Tachykardia
Leczenie

Tachykardia definiowana jest jako częstość akcji serca powyżej 100 uderzeń na minutę w spoczynku i może mieć charakter nadkomorowy (SVT), komorowy (VT), zatokowy lub inny. Każdy typ tachykardii wymaga indywidualnego podejścia terapeutycznego, obejmującego manewry wagalne, farmakoterapię (beta-blokery, blokery kanału wapniowego, leki antyarytmiczne klasy I i III, adenozynę, digoksynę, iwabradynę), kardiowersję elektryczną lub farmakologiczną, ablację cewnikową (skuteczność 90-95%), a w wybranych przypadkach wszczepialne urządzenia (rozrusznik, ICD) lub operacje kardiochirurgiczne, takie jak procedura Maze. Leczenie ma na celu zwolnienie rytmu, kontrolę częstości akcji serca, zapobieganie powikłaniom (np. udar mózgu) oraz eliminację przyczyn podstawowych. Szczególną uwagę zwraca się na różnice w terapii tachykardii SVT i VT, a także na przeciwwskazania, np. w zespole Wolffa-Parkinsona-White’a, gdzie nie zaleca się adenozyny, blokerów kanału wapniowego i digoksyny bez potwierdzenia niskozagrożeniowej ścieżki dodatkowej.

Definicja i klasyfikacja tachykardii

Tachykardia to stan, w którym częstość akcji serca przekracza 100 uderzeń na minutę w spoczynku. Konwencjonalnie definiowana jako przyspieszenie rytmu przedsionków i/lub komór, tachykardia może mieć podłoże fizjologiczne lub patologiczne. Może występować jako izolowany objaw lub być manifestacją innych schorzeń, a niektóre jej formy mogą prowadzić do poważnych problemów zdrowotnych, takich jak niewydolność serca, udar mózgu czy nagła śmierć sercowa, jeśli pozostaną nieleczone.123

W zależności od mechanizmu i miejsca powstania tachykardię można podzielić na kilka typów, w tym nadkomorową (SVT), komorową (VT), zatokową i inne. Każdy z tych typów wymaga specyficznego podejścia terapeutycznego.45

Cele leczenia tachykardii

Główne cele leczenia tachykardii obejmują:67

  • Zwolnienie przyspieszonego rytmu serca
  • Zapobieganie przyszłym epizodom szybkiej akcji serca
  • Kontrolę częstości akcji serca
  • Minimalizację ryzyka udaru mózgu
  • Przywrócenie prawidłowego rytmu serca
  • Leczenie chorób podstawowych wywołujących tachykardię

Metody leczenia są dobierane indywidualnie w zależności od typu tachykardii, przyczyn jej występowania, nasilenia objawów oraz ogólnego stanu zdrowia pacjenta.89

Niefarmakologiczne metody leczenia tachykardii

Manewry wagalne

Jednym z pierwszych kroków w leczeniu tachykardii, szczególnie nadkomorowej, są manewry wagalne. Są to proste, ale specyficzne działania, które wpływają na nerw błędny, pomagając kontrolować rytm serca. Należą do nich:101112

  • Kaszel
  • Parcie jak podczas defekacji (manewr Valsalvy)
  • Przyłożenie zimnego kompresu na twarz
  • Wstrzymanie oddechu na kilka sekund
  • Płukanie twarzy zimną wodą

Manewry te powinny być wykonywane pod nadzorem lekarza, zwłaszcza podczas epizodu szybkiej akcji serca. Mogą one skutecznie przerywać niektóre epizody tachykardii, szczególnie SVT.131415

Kardiowersja

Kardiowersja to procedura, w której używa się płytek lub elektrod umieszczonych na klatce piersiowej do elektrycznie kontrolowanego wstrząsu serca, mającego na celu przywrócenie prawidłowego rytmu serca. Jest stosowana w następujących sytuacjach:161718

Kardiowersja może być przeprowadzona jako zabieg elektryczny (za pomocą prądu elektrycznego) lub farmakologiczny (za pomocą leków). Procedura ta jest zwykle krótka (około 30 minut), a powikłania i skutki uboczne są rzadkie.192021

Ablacja cewnikowa

Ablacja cewnikowa to procedura stosowana w leczeniu niektórych typów tachykardii, szczególnie tych wynikających z nieprawidłowych szlaków elektrycznych w sercu. Polega ona na wprowadzeniu cienkich, elastycznych rurek (cewników) przez naczynie krwionośne, zwykle w pachwinie, do serca.222324

Czujniki na końcówce cewników wykorzystują energię cieplną lub zimno do tworzenia małych blizn w sercu, które blokują nieprawidłowe sygnały elektryczne, pomagając przywrócić prawidłowy rytm serca.252627

Ablacja cewnikowa ma wysoki wskaźnik skuteczności, wynoszący około 90-95%, i może być długoterminowym rozwiązaniem dla niektórych typów tachykardii, a nawet je wyleczyć. Jest to preferowane leczenie dla pacjentów z objawowym zespołem Wolffa-Parkinsona-White’a (WPW).282930

Wszczepiane urządzenia

Rozrusznik serca

Rozrusznik serca to małe urządzenie chirurgicznie umieszczane pod skórą w okolicy klatki piersiowej. Gdy urządzenie wykryje nieregularne bicie serca, wysyła impuls elektryczny, który pomaga korygować rytm serca.313233

Wszczepialny kardiowerter-defibrylator (ICD)

Wszczepialny kardiowerter-defibrylator (ICD) to urządzenie zasilane bateryjnie, umieszczane pod skórą w pobliżu obojczyka. Ciągle monitoruje rytm serca i, jeśli wykryje nieregularne bicie serca, wysyła impulsy elektryczne o niskiej lub wysokiej energii, aby przywrócić prawidłowy rytm serca.343536

Lekarz może zalecić to urządzenie, jeśli istnieje wysokie ryzyko rozwoju tachykardii komorowej lub migotania komór.3738

Procedury chirurgiczne

W niektórych przypadkach może być konieczna operacja na otwartym sercu w celu zniszczenia dodatkowej ścieżki elektrycznej powodującej tachykardię. Operacja jest zwykle wykonywana tylko wtedy, gdy inne opcje leczenia nie działają lub gdy operacja jest potrzebna do leczenia innej choroby serca.3940

Procedura Maze

Procedura Maze polega na wykonaniu przez chirurga niewielkich nacięć w górnych komorach serca, tworząc wzór tkanki bliznowatej, nazywany labiryntem. Sygnały serca nie mogą przechodzić przez tkankę bliznowatą, więc labirynt może blokować błądzące elektryczne sygnały serca, które powodują niektóre rodzaje tachykardii.4142

Leczenie farmakologiczne tachykardii

Farmakoterapia jest często stosowana do kontroli częstości akcji serca i zapobiegania epizodom tachykardii. Wybór leków zależy od typu tachykardii, jej przyczyny oraz indywidualnych uwarunkowań pacjenta.4344

Beta-blokery

Beta-blokery to leki, które spowalniają akcję serca i obniżają ciśnienie krwi. Są często stosowane w leczeniu tachykardii, szczególnie tachykardii zatokowej i nadkomorowej.454647

Przykłady beta-blokerów stosowanych w leczeniu tachykardii to:484950

  • Metoprolol
  • Nadolol
  • Propranolol
  • Esmolol (krótko działający beta-bloker, stosowany w ostrych sytuacjach)

Blokery kanału wapniowego

Blokery kanału wapniowego spowalniają przewodzenie przez węzeł przedsionkowo-komorowy i mogą być skuteczne w leczeniu niektórych typów tachykardii.515253

Najczęściej stosowane blokery kanału wapniowego w leczeniu tachykardii to:545556

Leki antyarytmiczne

Leki antyarytmiczne są stosowane do kontroli rytmu serca i zapobiegania nieprawidłowym rytmom. Mogą być podawane doustnie lub dożylnie, w zależności od sytuacji klinicznej.575859

Do leków antyarytmicznych używanych w leczeniu tachykardii należą:6061

Należy zaznaczyć, że wybór leków antyarytmicznych powinien uwzględniać potencjalne efekty uboczne oraz przeciwwskazania, szczególnie u pacjentów z chorobą wieńcową lub znaczącą strukturalną chorobą serca.6263

Inne leki

W zależności od typu tachykardii i sytuacji klinicznej mogą być stosowane również inne leki:646566

  • Adenozyna – krótko działający lek, który blokuje przewodzenie przez węzeł przedsionkowo-komorowy; jest skuteczna w przerywaniu wielu typów nadkomorowej tachykardii
  • Digoksyna (digitalis) – może być stosowana do zwolnienia częstości akcji serca
  • Blokery kanału potasowego – modyfikują przewodzenie elektryczne w sercu
  • Leki przeciwzakrzepowe (tzw. leki „rozrzedzające krew”) – mogą być stosowane do zapobiegania powikłaniom migotania przedsionków
  • Iwabradyna – nowy lek stosowany w leczeniu nieodpowiedniej tachykardii zatokowej, działający bezpośrednio na węzeł zatokowo-przedsionkowy

W przypadku tachykardii spowodowanej zatruciem digoksyną, leczenie skupia się na przerwaniu podawania leku i kontroli arytmii, które mogą się pojawić.67

Przegląd farmakoterapii w leczeniu tachykardii

Grupa leków Przykłady Główne zastosowanie Mechanizm działania
Beta-blokery Metoprolol, Nadolol, Propranolol, Esmolol Tachykardia zatokowa, SVT, niektóre formy VT Blokują działanie adrenaliny na węzeł zatokowy, spowalniając akcję serca
Blokery kanału wapniowego Werapamil, Diltiazem SVT, tachykardia zatokowa Spowalniają przewodzenie przez węzeł przedsionkowo-komorowy
Leki antyarytmiczne klasy I Flekainid, Prokainamid SVT, VT Blokują kanały sodowe, spowalniając przewodzenie elektryczne
Leki antyarytmiczne klasy III Amiodaron, Sotalol, Dofetilid VT, SVT, migotanie przedsionków Blokują kanały potasowe, wydłużając okres refrakcji
Inne leki Adenozyna, Digoksyna, Iwabradyna SVT (adenozyna), kontrola częstości akcji serca (digoksyna), tachykardia zatokowa (iwabradyna) Różne mechanizmy działania

Leczenie specyficznych typów tachykardii

Leczenie tachykardii nadkomorowej (SVT)

Tachykardia nadkomorowa (SVT) to klasa nieprawidłowo szybkich rytmów serca, które pochodzą z górnych komór serca zwanych przedsionkami. Leczenie SVT zależy od częstości i nasilenia objawów.686970

Metody leczenia SVT obejmują:717273

  • Manewry wagalne – mogą być stosowane do przerywania nagłych epizodów SVT
  • Leki – adenozyna, beta-blokery, blokery kanału wapniowego i inne leki antyarytmiczne mogą być stosowane do kontroli rytmu serca
  • Kardiowersja elektryczna – może być konieczna w przypadku ciężkich objawów lub gdy inne metody zawodzą
  • Ablacja cewnikowa – często zalecana dla pacjentów z nawracającymi objawami pomimo farmakoterapii; ma wysoki wskaźnik skuteczności (90-95%)

W przypadku zespołu Wolffa-Parkinsona-White’a (WPW), który jest szczególną formą SVT, należy unikać stosowania adenozyny, blokerów kanału wapniowego lub digoksyny, chyba że ścieżka dodatkowa jest znana jako niskozagrożeniowa. Jest to spowodowane potencjalnym ryzykiem szybkiego rytmu komorowego w przypadku wystąpienia migotania przedsionków lub trzepotania przedsionków, co może prowadzić do zatrzymania akcji serca.7475

Leczenie tachykardii komorowej (VT)

Tachykardia komorowa (VT) to szerokie zespoły QRS o częstości powyżej 100 uderzeń na minutę, pochodzące z komór serca. Jest to potencjalnie zagrażająca życiu arytmia, która wymaga szybkiego leczenia.7677

