summary: European Heart Rhythm Association Consensus Document on the Management of Supraventricular Arrhythmias: Endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulación Cardiaca y Electrofisiologia (SOLAECE)

Demosthenes G Katritsis  1 , Giuseppe Boriani  2 , Francisco G Cosio  3 , Pierre Jais  4 , Gerhard Hindricks  5 , Mark E Josephson  6 , Roberto Keegan  7 , Bradley P Knight  8 , Karl-Heinz Kuck  9 , Deirdre A Lane  10 , Gregory Yh Lip  10 , Helena Malmborg  11 , Hakan Oral  12 , Carlo Pappone  13 , Sakis Themistoclakis  14 , Kathryn A Wood  15 , Kim Young-Hoon  16 , Carina Blomström Lundqvist  11
Affiliations

Executive Summary: European Heart Rhythm Association Consensus Document on the Management of Supraventricular Arrhythmias: Endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulación Cardiaca y Electrofisiologia (SOLAECE)

Demosthenes G Katritsis et al. Arrhythm Electrophysiol Rev. 2016.

Abstract

This paper is an executive summary of the full European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, published in Europace. It summarises developments in the field and provides recommendations for patient management, with particular emphasis on new advances since the previous European Society of Cardiology guidelines. The EHRA consensus document is available to read in full at http://europace.oxfordjournals.org.

Keywords: EHRA consensus; Supraventricular tachycardia; supraventricular arrhythmias.

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Figures

Figure 1:
Figure 1:. Tachycardia Circuit and Typical 12-lead ECGs in Different Types of Narrow- and Wide-QRS Supraventricular Tachycardias
Figure 2:
Figure 2:. Differential Diagnosis of Narrow-QRS Tachycardia
Figure 3:
Figure 3:. Responses of Narrow Complex Tachycardias to Adenosine
Figure 4:
Figure 4:. Differential Diagnosis of Wide QRS using the Brugada et al. Algorithm. The RS Interval (enlarged in the right panel) Measures 160 ms in lead V, and 70 ms in lead V6. Thus, the Longest RS Interval is More Than 100 ms and Diagnostic of Ventricular Tachycardia
Figure 5:
Figure 5:. Differential Diagnosis of Wide-QRS Tachycardia using the Vereckei et al. Algorithm
Figure 6:
Figure 6:. Measurement of the R-wave Peak Time (RWPT) in Lead II
Figure 7:
Figure 7:. Acute Treatment of Regular Tachycardia
See this image and copyright information in PMC

References

    1. Blomstrom-Lundqvist C, Scheinman MM, Aliot EM, et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias-executive summary: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines. Circulation. 2003;108:1871–1909. - PubMed
    1. Page RL, Joglar JA, Caldwell MA, et al. 2015 ACC/AHA/HRS guideline for the management of adult patients with supraventricular tachycardia: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2016;67 e27–e115. - PubMed
    1. Roth A, Elkayam I, Shapira I, et al. Effectiveness of prehospital synchronous direct-current cardioversion for supraventricular tachyarrhythmias causing unstable hemodynamic states. Am J Cardiol. 2003;91:489–491. - PubMed
    1. Wittwer MR, Rajendran S, Kealley J, Arstall MA. A South Australian registry of biphasic cardioversions of atrial arrhythmias: Efficacy and predictors of success. Heart Lung Circ. 2015;24:342–347. - PubMed
    1. Appelboam A, Reuben A, Mann C, et al. Postural modification to the standard valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT): A randomised controlled trial. Lancet. 2015;386:1747–1753. - PubMed

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