Paroxysmal supraventricular tachycardia

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Diagnosis

Sx Sinus Tach SVT Hx volume loss sudden onset PE dehydated CHF-like

  • HR <180 >180

Variability Yes No

  • In infants HR cuttoff = 220


Treatment

  • Skip to cardioversion is unstable

1) Vagal manuvers

2) Adenosine 

    -6mg IVP (fast)

    -12mg IVP (fast)

    -12mg IVP (fast)

3) CCB (Verapamil or dilt) or BB (metoprolol or esmolol)

4) Cardioversion (sync) 0.5-1.0 J/kg


See Also

Cards: VTach vs Abberant SVT


Source

2/23/06 DONALDSON (adapted from Rosen), UpToDate

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