Leczenie VT obejmuje:787980

  • Natychmiastowa defibrylacja – w przypadku niestabilności hemodynamicznej lub zatrzymania krążenia
  • Leki antyarytmiczne – amiodaron, prokainamid, sotalol i inne, w zależności od dostępności i sytuacji klinicznej
  • Wszczepialny kardiowerter-defibrylator (ICD) – zalecany dla większości pacjentów z przebytym epizodem utrwalonej VT
  • Ablacja cewnikowa – może być skuteczna w leczeniu VT opornej na leki
  • Beta-blokery – zalecane dla większości pacjentów z utrwaloną VT i znaczącą strukturalną chorobą serca

W przypadku burzy elektrycznej (3 lub więcej epizody utrwalonej VT w ciągu 24 godzin), początkowe leczenie obejmuje dożylne leki antyarytmiczne, dożylne beta-blokery i kardiowersję elektryczną wraz z sedacją.81

Leczenie tachykardii zatokowej

Tachykardia zatokowa to przyspieszony rytm serca pochodzący z węzła zatokowego, naturalnego rozrusznika serca. Może być fizjologiczną odpowiedzią na stres, wysiłek fizyczny, gorączkę lub inne stany.828384

Leczenie tachykardii zatokowej koncentruje się na leczeniu przyczyny podstawowej, a nie tylko na zwolnieniu częstości akcji serca. W zależności od przyczyny, leczenie może obejmować:858687

  • Leczenie gorączki lekami przeciwgorączkowymi, takimi jak paracetamol (Paracetamol) lub ibuprofen (Advil, Motrin i inne)
  • Leczenie zakażenia bakteryjnego antybiotykami
  • Leczenie niedokrwistości
  • Leczenie odwodnienia dożylnym podawaniem płynów
  • Leczenie nadczynności tarczycy lekami, takimi jak metimazol (Thyrozol)
  • Beta-blokery lub blokery kanału wapniowego w przypadku objawowej, uporczywej tachykardii zatokowej
  • Iwabradyna – obiecujący lek w leczeniu zespołu nieodpowiedniej tachykardii zatokowej

W ciężkich przypadkach, które nie reagują na leki lub zmiany stylu życia, może być konieczna ablacja cewnikowa.888990

Leczenie tachykardii przedsionkowej

Tachykardia przedsionkowa występuje, gdy impuls elektryczny pochodzi z przedsionków, górnych komór serca, ale z miejsca innego niż węzeł zatokowo-przedsionkowy. Leczenie tachykardii przedsionkowej koncentruje się na kontroli rytmu i zapobieganiu nawrotom arytmii.919293

Metody leczenia tachykardii przedsionkowej obejmują:949596

  • Leki blokujące węzeł przedsionkowo-komorowy – beta-blokery, blokery kanału wapniowego
  • Leki antyarytmiczne – amiodaron, sotalol, dronedaron, dofetilid i inne
  • Kardiowersję elektryczną – w przypadku niestabilności hemodynamicznej lub oporności na leczenie farmakologiczne
  • Ablację cewnikową – może wyleczyć zarówno ogniskowe, jak i makro-nawrotowe formy tachykardii przedsionkowej; ma wysoki wskaźnik powodzenia

W przypadku wieloogniskowej tachykardii przedsionkowej (MAT) leczenie obejmuje poprawę poziomu tlenu we krwi, podawanie dożylne magnezu lub potasu oraz odstawienie leków, które mogą zwiększać częstość akcji serca, takich jak teofilina.97

Zmiany stylu życia w leczeniu tachykardii

Modyfikacje stylu życia mogą pomóc w zapobieganiu i kontrolowaniu epizodów tachykardii. Zalecane zmiany stylu życia obejmują:9899100

  • Utrzymanie zdrowej diety – zbilansowana dieta bogata w owoce, warzywa, pełne ziarna i chude białka
  • Rzucenie palenia – palenie tytoniu może wywoływać tachykardię
  • Ograniczenie spożycia alkoholu – alkohol, szczególnie czerwone wino, może wyzwalać epizody SVT
  • Zarządzanie poziomem stresu – techniki relaksacyjne, medytacja, joga
  • Utrata nadmiernej wagi – nadwaga może przyczyniać się do występowania arytmii
  • Regularna aktywność fizyczna – umiarkowane ćwiczenia aerobowe mogą pomóc w utrzymaniu zdrowego serca
  • Kontrola wysokiego cholesterolu i wysokiego ciśnienia krwi – za pomocą zalecanych leków
  • Ograniczenie spożycia kofeiny – nadmierne spożycie kofeiny może wywoływać tachykardię
  • Odpowiedni odpoczynek i sen – brak snu może przyczyniać się do wystąpienia arytmii
  • Nawodnienie – odpowiednie nawodnienie jest ważne dla utrzymania prawidłowej funkcji serca

Należy również unikać leków, które mogą wywoływać tachykardię, takich jak niektóre leki na przeziębienie i kaszel zawierające stymulanty, a także narkotyków, takich jak kokaina i metamfetamina.101102

Postępowanie w sytuacjach nagłych

Tachykardia może być groźna dla życia, jeśli jest zbyt wysoka lub powoduje poważne objawy. W przypadku wystąpienia nietypowo szybkiej akcji serca z objawami takimi jak:103104

  • Ból lub ucisk w klatce piersiowej
  • Duszność
  • Zawroty głowy
  • Uczucie pustki w głowie
  • Omdlenia
  • Zmęczenie
  • Nietolerancja wysiłku

należy natychmiast wezwać pomoc medyczną (zadzwonić pod numer 112 lub zgłosić się do najbliższego szpitalnego oddziału ratunkowego).105

W przypadku zatrzymania krążenia spowodowanego tachykardią komorową, postępowanie powinno być zgodne z algorytmem zaawansowanych zabiegów resuscytacyjnych (ACLS). W przypadku braku zatrzymania krążenia, pacjenci z niestabilną hemodynamicznie tachykardią komorową są leczeni za pomocą bezpośredniej kardiowersji prądem stałym.106107

Indywidualizacja leczenia tachykardii

Leczenie tachykardii powinno być zawsze dostosowane do indywidualnych potrzeb pacjenta, uwzględniając typ arytmii, przyczyny jej występowania, nasilenie objawów oraz ogólny stan zdrowia. Najlepszym podejściem jest współpraca z zespołem medycznym specjalizującym się w zaburzeniach rytmu serca, aby opracować plan leczenia, który będzie najbardziej odpowiedni dla danego pacjenta.108109110

W wielu przypadkach łączenie różnych metod leczenia, takich jak farmakoterapia, ablacja cewnikowa, wszczepiane urządzenia oraz zmiany stylu życia, może przynieść najlepsze efekty terapeutyczne. Regularne kontrole i monitorowanie postępów leczenia są również kluczowe dla skutecznego zarządzania tachykardią.111

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  1. 10.04.2026
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Materiały źródłowe

  • #1 Tachycardia – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tachycardia/symptoms-causes/syc-20355127
    Tachycardia may not cause any symptoms or complications. But sometimes it’s a warning of a medical condition that needs attention. Some forms of tachycardia can lead to serious health problems if left untreated. Such problems may include heart failure, stroke or sudden cardiac death. […] Treatment for tachycardia may include specific actions or movements, medicine, cardioversion, or surgery to control a rapid heartbeat. […] In some cases, atrial fibrillation can be corrected with medication or by administering a shock to a sedated patient’s heart. In other instances, a procedure called catheter ablation may be used to scar tissue that’s creating the erratic signals in the hopes of getting back to that normal beat. […] The best way to prevent tachycardia is to keep the heart healthy. Have regular health checkups. If you have heart disease, follow your treatment plan. Take all medicines as directed. […] Talk to your healthcare team before using any medicines. Some cold and cough medicines have stimulants that may start a rapid heartbeat. Illegal drugs such as cocaine and methamphetamine are other stimulants that can cause changes in the heart’s rhythm.
  • #2 Tachycardia – Wikipedia
    https://en.wikipedia.org/wiki/Tachycardia
    Tachycardia, also called tachyarrhythmia, is a heart rate that exceeds the normal resting rate. In general, a resting heart rate over 100 beats per minute is accepted as tachycardia in adults. Heart rates above the resting rate may be normal (such as with exercise) or abnormal (such as with electrical problems within the heart). […] The management of tachycardia depends on its type (wide complex versus narrow complex), whether or not the person is stable or unstable, and whether the instability is due to the tachycardia. Unstable means that either important organ functions are affected or cardiac arrest is about to occur. Stable means that there is a tachycardia, but it does not seem an immediate threat for the patient’s health, but only a symptom of an unknown disease, or a reaction that is not very dangerous in that moment.
  • #3 Management of tachycardia
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4447058/
    Tachycardia, conventionally, but arbitrarily, defined as an atrial and/or ventricular rate of 100 beats per minute, is encountered commonly and can be physiological or pathological in origin. […] Various adverse consequences from tachycardia have been recognized, and an important one is the association between persistent tachycardia and cardiomyopathy. […] In this article, we provide an up-to-date review on the etiology of tachycardia, management strategies, and the prognosis of patients presenting with tachycardia and cardiomyopathy. […] The primary management strategy in TMC is focused on aggressive attempts to control tachycardia with the aim of improving heart failure symptoms and reversing left ventricular dysfunction. […] Depending on the clinical condition of the patient and type of tachycardia, rate control and/or rhythm control strategies are usually employed.
  • #4 Tachycardia (High Heart Rate): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22108-tachycardia
    Tachycardia is an abnormal heart rhythm with a fast heart rate of more than 100 beats per minute at rest. Treatments include medicines, an ablation procedure and implantable cardioverter defibrillator (ICD) placement. […] Procedures and medications are the main kinds of treatment for tachycardia. Treatments vary depending on the type of tachycardia and what’s causing it. Treatments may include: Vagal maneuvers, Ablation, Cardioversion, Implantable cardiac defibrillator (ICD), Pacemaker, Left atrial appendage closure. […] Although medications can’t cure tachycardia, they can help you regulate it. Ablation may be a long-term solution to certain types of tachycardia. It may even cure them.
  • #5 Ventricular Tachycardia – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532954/
    Ventricular tachycardia (VT) is a wide complex arrhythmia of ventricular origin, defined as three or more consecutive beats at a rate of more than 100 beats per minute. Sustained ventricular tachycardia is defined as tachycardia that continues for more than 30 seconds or leads to hemodynamic compromise within 30 seconds and requires intervention. […] This activity reviews the evaluation and management of ventricular tachycardia and highlights the importance of an interprofessional team in managing patients with ventricular tachycardia. […] […] The clinical presentation of ventricular tachycardia varies from palpitation to sudden cardiac death. For appropriate management of VT and prevention of sudden cardiac death, it is essential to understand the pathophysiology of ventricular tachycardia and underlying structural heart disease. In this chapter, we summarize the etiology and epidemiology of ventricular tachycardia and discuss the evaluation and management of patients present with ventricular tachycardia.
  • #6 Tachycardia – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tachycardia/diagnosis-treatment/drc-20355133
    The goals of tachycardia treatment are to slow a rapid heartbeat and to prevent future episodes of a fast heart rate. […] If another health condition is causing tachycardia, treating the underlying problem may reduce or prevent episodes of a fast heartbeat. […] A fast heart rate may correct itself. But sometimes medicine or other treatments are needed to slow down the heartbeat. […] Ways to slow a fast heart rate include: […] Vagal maneuvers. Simple but specific actions such as coughing, bearing down as if passing stool or putting an ice pack on the face can help slow down the heart rate. Your healthcare team may ask you to do these specific actions during an episode of a fast heartbeat. The actions affect the vagus nerve. That nerve helps control the heartbeat. […] Medicines. If vagal maneuvers don’t stop the fast heartbeat, medicine may be needed to correct the heart rhythm.
  • #7 Tachycardia Causes, Symptoms, and Treatments
    https://www.upmc.com/services/heart-vascular/conditions/tachycardia
    UPMC electrophysiology experts treat arrhythmias like tachycardia and other heart rhythm disorders associated with a high risk of sudden death. […] Tachycardia is a common, treatable condition. […] With proper treatment, most people with tachycardia are able to control symptoms and live a normal, active life. […] The treatment for your tachycardia may vary depending on where the abnormal heart rhythm starts and the severity of your condition. Rhythms from the ventricle are more often considered life-threatening. […] At UPMC, the goals of tachycardia treatment are to: Control heart rate. Minimize stroke risk. Restore normal heart rhythm. […] Your doctor may prescribe medications and order certain procedures to meet these treatment goals. […] Medications can be used to control your heart rhythm and prevent blood clots that can lead to a stroke.
  • #8 Tachycardia: Symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/175241
    Tachycardia treatment depends on various factors, including: […] Treatment aims to address the cause, but a doctor may also try to: […] If there is no clear underlying cause, it may take some time to find a suitable treatment option. […] Medications that can help people manage tachycardia include: […] Blood thinners can help manage the complications of atrial fibrillation. […] Other ways of helping to prevent tachycardia may include: […] Typically, invasive therapies and surgeries are reserved for cases where other therapies have not worked or the person has another heart condition. […] In atrial fibrillation a common cause of tachycardia doctors commonly prescribe beta-blockers and calcium channel blockers to control heart rates. […] Sometimes, they may also suggest antiarrhythmic drugs.
  • #9 Tachycardia Causes, Symptoms, and Treatments
    https://www.upmc.com/services/heart-vascular/conditions/tachycardia
    Nonsurgical procedures to treat tachycardia include cardioversion and stereotactic body radiation therapy (SBRT). […] During catheter ablation, a special catheter is threaded through your blood vessels to your heart, where it uses heat or cold to create a small scar to block the electrical pathway that is causing your heart to beat abnormally. […] A pacemaker or an implantable cardioverter-defibrillator (ICD) is surgically placed under your skin to help control your heart rhythm. […] Your doctors will recommend the treatment that is most likely to be effective for your heart rhythm disorder while considering your lifestyle, preferences, and overall health.
  • #10 Tachycardia – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tachycardia/diagnosis-treatment/drc-20355133
    The goals of tachycardia treatment are to slow a rapid heartbeat and to prevent future episodes of a fast heart rate. […] If another health condition is causing tachycardia, treating the underlying problem may reduce or prevent episodes of a fast heartbeat. […] A fast heart rate may correct itself. But sometimes medicine or other treatments are needed to slow down the heartbeat. […] Ways to slow a fast heart rate include: […] Vagal maneuvers. Simple but specific actions such as coughing, bearing down as if passing stool or putting an ice pack on the face can help slow down the heart rate. Your healthcare team may ask you to do these specific actions during an episode of a fast heartbeat. The actions affect the vagus nerve. That nerve helps control the heartbeat. […] Medicines. If vagal maneuvers don’t stop the fast heartbeat, medicine may be needed to correct the heart rhythm.
  • #11 Tachycardia: Symptoms & Treatment | Mass General Brigham
    https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/tachycardia
    Tachycardia can be mild or the result of something more life-threatening. Treatments for tachycardia depend on the type of tachycardia you have. […] The treatment for tachycardia will depend on the cause. Treatment options usually address slowing the rapid heartbeat and preventing future tachycardia episodes by treating the underlying cause. Treatment options might include: […] Taking beta-blockers or calcium channel blockers can slow heart rate. […] Stimulating your vagus nerve can help reset your hearts electrical impulses. These should only be done under a doctors supervision. […] An electric shock to the heart can restore the hearts natural rhythm. This could be used in combination with medication or if vagal maneuvers and medications are no longer effective. […] A flexible tube (the catheter) inserted into the heart uses hot or cold energy to block irregular heartbeats and restore the hearts natural rhythm. […] A small device implanted in the chest area sends a pulse to regulate your heartbeat. […] A medical device placed under the skin monitors the heart rate and sends an electrical shock when a life-threatening, rapid heartbeat is detected.
  • #12 Paroxysmal Supraventricular Tachycardia Treatment & Management: Approach Considerations, Vagal Maneuvers, Short-Term Pharmacologic Management
    https://emedicine.medscape.com/article/156670-treatment
    If atrial fibrillation has been present for longer than 24-48 hours, defer cardioversion until the patient has been adequately anticoagulated to prevent thromboembolic complications. […] Patients who require cardioversion, are unstable, and have comorbid illnesses should be admitted to the hospital. Patients who are young, healthy, and asymptomatic may be discharged and advised to have a follow-up examination with their primary physician or cardiologist. If the patient is having more frequent episodes of paroxysmal SVT and medical therapy is not successful or desired, then radiofrequency catheter ablation should be proposed. […] The first-line treatment in hemodynamically stable patients, vagal maneuvers, such as breath-holding and the Valsalva maneuver (ie, having the patient bear down as though having a bowel movement), slow conduction in the AV node and can potentially interrupt the reentrant circuit.
  • #13 Tachycardia: Fast Heart Rate | American Heart Association
    https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia–fast-heart-rate
    Tachycardia is when the heart beats too fast, at a rate of more than 100 beats per minute, when at rest. […] Most people with SVT/PSVT don’t need treatment. However, an episode may be stopped with one of these techniques, under the supervision of a health care professional. These affect the vagus nerve, which helps control the heartbeat. […] Other treatments as needed: Medications: If you have frequent episodes of SVT, your health care professional may prescribe medication to control your heart rate or restore a typical heart rhythm. […] Treatment will depend on your symptoms and the cause of your VT. Possible treatments include: Medication that helps prevent arrhythmias. […] Your health care professional should consider and treat the cause of your sinus tachycardia, rather than just treating the condition. Simply slowing the heart rate could cause more harm if your rapid heartbeat is a symptom of a more serious or long-term problem.
  • #14 Supraventricular Tachycardia (SVT): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22152-svt-supraventricular-tachycardia
    SVT (supraventricular tachycardia) is a common kind of arrhythmia (abnormal heart rhythm). […] There are some things you can do on your own, but you may need medicine or surgery to help with symptoms. […] If you have symptoms, you may think something doesn’t feel right in your chest. […] You may not need SVT treatment. Some people may feel better after resting more, drinking less coffee or alcohol-containing drinks, or after quitting smoking. If those don’t help, you have lots of other options. […] Several medicines can slow down your heart rate: Adenosine, Atropine, Beta-blockers, Calcium channel blockers, Digitalis (digoxin), Potassium channel blockers. […] Your provider can use these methods for supraventricular tachycardia treatment: Vagal maneuvers like applying pressure to specific areas of your neck (carotid sinus massage), Cardioversion, Catheter ablation, Implantable cardioverter defibrillator (ICD).
  • #15 Supraventricular Tachycardia Treatment
    https://www.webmd.com/heart-disease/atrial-fibrillation/treatments-supraventricular-tachcardia
    Supraventricular tachycardia, or SVT, is a type of rapid heartbeat that begins in the upper chambers of the heart. Most cases don’t need to be treated. They go away on their own. […] The exact treatment will depend on how long your heart has been racing, how severe the symptoms are, and how often this happens. […] Some possible treatments include: Vagal Maneuvers, Other Quick Remedies, Medications, Catheter Ablation, Cardioversion, Pacemaker, Lifestyle Changes, Treating Underlying Conditions. […] This technique is the first step to try on your own to see whether you can get your heart to go back into its normal rhythm. […] If the vagal maneuvers dont work, consider: Blowing into a closed fist, Coughing, Holding your breath for a few seconds, Putting cold water on your face. […] You might need to go to your doctors office or the ER for medicine.
  • #16 Tachycardia – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tachycardia/diagnosis-treatment/drc-20355133
    Cardioversion. Paddles or patches on the chest are used to electrically shock the heart and reset the heart rhythm. Cardioversion is generally used when emergency care is needed or when vagal maneuvers and medicines don’t work. It’s also possible to do cardioversion with medicines. […] Tachycardia treatment involves taking steps to prevent the heart from beating too fast. This may involve medicines, implanted devices, or heart surgeries or procedures. […] Medicines are often used to control the heart rate. […] Catheter ablation. In this procedure, the doctor inserts thin, flexible tubes called catheters through a blood vessel, usually in the groin. Sensors on the tip of the catheters use heat or cold energy to create tiny scars in the heart. The scars block irregular electrical signals. This helps restore a typical heartbeat.
  • #17 Tachycardia: Diagnosis & Treatment | NewYork-Presbyterian
    https://www.nyp.org/heart/arrhythmias/tachycardia/treatment
    Tachycardia treatment options can include surgical and nonsurgical procedures, medication, and adjustments to diet and habits. […] Tachycardia can be life-threatening. Sometimes procedures are necessary to ensure your heart stays healthy. Invasive options for tachycardia treatment include: […] A pacemaker is a small device surgically placed under the skin in the chest area. The device sends electrical impulses that can help control and correct the rhythm of the heartbeat. […] A procedure used to treat tachycardia to restore an irregular heartbeat to a normal rhythm. Typically, cardioversion patches are placed on the chest and back to deliver short, electrical impulses to reset the heart to a regular rhythm. […] Oral or IV medication can be given to regulate the hearts rhythm without using electric shocks. The rhythmic correction may take longer than with electric cardioversion treatments.
  • #18 Tachycardia: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/heart-disease/atrial-fibrillation/what-are-the-types-of-tachycardia
    Your treatment will be aimed at slowing your heart rate and preventing episodes of tachycardia in the future. If your tachycardia is caused by an underlying health problem, your treatment will address that, too. What type of tachycardia you have will determine how your health care team proceeds. […] Your doctor may recommend that you drink less caffeine and less alcohol, get more sleep, or quit smoking. You doctor also may prescribe medicine, which could include: Beta blockers, Calcium channel blockers, Antiarrhythmic drugs, Blood thinners. […] You might need a procedure called cardioversion, which changes the rhythm of your heart. The doctor uses a defibrillator to give your heart an electrical shock (electrical cardioversion). The other approach (chemical cardioversion) uses drugs — either oral or IV — to change your heart rhythm.
  • #19 What is Tachycardia? | Symptoms, Causes & Treatment
    https://londonmedical.co.uk/cardiology/tachycardia/
    Tachycardia treatment will depend on the type that you have and the cause. However, we offer various treatments at London Medical that can help ease your symptoms. […] We can offer medication as tablets or directly through an intravenous line in your vein to help control tachycardia symptoms. Medications used to treat tachycardia include beta-blockers and calcium channel blockers. These medicines aim to reduce your heart rate to a normal number of beats per minute and prevent the episodes from recurring. […] Cardioversion is another treatment to help manage tachycardia. This procedure involves a small electric shock administered to your heart to help restore its natural rhythm. Cardioversion should only last around 30 minutes and complications and side effects are rare. […] Catheter ablation is where thin tubes are placed into your heart through a vein or artery to correct the problem with your electrical signals. This treatment is often a permanent solution to tachycardia.
  • #20 Ventricular Tachycardia – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532954/
    […] Cardiac arrest is the life-threatening presentation of ventricular tachycardia. Patients presenting with cardiac arrest secondary to ventricular tachycardia should be resuscitated and managed according to the advanced life support (ACLS) algorithm. In the absence of a cardiac arrest, patients with hemodynamically unstable ventricular tachycardia are managed with direct current cardioversion. […] In hemodynamically unstable patients, intravenous amiodarone should be used to maintain the sinus rhythm if ventricular tachycardia does not respond to direct current cardioversion or VT recurs after successful cardioversion. […] […] Ventricular tachycardia (VT) storm is one of the presentations of VT in patients with structural heart diseases. It is defined as three or more episodes of sustained ventricular tachycardia within 24 hours, which requires intervention in the form of antiarrhythmic drugs, anti-tachycardia pacing, or direct current cardioversion. […] The initial management of VT storm includes intravenous antiarrhythmic drugs, intravenous beta-blockers, and direct current cardioversion along with sedation.
  • #21 Ventricular Tachycardia (VT) – Cardiovascular Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/cardiovascular-disorders/specific-cardiac-arrhythmias/ventricular-tachycardia-vt
    Ventricular tachycardia is 3 consecutive ventricular beats at a rate 120 beats/minute. […] Treatment of more than brief episodes is with cardioversion or antiarrhythmics, depending on symptoms. If necessary, long-term treatment is with an implantable cardioverter defibrillator. […] Acute: Sometimes synchronized direct current cardioversion, sometimes class I or class III antiarrhythmics. […] Long-term: Usually an implantable cardioverter-defibrillator. […] Treatment of acute ventricular tachycardia depends on symptoms and duration of VT. […] Pulseless VT requires defibrillation beginning with biphasic 120 to 200 joules (or monophasic 360 joules). […] Stable sustained VT can be treated with synchronized direct current cardioversion with 100 joules using conscious sedation or transient general anesthesia.
  • #22 Tachycardia – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tachycardia/diagnosis-treatment/drc-20355133
    Cardioversion. Paddles or patches on the chest are used to electrically shock the heart and reset the heart rhythm. Cardioversion is generally used when emergency care is needed or when vagal maneuvers and medicines don’t work. It’s also possible to do cardioversion with medicines. […] Tachycardia treatment involves taking steps to prevent the heart from beating too fast. This may involve medicines, implanted devices, or heart surgeries or procedures. […] Medicines are often used to control the heart rate. […] Catheter ablation. In this procedure, the doctor inserts thin, flexible tubes called catheters through a blood vessel, usually in the groin. Sensors on the tip of the catheters use heat or cold energy to create tiny scars in the heart. The scars block irregular electrical signals. This helps restore a typical heartbeat.
  • #23 Tachycardia Causes, Symptoms, and Treatments
    https://www.upmc.com/services/heart-vascular/conditions/tachycardia
    Nonsurgical procedures to treat tachycardia include cardioversion and stereotactic body radiation therapy (SBRT). […] During catheter ablation, a special catheter is threaded through your blood vessels to your heart, where it uses heat or cold to create a small scar to block the electrical pathway that is causing your heart to beat abnormally. […] A pacemaker or an implantable cardioverter-defibrillator (ICD) is surgically placed under your skin to help control your heart rhythm. […] Your doctors will recommend the treatment that is most likely to be effective for your heart rhythm disorder while considering your lifestyle, preferences, and overall health.
  • #24 Tachycardia > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/tachycardia
    Treatment includes medication, cardioversion, catheter ablation, implantable cardiac defibrillator, lifestyle changes […] Whenever tachycardia is caused by an underlying condition, doctors try to treat that condition to resolve the tachycardia; when tachycardia is due to an abnormal electrical pathway in the heart or originates in a specific area in the heart, medications or ablation (cautery inside the heart) tools can be used to treat it. […] The following medications may be used to treat tachycardia: Beta-blockers, such as metoprolol, nadolol, and propranolol; Calcium channel blockers, such as verapamil or diltiazem; Anti-arrhythmic medications, such as potassium or sodium channel blockers; Adenosine; Digoxin; Magnesium sulfate. […] If medications aren’t effective, doctors may recommend one or some of the following procedures: Cardioversion, which uses external electrical shocks to change the heart’s rhythm, restoring it to normal; Catheter ablation, in which a wire is threaded through blood vessels to the heart; An implantable cardiac defibrillator can detect when the heart is in an abnormal rhythm or rate; Pacemaker, a small device implanted in the chest to help prevent a slow heart rate.
  • #25 Tachycardia (High Heart Rate): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22108-tachycardia
    Tachycardia is an abnormal heart rhythm with a fast heart rate of more than 100 beats per minute at rest. Treatments include medicines, an ablation procedure and implantable cardioverter defibrillator (ICD) placement. […] Procedures and medications are the main kinds of treatment for tachycardia. Treatments vary depending on the type of tachycardia and what’s causing it. Treatments may include: Vagal maneuvers, Ablation, Cardioversion, Implantable cardiac defibrillator (ICD), Pacemaker, Left atrial appendage closure. […] Although medications can’t cure tachycardia, they can help you regulate it. Ablation may be a long-term solution to certain types of tachycardia. It may even cure them.
  • #26 Paroxysmal Supraventricular Tachycardia Treatment & Management: Approach Considerations, Vagal Maneuvers, Short-Term Pharmacologic Management
    https://emedicine.medscape.com/article/156670-treatment
    Patients with paroxysmal SVT may initially be treated with calcium channel blockers, digoxin, and/or beta-blockers. […] Prior to the advent of percutaneous radiofrequency catheter ablation, open cardiac surgical procedures were the only means of curing paroxysmal SVT. […] Catheter ablation involves focally ablating the crucial component of the arrhythmic mechanism. […] Consider catheter ablation for any patient with symptomatic paroxysmal SVT in whom long-term medical treatment is not effectively tolerated or desired. […] The efficacy of catheter ablation often exceeds that of medical therapy for symptoms, recurrences requiring medical intervention, and the prevention of consequences, such as defibrillator discharges in patients with an implanted defibrillator and SVT. Catheter ablation is more than 90% effective in curing paroxysmal SVT.
  • #27 Management of tachycardia
    https://pmc.ncbi.nlm.nih.gov/articles/PMC4447058/
    Catheter ablation has emerged as a promising therapy to maintain sinus rhythm in patients with both paroxysmal and persistent atrial fibrillation. […] In summary, our management approach for patients with suspected TMC is to pursue an aggressive rhythm control strategy whenever possible, with the goal of restoring and maintaining sinus rhythm. […] Aggressive rate control should be pursued in situations where rhythm control is not feasible or desired.
  • #28 Diagnosis and Management of Common Types of Supraventricular Tachycardia | AAFP
    https://www.aafp.org/pubs/afp/issues/2015/1101/p793.html
    Supraventricular tachycardia refers to rapid rhythms that originate and are sustained in atrial or atrioventricular node tissue above the bundle of His. […] Vagal maneuvers may terminate the arrhythmia; if this fails, adenosine is effective in the acute setting. Calcium channel blockers (diltiazem or verapamil) or beta blockers (metoprolol) can be used acutely or as long-term therapy. […] Catheter ablation has a success rate of 95% and recurrence rate of less than 5%, and causes inadvertent heart block in less than 1% of patients. It is the preferred treatment for symptomatic patients with Wolff-Parkinson-White syndrome. […] The Valsalva maneuver is used for a variety of reasons, including termination of SVT. […] If nonpharmacologic maneuvers are ineffective, pharmacotherapy is the next line of treatment.
  • #29 Living with supraventricular tachycardia: from diagnosis to treatment | Spire Healthcare
    https://www.spirehealthcare.com/health-hub/specialties/heart-health/living-with-supraventricular-tachycardia-from-diagnosis-to-treatment/
    This electrophysiology study, often combined with 3D mapping systems, will help identify exactly where in your heart the SVT is arising from. […] With the tissue causing your SVT pinpointed, it will then be burned away using catheter ablation ie applying heat energy. This procedure is highly successful in most patients over 95% of patients that undergo catheter ablation for SVT are cured.
  • #30 Tachycardia > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/tachycardia
    For certain types of tachycardia, the use of vagal maneuvers can help terminate tachycardia. […] Other lifestyle habits may also be effective, including cutting back on caffeine consumption, drinking less alcohol, getting more sleep. […] However, once diagnosed, tachycardia is a very treatable condition. Medication and medical procedures can help keep the condition under control and eliminate the cause of the arrhythmia in the heart, respectively. Medical procedures are usually more effective than medication in treating abnormal tachycardia.
  • #31 Tachycardia – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tachycardia/diagnosis-treatment/drc-20355133
    A pacemaker is a small device that’s surgically placed under the skin in the chest area. When the device senses an irregular heartbeat, it sends an electrical pulse that helps correct the heart’s rhythm. […] Implantable cardioverter-defibrillator (ICD). This battery-powered device is placed under the skin near the collarbone. It continuously checks the heart rhythm. If the device detects an irregular heartbeat, it sends out low- or high-energy shocks to reset the heart’s rhythm. A healthcare professional may recommend this device if you’re at high risk of developing ventricular tachycardia or ventricular fibrillation. […] Maze procedure. A surgeon makes tiny cuts in the upper chambers of the heart to create a pattern of scar tissue. The pattern is called a maze. The heart’s signals can’t pass through scar tissue. So the maze can block stray electrical heart signals that cause some types of tachycardia.
  • #32 Tachycardia: Diagnosis & Treatment | NewYork-Presbyterian
    https://www.nyp.org/heart/arrhythmias/tachycardia/treatment
    Tachycardia treatment options can include surgical and nonsurgical procedures, medication, and adjustments to diet and habits. […] Tachycardia can be life-threatening. Sometimes procedures are necessary to ensure your heart stays healthy. Invasive options for tachycardia treatment include: […] A pacemaker is a small device surgically placed under the skin in the chest area. The device sends electrical impulses that can help control and correct the rhythm of the heartbeat. […] A procedure used to treat tachycardia to restore an irregular heartbeat to a normal rhythm. Typically, cardioversion patches are placed on the chest and back to deliver short, electrical impulses to reset the heart to a regular rhythm. […] Oral or IV medication can be given to regulate the hearts rhythm without using electric shocks. The rhythmic correction may take longer than with electric cardioversion treatments.
  • #33 Tachycardia: Symptoms & Treatment | Mass General Brigham
    https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/tachycardia
    Tachycardia can be mild or the result of something more life-threatening. Treatments for tachycardia depend on the type of tachycardia you have. […] The treatment for tachycardia will depend on the cause. Treatment options usually address slowing the rapid heartbeat and preventing future tachycardia episodes by treating the underlying cause. Treatment options might include: […] Taking beta-blockers or calcium channel blockers can slow heart rate. […] Stimulating your vagus nerve can help reset your hearts electrical impulses. These should only be done under a doctors supervision. […] An electric shock to the heart can restore the hearts natural rhythm. This could be used in combination with medication or if vagal maneuvers and medications are no longer effective. […] A flexible tube (the catheter) inserted into the heart uses hot or cold energy to block irregular heartbeats and restore the hearts natural rhythm. […] A small device implanted in the chest area sends a pulse to regulate your heartbeat. […] A medical device placed under the skin monitors the heart rate and sends an electrical shock when a life-threatening, rapid heartbeat is detected.
  • #34 Tachycardia – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tachycardia/diagnosis-treatment/drc-20355133
    A pacemaker is a small device that’s surgically placed under the skin in the chest area. When the device senses an irregular heartbeat, it sends an electrical pulse that helps correct the heart’s rhythm. […] Implantable cardioverter-defibrillator (ICD). This battery-powered device is placed under the skin near the collarbone. It continuously checks the heart rhythm. If the device detects an irregular heartbeat, it sends out low- or high-energy shocks to reset the heart’s rhythm. A healthcare professional may recommend this device if you’re at high risk of developing ventricular tachycardia or ventricular fibrillation. […] Maze procedure. A surgeon makes tiny cuts in the upper chambers of the heart to create a pattern of scar tissue. The pattern is called a maze. The heart’s signals can’t pass through scar tissue. So the maze can block stray electrical heart signals that cause some types of tachycardia.
  • #35 Tachycardia | healthdirect
    https://www.healthdirect.gov.au/tachycardia
    If you have ventricular tachycardia and are very unwell, your doctors may need to shock your heart into the correct rhythm with a defibrillator. If you are at risk of this happening again, your doctor may recommend having an implantable cardioverter defibrillator (ICD) implanted. This device can automatically deliver a small shock to your heart when you need it to normalise your heart rhythm. […] Some people might need a catheter ablation procedure. In this procedure, a small catheter is inserted through a large blood vessel in the groin and threaded through your veins to reach the heart. The electrical 'circuit’ causing the irregular heart rhythm is then identified and disrupted using radiofrequency heat or other techniques.
  • #36 Ventricular Tachycardia | Conditions | UCSF Health
    https://www.ucsfhealth.org/conditions/ventricular-tachycardia
    An implantable cardioverter defibrillator is a device for people who are prone to life-threatening rapid heart rhythms. It is slightly larger than a pacemaker and usually is implanted beneath the skin below the collarbone. It is connected to a defibrillation/pace wire(s) positioned inside the heart via a vein. It has the capability of delivering an electric shock to the heart when it determines the heart rate is too fast. It also is capable of pacing or stimulating the heart when it is going too slow. […] The U.S. Food and Drug Administration (FDA) recently approved the first of a new type of pacemaker that paces both ventricles of the heart to coordinate their contractions and improve their pumping ability.
  • #37 Ventricular Tachycardia – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532954/
    […] In patients with structural heart disease and hemodynamically stable ventricular tachycardia, intravenous procainamide, amiodarone, and sotalol (depending on availability) are recommended for the acute treatment of ventricular tachycardia. […] Intravenous beta-blockade and non-dihydropyridine calcium channel blockers are the first choice drugs for treating hemodynamically stable patients with idiopathic ventricular tachycardia. […] […] All patients with structural heart disease and left ventricular systolic dysfunction should be offered guidelines-directed medical therapy for heart failure. Patients with ischemic cardiomyopathy who survive sudden cardiac arrest due to ventricular tachycardia, or experience hemodynamically unstable or stable sustained ventricular tachycardia, should have an implantable cardiac defibrillator (ICD) placed if their estimated meaningful survival is greater than one year.
  • #38 Ventricular Tachycardia (VT) – Cardiovascular Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/cardiovascular-disorders/specific-cardiac-arrhythmias/ventricular-tachycardia-vt
    Stable sustained VT can be treated with intravenous class I or class III antiarrhythmics. […] Right and left ventricular outflow tract ventricular tachycardias (RVOT-VT and LVOT-VT) respond to IV adenosine. Verapamil-sensitive left fascicular ventricular tachycardia responds to IV verapamil. […] The primary goal is preventing sudden death, rather than simply suppressing the arrhythmia. It is best accomplished by use of an implantable cardioverter-defibrillator (ICD). […] In the absence of a transient or reversible cause, patients who have had an episode of sustained VT typically require an ICD. […] Most patients with sustained VT and a significant structural heart disorder should also receive a beta-blocker. […] When prevention of VT is important (usually in patients who have an ICD and are having frequent episodes of VT), antiarrhythmics or transcatheter or surgical ablation of the arrhythmogenic substrate is required.
  • #39 Tachycardia – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tachycardia/diagnosis-treatment/drc-20355133
    Sometimes open-heart surgery is needed to destroy an extra electrical pathway causing tachycardia. Surgery is usually done only when other treatment options don’t work or when surgery is needed to treat another heart condition. […] An implantable device, such as a pacemaker or implantable cardioverter-defibrillator (ICD), may be used to treat some types of tachycardia.
  • #40 %%title%% %%page%%
    https://www.apollohospitals.com/health-library/tachycardia-types-symptoms-causes-and-treatment/
    Future episodes can get prevented by the following: […] Catheter ablation. This procedure is done when an extra electrical pathway is responsible for an increased heart rate. The doctor inserts catheters into the neck, arm or groin, and guides them through your blood vessels to your heart. The electrodes at the tips of the catheter use radiofrequency energy or extreme cold to damage (ablate) extra electrical pathway and prevent it from sending electrical signals. […] Medications: Taking anti-arrhythmic medications by mouth might prevent a fast heart rate when they are taken regularly. […] Pacemaker: Certain types of tachycardias may be treated with a pacemaker. […] Implantable cardioverter: If you are at the risk of having a life-threatening tachycardia episode, your treating physician may suggest an implantable cardioverter-defibrillator (ICD). […] Surgery: In a maze procedure, the surgeon makes small cuts/incisions in the heart tissue to create a maze of scar tissue. As scar tissue does not conduct electricity, it interferes with stray electrical impulses that cause some types of tachycardia.
  • #41 Tachycardia – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tachycardia/diagnosis-treatment/drc-20355133
    A pacemaker is a small device that’s surgically placed under the skin in the chest area. When the device senses an irregular heartbeat, it sends an electrical pulse that helps correct the heart’s rhythm. […] Implantable cardioverter-defibrillator (ICD). This battery-powered device is placed under the skin near the collarbone. It continuously checks the heart rhythm. If the device detects an irregular heartbeat, it sends out low- or high-energy shocks to reset the heart’s rhythm. A healthcare professional may recommend this device if you’re at high risk of developing ventricular tachycardia or ventricular fibrillation. […] Maze procedure. A surgeon makes tiny cuts in the upper chambers of the heart to create a pattern of scar tissue. The pattern is called a maze. The heart’s signals can’t pass through scar tissue. So the maze can block stray electrical heart signals that cause some types of tachycardia.
  • #42 Tachycardia // Middlesex Health
    https://middlesexhealth.org/learning-center/diseases-and-conditions/tachycardia
    A pacemaker is a small device that’s surgically placed under the skin in the chest area. […] Implantable cardioverter-defibrillator (ICD). This battery-powered device is placed under the skin near the collarbone. […] Maze procedure. A surgeon makes tiny cuts in the upper chambers of the heart to create a pattern of scar tissue. […] Surgery. Sometimes open-heart surgery is needed to destroy an extra electrical pathway causing tachycardia.
  • #43 Tachycardia – Diagnosis and treatment – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tachycardia/diagnosis-treatment/drc-20355133
    The goals of tachycardia treatment are to slow a rapid heartbeat and to prevent future episodes of a fast heart rate. […] If another health condition is causing tachycardia, treating the underlying problem may reduce or prevent episodes of a fast heartbeat. […] A fast heart rate may correct itself. But sometimes medicine or other treatments are needed to slow down the heartbeat. […] Ways to slow a fast heart rate include: […] Vagal maneuvers. Simple but specific actions such as coughing, bearing down as if passing stool or putting an ice pack on the face can help slow down the heart rate. Your healthcare team may ask you to do these specific actions during an episode of a fast heartbeat. The actions affect the vagus nerve. That nerve helps control the heartbeat. […] Medicines. If vagal maneuvers don’t stop the fast heartbeat, medicine may be needed to correct the heart rhythm.
  • #44 Tachycardia > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/tachycardia
    Treatment includes medication, cardioversion, catheter ablation, implantable cardiac defibrillator, lifestyle changes […] Whenever tachycardia is caused by an underlying condition, doctors try to treat that condition to resolve the tachycardia; when tachycardia is due to an abnormal electrical pathway in the heart or originates in a specific area in the heart, medications or ablation (cautery inside the heart) tools can be used to treat it. […] The following medications may be used to treat tachycardia: Beta-blockers, such as metoprolol, nadolol, and propranolol; Calcium channel blockers, such as verapamil or diltiazem; Anti-arrhythmic medications, such as potassium or sodium channel blockers; Adenosine; Digoxin; Magnesium sulfate. […] If medications aren’t effective, doctors may recommend one or some of the following procedures: Cardioversion, which uses external electrical shocks to change the heart’s rhythm, restoring it to normal; Catheter ablation, in which a wire is threaded through blood vessels to the heart; An implantable cardiac defibrillator can detect when the heart is in an abnormal rhythm or rate; Pacemaker, a small device implanted in the chest to help prevent a slow heart rate.
  • #45 Tachycardia: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/heart-disease/atrial-fibrillation/what-are-the-types-of-tachycardia
    Your treatment will be aimed at slowing your heart rate and preventing episodes of tachycardia in the future. If your tachycardia is caused by an underlying health problem, your treatment will address that, too. What type of tachycardia you have will determine how your health care team proceeds. […] Your doctor may recommend that you drink less caffeine and less alcohol, get more sleep, or quit smoking. You doctor also may prescribe medicine, which could include: Beta blockers, Calcium channel blockers, Antiarrhythmic drugs, Blood thinners. […] You might need a procedure called cardioversion, which changes the rhythm of your heart. The doctor uses a defibrillator to give your heart an electrical shock (electrical cardioversion). The other approach (chemical cardioversion) uses drugs — either oral or IV — to change your heart rhythm.
  • #46 Tachycardia: Symptoms & Treatment | Mass General Brigham
    https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/tachycardia
    Tachycardia can be mild or the result of something more life-threatening. Treatments for tachycardia depend on the type of tachycardia you have. […] The treatment for tachycardia will depend on the cause. Treatment options usually address slowing the rapid heartbeat and preventing future tachycardia episodes by treating the underlying cause. Treatment options might include: […] Taking beta-blockers or calcium channel blockers can slow heart rate. […] Stimulating your vagus nerve can help reset your hearts electrical impulses. These should only be done under a doctors supervision. […] An electric shock to the heart can restore the hearts natural rhythm. This could be used in combination with medication or if vagal maneuvers and medications are no longer effective. […] A flexible tube (the catheter) inserted into the heart uses hot or cold energy to block irregular heartbeats and restore the hearts natural rhythm. […] A small device implanted in the chest area sends a pulse to regulate your heartbeat. […] A medical device placed under the skin monitors the heart rate and sends an electrical shock when a life-threatening, rapid heartbeat is detected.
  • #47 Tachycardia > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/tachycardia
    Treatment includes medication, cardioversion, catheter ablation, implantable cardiac defibrillator, lifestyle changes […] Whenever tachycardia is caused by an underlying condition, doctors try to treat that condition to resolve the tachycardia; when tachycardia is due to an abnormal electrical pathway in the heart or originates in a specific area in the heart, medications or ablation (cautery inside the heart) tools can be used to treat it. […] The following medications may be used to treat tachycardia: Beta-blockers, such as metoprolol, nadolol, and propranolol; Calcium channel blockers, such as verapamil or diltiazem; Anti-arrhythmic medications, such as potassium or sodium channel blockers; Adenosine; Digoxin; Magnesium sulfate. […] If medications aren’t effective, doctors may recommend one or some of the following procedures: Cardioversion, which uses external electrical shocks to change the heart’s rhythm, restoring it to normal; Catheter ablation, in which a wire is threaded through blood vessels to the heart; An implantable cardiac defibrillator can detect when the heart is in an abnormal rhythm or rate; Pacemaker, a small device implanted in the chest to help prevent a slow heart rate.
  • #48 Supraventricular Tachycardia (SVT): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22152-svt-supraventricular-tachycardia
    SVT (supraventricular tachycardia) is a common kind of arrhythmia (abnormal heart rhythm). […] There are some things you can do on your own, but you may need medicine or surgery to help with symptoms. […] If you have symptoms, you may think something doesn’t feel right in your chest. […] You may not need SVT treatment. Some people may feel better after resting more, drinking less coffee or alcohol-containing drinks, or after quitting smoking. If those don’t help, you have lots of other options. […] Several medicines can slow down your heart rate: Adenosine, Atropine, Beta-blockers, Calcium channel blockers, Digitalis (digoxin), Potassium channel blockers. […] Your provider can use these methods for supraventricular tachycardia treatment: Vagal maneuvers like applying pressure to specific areas of your neck (carotid sinus massage), Cardioversion, Catheter ablation, Implantable cardioverter defibrillator (ICD).
  • #49 Paroxysmal Supraventricular Tachycardia Treatment & Management: Approach Considerations, Vagal Maneuvers, Short-Term Pharmacologic Management
    https://emedicine.medscape.com/article/156670-treatment
    When SVT is not terminated by vagal maneuvers, short-term management involves intravenous adenosine or calcium channel blockers. Adenosine is a short-acting drug that blocks AV node conduction; it terminates 90% of tachycardias due to AVNRT or AVRT. […] Other alternatives for the acute treatment of SVT include calcium channel blockers, such as verapamil and diltiazem, as well as beta-blockers, such as metoprolol or esmolol. […] The choice of long-term therapy for patients with SVT depends on the type of tachyarrhythmia that is occurring and the frequency and duration of episodes, as well as the symptoms and the risks associated with the arrhythmia (eg, heart failure, sudden death). Evaluate patients on an individual basis, and tailor treatment to the best therapy for the specific tachyarrhythmia.
  • #50 Inappropriate Sinus Tachycardia Causes and Treatment
    https://www.verywellhealth.com/inappropriate-sinus-tachycardia-1745220
    Beta-blockers are another category of drugs used to treat IST. They block the effect of adrenaline on the sinus node. […] Calcium channel blockers (CCB) can directly slow the action of the sinus node. […] Because there is some overlap between IST and other dysautonomia syndromes (especially POTS and vasovagal syncope), drugs that are effective in treating these conditions can occasionally be helpful in treating patients with IST. […] Your healthcare provider may recommend making lifestyle changes to avoid things that may trigger episodes of tachycardia. […] Another non-drug way to treat IST is exercise training. […] CBT is an effective form of psychological treatment that may reduce the risk of adverse cardiovascular events in people who experience anxiety as a symptom (or trigger) of their heart condition.
  • #51 Tachycardia: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/heart-disease/atrial-fibrillation/what-are-the-types-of-tachycardia
    Your treatment will be aimed at slowing your heart rate and preventing episodes of tachycardia in the future. If your tachycardia is caused by an underlying health problem, your treatment will address that, too. What type of tachycardia you have will determine how your health care team proceeds. […] Your doctor may recommend that you drink less caffeine and less alcohol, get more sleep, or quit smoking. You doctor also may prescribe medicine, which could include: Beta blockers, Calcium channel blockers, Antiarrhythmic drugs, Blood thinners. […] You might need a procedure called cardioversion, which changes the rhythm of your heart. The doctor uses a defibrillator to give your heart an electrical shock (electrical cardioversion). The other approach (chemical cardioversion) uses drugs — either oral or IV — to change your heart rhythm.
  • #52 Tachycardia: Symptoms & Treatment | Mass General Brigham
    https://www.massgeneralbrigham.org/en/patient-care/services-and-specialties/heart/conditions/tachycardia
    Tachycardia can be mild or the result of something more life-threatening. Treatments for tachycardia depend on the type of tachycardia you have. […] The treatment for tachycardia will depend on the cause. Treatment options usually address slowing the rapid heartbeat and preventing future tachycardia episodes by treating the underlying cause. Treatment options might include: […] Taking beta-blockers or calcium channel blockers can slow heart rate. […] Stimulating your vagus nerve can help reset your hearts electrical impulses. These should only be done under a doctors supervision. […] An electric shock to the heart can restore the hearts natural rhythm. This could be used in combination with medication or if vagal maneuvers and medications are no longer effective. […] A flexible tube (the catheter) inserted into the heart uses hot or cold energy to block irregular heartbeats and restore the hearts natural rhythm. […] A small device implanted in the chest area sends a pulse to regulate your heartbeat. […] A medical device placed under the skin monitors the heart rate and sends an electrical shock when a life-threatening, rapid heartbeat is detected.
  • #53 Tachycardia > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/tachycardia
    Treatment includes medication, cardioversion, catheter ablation, implantable cardiac defibrillator, lifestyle changes […] Whenever tachycardia is caused by an underlying condition, doctors try to treat that condition to resolve the tachycardia; when tachycardia is due to an abnormal electrical pathway in the heart or originates in a specific area in the heart, medications or ablation (cautery inside the heart) tools can be used to treat it. […] The following medications may be used to treat tachycardia: Beta-blockers, such as metoprolol, nadolol, and propranolol; Calcium channel blockers, such as verapamil or diltiazem; Anti-arrhythmic medications, such as potassium or sodium channel blockers; Adenosine; Digoxin; Magnesium sulfate. […] If medications aren’t effective, doctors may recommend one or some of the following procedures: Cardioversion, which uses external electrical shocks to change the heart’s rhythm, restoring it to normal; Catheter ablation, in which a wire is threaded through blood vessels to the heart; An implantable cardiac defibrillator can detect when the heart is in an abnormal rhythm or rate; Pacemaker, a small device implanted in the chest to help prevent a slow heart rate.
  • #54 Supraventricular Tachycardia (SVT): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22152-svt-supraventricular-tachycardia
    SVT (supraventricular tachycardia) is a common kind of arrhythmia (abnormal heart rhythm). […] There are some things you can do on your own, but you may need medicine or surgery to help with symptoms. […] If you have symptoms, you may think something doesn’t feel right in your chest. […] You may not need SVT treatment. Some people may feel better after resting more, drinking less coffee or alcohol-containing drinks, or after quitting smoking. If those don’t help, you have lots of other options. […] Several medicines can slow down your heart rate: Adenosine, Atropine, Beta-blockers, Calcium channel blockers, Digitalis (digoxin), Potassium channel blockers. […] Your provider can use these methods for supraventricular tachycardia treatment: Vagal maneuvers like applying pressure to specific areas of your neck (carotid sinus massage), Cardioversion, Catheter ablation, Implantable cardioverter defibrillator (ICD).
  • #55 Paroxysmal Supraventricular Tachycardia Treatment & Management: Approach Considerations, Vagal Maneuvers, Short-Term Pharmacologic Management
    https://emedicine.medscape.com/article/156670-treatment
    When SVT is not terminated by vagal maneuvers, short-term management involves intravenous adenosine or calcium channel blockers. Adenosine is a short-acting drug that blocks AV node conduction; it terminates 90% of tachycardias due to AVNRT or AVRT. […] Other alternatives for the acute treatment of SVT include calcium channel blockers, such as verapamil and diltiazem, as well as beta-blockers, such as metoprolol or esmolol. […] The choice of long-term therapy for patients with SVT depends on the type of tachyarrhythmia that is occurring and the frequency and duration of episodes, as well as the symptoms and the risks associated with the arrhythmia (eg, heart failure, sudden death). Evaluate patients on an individual basis, and tailor treatment to the best therapy for the specific tachyarrhythmia.
  • #56 Atrial Tachycardia Treatment & Management: Approach Considerations, Cardioversion, Pharmacologic Treatment
    https://emedicine.medscape.com/article/151456-treatment
    The primary treatment during an episode of atrial tachycardia is considered to be rate control using atrioventricular (AV) nodal blocking agents (eg, beta-blockers or calcium channel blockers). […] In the setting of hemodynamic compromise due to SVT or known atrial tachycardia in which a drug may be therapeutic, the ultra short-acting agent adenosine or the short-acting beta-blocker esmolol may be tried. […] Atrial tachycardia often self-terminates and may be nonsustained if the cause is addressed. […] For any patient who does not tolerate the rhythm well hemodynamically and in whom rate control drugs are ineffective or contraindicated, cardioversion should be considered. […] Atrial tachycardia from triggered activity (most frequently found in the setting of digitalis toxicity) is sensitive to verapamil, beta-blockers, and adenosine.
  • #57 Tachycardia: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/heart-disease/atrial-fibrillation/what-are-the-types-of-tachycardia
    Your treatment will be aimed at slowing your heart rate and preventing episodes of tachycardia in the future. If your tachycardia is caused by an underlying health problem, your treatment will address that, too. What type of tachycardia you have will determine how your health care team proceeds. […] Your doctor may recommend that you drink less caffeine and less alcohol, get more sleep, or quit smoking. You doctor also may prescribe medicine, which could include: Beta blockers, Calcium channel blockers, Antiarrhythmic drugs, Blood thinners. […] You might need a procedure called cardioversion, which changes the rhythm of your heart. The doctor uses a defibrillator to give your heart an electrical shock (electrical cardioversion). The other approach (chemical cardioversion) uses drugs — either oral or IV — to change your heart rhythm.
  • #58 Tachycardia > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/tachycardia
    Treatment includes medication, cardioversion, catheter ablation, implantable cardiac defibrillator, lifestyle changes […] Whenever tachycardia is caused by an underlying condition, doctors try to treat that condition to resolve the tachycardia; when tachycardia is due to an abnormal electrical pathway in the heart or originates in a specific area in the heart, medications or ablation (cautery inside the heart) tools can be used to treat it. […] The following medications may be used to treat tachycardia: Beta-blockers, such as metoprolol, nadolol, and propranolol; Calcium channel blockers, such as verapamil or diltiazem; Anti-arrhythmic medications, such as potassium or sodium channel blockers; Adenosine; Digoxin; Magnesium sulfate. […] If medications aren’t effective, doctors may recommend one or some of the following procedures: Cardioversion, which uses external electrical shocks to change the heart’s rhythm, restoring it to normal; Catheter ablation, in which a wire is threaded through blood vessels to the heart; An implantable cardiac defibrillator can detect when the heart is in an abnormal rhythm or rate; Pacemaker, a small device implanted in the chest to help prevent a slow heart rate.
  • #59 Ventricular Tachycardia – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532954/
    […] In patients with structural heart disease and hemodynamically stable ventricular tachycardia, intravenous procainamide, amiodarone, and sotalol (depending on availability) are recommended for the acute treatment of ventricular tachycardia. […] Intravenous beta-blockade and non-dihydropyridine calcium channel blockers are the first choice drugs for treating hemodynamically stable patients with idiopathic ventricular tachycardia. […] […] All patients with structural heart disease and left ventricular systolic dysfunction should be offered guidelines-directed medical therapy for heart failure. Patients with ischemic cardiomyopathy who survive sudden cardiac arrest due to ventricular tachycardia, or experience hemodynamically unstable or stable sustained ventricular tachycardia, should have an implantable cardiac defibrillator (ICD) placed if their estimated meaningful survival is greater than one year.
  • #60 Atrial Tachycardia Treatment & Management: Approach Considerations, Cardioversion, Pharmacologic Treatment
    https://emedicine.medscape.com/article/151456-treatment
    For refractory recurrent atrial tachycardias causing symptoms (particularly recurrence after electrical cardioversion), antiarrhythmic drugs have been tried. […] Class III antiarrhythmic drugs such as amiodarone, sotalol, dronedarone, and dofetilide have variable efficacy in terminating atrial tachycardia. […] Atrial tachycardia due to digitalis intoxication often manifests as AV conduction block, ventricular arrhythmias, or both. […] In patients with multifocal atrial tachycardia (MAT), treatment and/or reversal of the precipitating cause may be the only therapy that is required; however, the arrhythmia may recur if the underlying condition worsens. […] Emergency department care for MAT involves simultaneous assessment and treatment. […] Antiarrhythmics are usually not indicated for treatment of MAT, and specific antiarrhythmic therapy historically has not demonstrated great efficacy in this setting.
  • #61 Atrial Tachycardia: Diagnosis and Treatment – Cancer Therapy Advisor
    https://www.cancertherapyadvisor.com/home/decision-support-in-medicine/cardiology/atrial-tachycardia-diagnosis-and-treatment/
    During tachycardia in the acute setting hemodynamic support and restoration of adequate perfusion should remain the priority as mandated by the ACLS protocols. […] Antiarrhythmic drugs in the acute setting can also be used for pharmacologic conversion of an incessant tachycardia or to achieve rate control and symptomatic relief. […] Catheter ablation is the therapeutic strategy most likely to provide long-term elimination of the arrhythmia. Antiarrhythmic drugs can be used for maintenance of sinus rhythm. […] The drugs used in the long-term management of atrial tachycardias include beta-blockers, calcium channel blockers, sodium (class IC), and potassium (class III) channel blockers.
  • #62 Atrial Tachycardia: Diagnosis and Treatment – Cancer Therapy Advisor
    https://www.cancertherapyadvisor.com/home/decision-support-in-medicine/cardiology/atrial-tachycardia-diagnosis-and-treatment/
    The treatment of atrial tachycardias is focused on rhythm control and prevention of arrhythmia recurrence. Persistent tachycardias with hemodynamic compromise must be terminated emergently with electrical cardioversion. […] The treatment could be pharmacologic or catheter based ablation. The patient should participate in the decision of which strategy to use as long as he or she can be a candidate for both. Patients with multiple comorbidities and contraindications for antiarrhythmic drugs should be treated with an invasive strategy, and patients with vascular access problems, contraindication to sedatives, and inability to safely withstand an ablation procedure should be treated with a conservative approach until they can be candidates for an invasive procedure. […] Pharmacologic therapy includes beta-blockers, calcium channel blockers, and antiarrhythmic drugs. Among antiarrhythmic drugs, class IC seem to be particularly effective with focal atrial tachycardias, but its use is limited to patients without myocardial scar and by extension, patients without coronary artery disease or significant structural heart disease.
  • #63 Paroxysmal Supraventricular Tachycardia Treatment & Management: Approach Considerations, Vagal Maneuvers, Short-Term Pharmacologic Management
    https://emedicine.medscape.com/article/156670-treatment
    Patients with symptomatic Wolff-Parkinson-White (WPW) syndrome should not be treated with calcium channel blockers or digoxin unless the pathway is known to be of low risk (long anterograde refractory period). This is because of the potential for rapid ventricular rates should atrial fibrillation or atrial flutter occur, which can result in cardiac arrest. […] Patients with preexcited atrial fibrillation should not be treated with intravenous AV nodal blocking agents, such as adenosine, beta-blockers, calcium channel blockers, and digoxin. Rather, if the patient is hemodynamically stable, intravenous procainamide should be administered. If the patient is unstable, direct current cardioversion should be performed. […] Electrical cardioversion is the most effective method for restoring sinus rhythm. Synchronized cardioversion starting at 50J can be used immediately in patients who are hypotensive, have pulmonary edema, have chest pain with ischemia, or are otherwise unstable.
  • #64 Supraventricular Tachycardia (SVT): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22152-svt-supraventricular-tachycardia
    SVT (supraventricular tachycardia) is a common kind of arrhythmia (abnormal heart rhythm). […] There are some things you can do on your own, but you may need medicine or surgery to help with symptoms. […] If you have symptoms, you may think something doesn’t feel right in your chest. […] You may not need SVT treatment. Some people may feel better after resting more, drinking less coffee or alcohol-containing drinks, or after quitting smoking. If those don’t help, you have lots of other options. […] Several medicines can slow down your heart rate: Adenosine, Atropine, Beta-blockers, Calcium channel blockers, Digitalis (digoxin), Potassium channel blockers. […] Your provider can use these methods for supraventricular tachycardia treatment: Vagal maneuvers like applying pressure to specific areas of your neck (carotid sinus massage), Cardioversion, Catheter ablation, Implantable cardioverter defibrillator (ICD).
  • #65 Atrial Tachycardia Treatment & Management: Approach Considerations, Cardioversion, Pharmacologic Treatment
    https://emedicine.medscape.com/article/151456-treatment
    The primary treatment during an episode of atrial tachycardia is considered to be rate control using atrioventricular (AV) nodal blocking agents (eg, beta-blockers or calcium channel blockers). […] In the setting of hemodynamic compromise due to SVT or known atrial tachycardia in which a drug may be therapeutic, the ultra short-acting agent adenosine or the short-acting beta-blocker esmolol may be tried. […] Atrial tachycardia often self-terminates and may be nonsustained if the cause is addressed. […] For any patient who does not tolerate the rhythm well hemodynamically and in whom rate control drugs are ineffective or contraindicated, cardioversion should be considered. […] Atrial tachycardia from triggered activity (most frequently found in the setting of digitalis toxicity) is sensitive to verapamil, beta-blockers, and adenosine.
  • #66 Tachycardia: Symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/175241
    Tachycardia treatment depends on various factors, including: […] Treatment aims to address the cause, but a doctor may also try to: […] If there is no clear underlying cause, it may take some time to find a suitable treatment option. […] Medications that can help people manage tachycardia include: […] Blood thinners can help manage the complications of atrial fibrillation. […] Other ways of helping to prevent tachycardia may include: […] Typically, invasive therapies and surgeries are reserved for cases where other therapies have not worked or the person has another heart condition. […] In atrial fibrillation a common cause of tachycardia doctors commonly prescribe beta-blockers and calcium channel blockers to control heart rates. […] Sometimes, they may also suggest antiarrhythmic drugs.
  • #67 Atrial Tachycardia Treatment & Management: Approach Considerations, Cardioversion, Pharmacologic Treatment
    https://emedicine.medscape.com/article/151456-treatment
    For refractory recurrent atrial tachycardias causing symptoms (particularly recurrence after electrical cardioversion), antiarrhythmic drugs have been tried. […] Class III antiarrhythmic drugs such as amiodarone, sotalol, dronedarone, and dofetilide have variable efficacy in terminating atrial tachycardia. […] Atrial tachycardia due to digitalis intoxication often manifests as AV conduction block, ventricular arrhythmias, or both. […] In patients with multifocal atrial tachycardia (MAT), treatment and/or reversal of the precipitating cause may be the only therapy that is required; however, the arrhythmia may recur if the underlying condition worsens. […] Emergency department care for MAT involves simultaneous assessment and treatment. […] Antiarrhythmics are usually not indicated for treatment of MAT, and specific antiarrhythmic therapy historically has not demonstrated great efficacy in this setting.
  • #68 Supraventricular Tachycardia (SVT): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22152-svt-supraventricular-tachycardia
    SVT (supraventricular tachycardia) is a common kind of arrhythmia (abnormal heart rhythm). […] There are some things you can do on your own, but you may need medicine or surgery to help with symptoms. […] If you have symptoms, you may think something doesn’t feel right in your chest. […] You may not need SVT treatment. Some people may feel better after resting more, drinking less coffee or alcohol-containing drinks, or after quitting smoking. If those don’t help, you have lots of other options. […] Several medicines can slow down your heart rate: Adenosine, Atropine, Beta-blockers, Calcium channel blockers, Digitalis (digoxin), Potassium channel blockers. […] Your provider can use these methods for supraventricular tachycardia treatment: Vagal maneuvers like applying pressure to specific areas of your neck (carotid sinus massage), Cardioversion, Catheter ablation, Implantable cardioverter defibrillator (ICD).
  • #69 Supraventricular Tachycardia (SVT) Treatments | Stanford Health Care
    https://stanfordhealthcare.org/medical-conditions/blood-heart-circulation/supraventricular-tachycardia/treatments.html
    Your treatment for SVT depends on a few things. They include what type of SVT, how often you have episodes, and how severe your symptoms are. The goals of treatment are to prevent episodes, relieve symptoms, and prevent problems. You and your doctor can decide what type of treatment is right for you. […] SVT is usually treated if: […] When episodes of SVT start suddenly and cause symptoms, you can try vagal maneuvers. […] If your heart rate cannot be slowed using vagal maneuvers, you may have to go to your doctor’s office or the emergency room, where a fast-acting medicine can be given to slow your heart rate. […] If you have recurring episodes of SVT, you may need to take medicines, either on an as-needed basis or daily. […] Many people with SVT have a procedure called catheter ablation. This procedure can stop the rhythm problem in most people. […] An electric shock to the heart is called electrical cardioversion. It may be needed if you are having severe symptoms of SVT and your heart rate doesn’t go back to normal using vagal maneuvers or fast-acting medicines.
  • #70 Treatment
    http://www.cardiosmart.org/topics/supraventricular-tachycardia/treatment
    In most cases, if you experience short episodes of supraventricular tachycardia (SVT) with no symptoms, your health care professional may recommend no therapy. However, if you do have symptoms, frequent episodes, or both, then you will likely require treatment. […] What treatment is best for you depends on the type of SVT you have, how often it occurs, and the degree and length of symptoms. The goal is to prevent these abnormal heart rhythms and to limit your symptoms. […] Your treatment might include: […] Vagal maneuvers: For a sudden episode of SVT, actions such as bearing down, coughing, or holding your breath may stop the abnormal rhythm. These actions can slow the electrical impulses in your heart. […] Medications: Patients may be prescribed daily medications to help prevent SVT episodes from occurring or to slow heart rates during SVT episodes. Commonly prescribed medications are beta-blockers, verapamil, and digoxin. Occasionally, other medications called antiarrhythmic drugs (such as amiodarone or sotalol) may be given to prevent SVT episodes from occurring.
  • #71 Supraventricular Tachycardia (SVT): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22152-svt-supraventricular-tachycardia
    SVT (supraventricular tachycardia) is a common kind of arrhythmia (abnormal heart rhythm). […] There are some things you can do on your own, but you may need medicine or surgery to help with symptoms. […] If you have symptoms, you may think something doesn’t feel right in your chest. […] You may not need SVT treatment. Some people may feel better after resting more, drinking less coffee or alcohol-containing drinks, or after quitting smoking. If those don’t help, you have lots of other options. […] Several medicines can slow down your heart rate: Adenosine, Atropine, Beta-blockers, Calcium channel blockers, Digitalis (digoxin), Potassium channel blockers. […] Your provider can use these methods for supraventricular tachycardia treatment: Vagal maneuvers like applying pressure to specific areas of your neck (carotid sinus massage), Cardioversion, Catheter ablation, Implantable cardioverter defibrillator (ICD).
  • #72 Paroxysmal Supraventricular Tachycardia Treatment & Management: Approach Considerations, Vagal Maneuvers, Short-Term Pharmacologic Management
    https://emedicine.medscape.com/article/156670-treatment
    Guidelines on the management of supraventricular tachycardias (SVTs) are available from the American College of Cardiology/American Heart Association (2015), the European Heart Rhythm Association (2017), the European Society of Cardiology Scientific Group (2017), and the European Society of Cardiology (2019). […] Acute management of paroxysmal SVT includes controlling the rate and preventing hemodynamic collapse. If the patient is hypotensive or unstable, immediate cardioversion with sedation must be performed. If the patient is stable, vagal maneuvers can be used to slow the heart rate and to convert to sinus rhythm. If vagal maneuvers are not successful, adenosine can be used in increasing doses. If adenosine does not work, atrioventricular (AV) nodal blocking agents like calcium channel blockers or beta-blockers should be used, as most patients who present with PSVT have AV nodal reentrant tachycardia (AVNRT) or AV reentrant tachycardia (AVRT). These arrhythmias depend on AV nodal conduction and therefore can be terminated by transiently blocking this conduction.
  • #73 Treatment for Supraventricular Tachycardia (SVT) | Saint Luke’s Health System
    https://www.saintlukeskc.org/health-library/treatment-supraventricular-tachycardia-svt
    Supraventricular tachycardia (SVT) is a class of abnormally fast heart rhythms that originate from the top chambers of the heart called the atria. […] If you do need treatment, there are several kinds. They include: Valsalva maneuver. This is a way to increase pressure in the abdomen and chest. It can correct your heart rhythm right away. […] Carotid massage. Your healthcare provider may rub the carotid artery in your neck. This produces a slowing heart rate reflex in the heart and can sometimes stop the arrhythmia. […] Medicine. There are various kinds you can take. Calcium channel or beta blockers can help correct heart rhythm. […] Electrocardioversion. This is a shock to the heart to restart a normal rhythm right away. […] Catheter ablation. This can help cure SVT. Your healthcare provider puts a thin, flexible tube (catheter) into a blood vessel in the groin.
  • #74 Paroxysmal Supraventricular Tachycardia Treatment & Management: Approach Considerations, Vagal Maneuvers, Short-Term Pharmacologic Management
    https://emedicine.medscape.com/article/156670-treatment
    Patients with symptomatic Wolff-Parkinson-White (WPW) syndrome should not be treated with calcium channel blockers or digoxin unless the pathway is known to be of low risk (long anterograde refractory period). This is because of the potential for rapid ventricular rates should atrial fibrillation or atrial flutter occur, which can result in cardiac arrest. […] Patients with preexcited atrial fibrillation should not be treated with intravenous AV nodal blocking agents, such as adenosine, beta-blockers, calcium channel blockers, and digoxin. Rather, if the patient is hemodynamically stable, intravenous procainamide should be administered. If the patient is unstable, direct current cardioversion should be performed. […] Electrical cardioversion is the most effective method for restoring sinus rhythm. Synchronized cardioversion starting at 50J can be used immediately in patients who are hypotensive, have pulmonary edema, have chest pain with ischemia, or are otherwise unstable.
  • #75 Diagnosis and Management of Common Types of Supraventricular Tachycardia | AAFP
    https://www.aafp.org/pubs/afp/issues/2015/1101/p793.html
    In patients with Wolff-Parkinson-White syndrome, adenosine, calcium channel blockers, or digoxin may be used acutely, but they should not be used long-term because these AV nodal blocking agents can force conduction down the accessory pathway, predisposing the patient to ventricular fibrillation. […] If the frequency and intensity of the SVT episodes are severe enough to merit longer-term treatment, management options include pharmacologic treatment or catheter ablation. […] Catheter ablation is an effective first-line treatment option for many patients with AVRT or AVNRT. […] Catheter ablation is the standard of care for older children with symptomatic SVT, although pharmacologic therapy remains the treatment of choice for newborns and infants. […] Catheter ablation has a success rate of 95%, with a recurrence rate of less than 5% and a rate of inadvertent heart block of less than 1%.
  • #76 Ventricular Tachycardia – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532954/
    Ventricular tachycardia (VT) is a wide complex arrhythmia of ventricular origin, defined as three or more consecutive beats at a rate of more than 100 beats per minute. Sustained ventricular tachycardia is defined as tachycardia that continues for more than 30 seconds or leads to hemodynamic compromise within 30 seconds and requires intervention. […] This activity reviews the evaluation and management of ventricular tachycardia and highlights the importance of an interprofessional team in managing patients with ventricular tachycardia. […] […] The clinical presentation of ventricular tachycardia varies from palpitation to sudden cardiac death. For appropriate management of VT and prevention of sudden cardiac death, it is essential to understand the pathophysiology of ventricular tachycardia and underlying structural heart disease. In this chapter, we summarize the etiology and epidemiology of ventricular tachycardia and discuss the evaluation and management of patients present with ventricular tachycardia.
  • #77 Ventricular Tachycardia Treatment – Brigham and Women’s Hospital
    https://www.brighamandwomens.org/medical-resources/ventricular-tachycardia-treatment?TRILIBIS_EMULATOR_UA=nghts+%2Cnghts+%3Fcmp%3Dhrgn%3Fcmp%3Dhrgn%3Fcmp%3Dhrgn%3Fcmp%3Dhrgn
    Ventricular tachycardia is a heart rhythm disturbance, a type of arrhythmia. […] If ventricular tachycardia is caused by an underlying serious heart condition, it can be life-threatening unless immediate, emergency treatment is providedtypically a defibrillator is used to give an electrical shock that converts the fast heartbeat to a normal heart rhythm. When ventricular tachycardia is not life threatening, treatment usually involves medications and addressing the underlying cause. For some patients, a catheter ablation procedure that destroys tissue in the heart causing the arrhythmia may be recommended. For other patients, ventricular tachycardia treatment may require surgical implantation of a small electronic device called an implantable cardioverter-defibrillator (ICD) to prevent sudden death.
  • #78 Ventricular Tachycardia – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532954/
    […] Cardiac arrest is the life-threatening presentation of ventricular tachycardia. Patients presenting with cardiac arrest secondary to ventricular tachycardia should be resuscitated and managed according to the advanced life support (ACLS) algorithm. In the absence of a cardiac arrest, patients with hemodynamically unstable ventricular tachycardia are managed with direct current cardioversion. […] In hemodynamically unstable patients, intravenous amiodarone should be used to maintain the sinus rhythm if ventricular tachycardia does not respond to direct current cardioversion or VT recurs after successful cardioversion. […] […] Ventricular tachycardia (VT) storm is one of the presentations of VT in patients with structural heart diseases. It is defined as three or more episodes of sustained ventricular tachycardia within 24 hours, which requires intervention in the form of antiarrhythmic drugs, anti-tachycardia pacing, or direct current cardioversion. […] The initial management of VT storm includes intravenous antiarrhythmic drugs, intravenous beta-blockers, and direct current cardioversion along with sedation.
  • #79 Ventricular Tachycardia (VT) – Cardiovascular Disorders – Merck Manual Professional Edition
    https://www.merckmanuals.com/professional/cardiovascular-disorders/specific-cardiac-arrhythmias/ventricular-tachycardia-vt
    Ventricular tachycardia is 3 consecutive ventricular beats at a rate 120 beats/minute. […] Treatment of more than brief episodes is with cardioversion or antiarrhythmics, depending on symptoms. If necessary, long-term treatment is with an implantable cardioverter defibrillator. […] Acute: Sometimes synchronized direct current cardioversion, sometimes class I or class III antiarrhythmics. […] Long-term: Usually an implantable cardioverter-defibrillator. […] Treatment of acute ventricular tachycardia depends on symptoms and duration of VT. […] Pulseless VT requires defibrillation beginning with biphasic 120 to 200 joules (or monophasic 360 joules). […] Stable sustained VT can be treated with synchronized direct current cardioversion with 100 joules using conscious sedation or transient general anesthesia.
  • #80 Causes, symptoms and treatment for ventricular tachycardia | Norton Healthcare
    https://nortonhealthcare.com/services-and-conditions/heart-and-vascular-care/services/ventricular-tachycardia/
    Your doctor may try medications to treat V-tach. These medications are called anti-arrhythmics. They can be given in a pill form or by a needle in your arm that slowly drips the medicine into your body. Other medicines can also be used, alone or with anti-arrythmics. Calcium channel blockers and beta blockers are two commonly used drugs for V-tach. These drugs slow the heart rate and reduce blood pressure. […] V-tach can be treated with medication, but there are some reasons why a ventricular catheter ablation might be right for you. You will talk to an electrophysiologist, who has an expertise in understanding your heart’s electrical signals. Before recommending ablation, the doctor will check: […] Treatment for V-tach involves managing any diseases that causes the condition, as well as the symptoms of V-tach. Common treatments for V-tach include:
  • #81 Ventricular Tachycardia – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532954/
    […] Cardiac arrest is the life-threatening presentation of ventricular tachycardia. Patients presenting with cardiac arrest secondary to ventricular tachycardia should be resuscitated and managed according to the advanced life support (ACLS) algorithm. In the absence of a cardiac arrest, patients with hemodynamically unstable ventricular tachycardia are managed with direct current cardioversion. […] In hemodynamically unstable patients, intravenous amiodarone should be used to maintain the sinus rhythm if ventricular tachycardia does not respond to direct current cardioversion or VT recurs after successful cardioversion. […] […] Ventricular tachycardia (VT) storm is one of the presentations of VT in patients with structural heart diseases. It is defined as three or more episodes of sustained ventricular tachycardia within 24 hours, which requires intervention in the form of antiarrhythmic drugs, anti-tachycardia pacing, or direct current cardioversion. […] The initial management of VT storm includes intravenous antiarrhythmic drugs, intravenous beta-blockers, and direct current cardioversion along with sedation.
  • #82 Tachycardia: Fast Heart Rate | American Heart Association
    https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia–fast-heart-rate
    Tachycardia is when the heart beats too fast, at a rate of more than 100 beats per minute, when at rest. […] Most people with SVT/PSVT don’t need treatment. However, an episode may be stopped with one of these techniques, under the supervision of a health care professional. These affect the vagus nerve, which helps control the heartbeat. […] Other treatments as needed: Medications: If you have frequent episodes of SVT, your health care professional may prescribe medication to control your heart rate or restore a typical heart rhythm. […] Treatment will depend on your symptoms and the cause of your VT. Possible treatments include: Medication that helps prevent arrhythmias. […] Your health care professional should consider and treat the cause of your sinus tachycardia, rather than just treating the condition. Simply slowing the heart rate could cause more harm if your rapid heartbeat is a symptom of a more serious or long-term problem.
  • #83 Sinus Tachycardia: Causes, Symptoms, and Treatment
    https://www.healthline.com/health/sinus-tachycardia
    Occasional sinus tachycardia from exercise and other factors that cause short-term increases in your heart rate generally dont require treatment. […] However, a doctor may consider treatment if you have a consistently higher heart rate than typical, especially during times of rest. […] First, a doctor will need to determine the underlying cause of sinus tachycardia before prescribing treatment. […] Depending on how fast your heart rate is, a doctor might prescribe beta-blockers or calcium channel blockers to lower it. […] A medication called ivabradine can also be used. […] In severe cases that dont respond to medication or lifestyle changes, you may need a cardiac ablation procedure. This involves using small bursts of radiofrequency energy to destroy a tiny part of the heart tissue in the area, causing tachycardia.
  • #84 Sinus Tachycardia – Hope For Hearts
    https://hopeforhearts.com.au/arrhythmias/sinus-tachycardia/
    Sinus tachycardia is defined by the increase in the rate of electrical impulses from the sinoatrial node resulting in a faster than normal heart rhythm. […] The treatment of sinus tachycardia is typically centred around the trigger for the episodes to occur: […] In the event of an unknown cause, medications such as beta-blockers to help reduce the heart rate may be appropriate. […] Instigation of a Valsalva manoeuver may also be used to attempt to slow down the heart rate, however, the success may vary depending on the underlying rhythm. […] Vasovagal techniques aim to slow the bodies autonomic system by slowing the electrical conduction through the AV node, and hopefully ending the rapid heart rate.
  • #85 Tachycardia: Fast Heart Rate | American Heart Association
    https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia–fast-heart-rate
    Tachycardia is when the heart beats too fast, at a rate of more than 100 beats per minute, when at rest. […] Most people with SVT/PSVT don’t need treatment. However, an episode may be stopped with one of these techniques, under the supervision of a health care professional. These affect the vagus nerve, which helps control the heartbeat. […] Other treatments as needed: Medications: If you have frequent episodes of SVT, your health care professional may prescribe medication to control your heart rate or restore a typical heart rhythm. […] Treatment will depend on your symptoms and the cause of your VT. Possible treatments include: Medication that helps prevent arrhythmias. […] Your health care professional should consider and treat the cause of your sinus tachycardia, rather than just treating the condition. Simply slowing the heart rate could cause more harm if your rapid heartbeat is a symptom of a more serious or long-term problem.
  • #86 Sinus Tachycardia: Causes, Symptoms, and Treatment
    https://www.healthline.com/health/sinus-tachycardia
    Occasional sinus tachycardia from exercise and other factors that cause short-term increases in your heart rate generally dont require treatment. […] However, a doctor may consider treatment if you have a consistently higher heart rate than typical, especially during times of rest. […] First, a doctor will need to determine the underlying cause of sinus tachycardia before prescribing treatment. […] Depending on how fast your heart rate is, a doctor might prescribe beta-blockers or calcium channel blockers to lower it. […] A medication called ivabradine can also be used. […] In severe cases that dont respond to medication or lifestyle changes, you may need a cardiac ablation procedure. This involves using small bursts of radiofrequency energy to destroy a tiny part of the heart tissue in the area, causing tachycardia.
  • #87 Syndrome of Inappropriate Sinus Tachycardia – Cardiovascular Disorders – MSD Manual Professional Edition
    https://www.msdmanuals.com/professional/cardiovascular-disorders/specific-cardiac-arrhythmias/syndrome-of-inappropriate-sinus-tachycardia
    Syndrome of inappropriate sinus tachycardia refers to sinus node dysfunction causing rapid, physiologically inappropriate, heart rates. […] Treatment is augmentation of vagal tone, reduction of sympathetic tone, and reduction of sinus nodal rate. […] Treatment of symptomatic syndrome of inappropriate sinus tachycardia is difficult, and the condition is often inadequately treated. […] The most promising therapy to date is with ivabradine, a blocker of the electrical current in the dominant sinus node pacemaker (If current, or the funny current). […] Treatment of the syndrome of inappropriate sinus tachycardia includes lifestyle measures and beta blockers; treatment with ivabradine shows promise.
  • #88 Sinus Tachycardia: Causes, Symptoms, and Treatment
    https://www.healthline.com/health/sinus-tachycardia
    Occasional sinus tachycardia from exercise and other factors that cause short-term increases in your heart rate generally dont require treatment. […] However, a doctor may consider treatment if you have a consistently higher heart rate than typical, especially during times of rest. […] First, a doctor will need to determine the underlying cause of sinus tachycardia before prescribing treatment. […] Depending on how fast your heart rate is, a doctor might prescribe beta-blockers or calcium channel blockers to lower it. […] A medication called ivabradine can also be used. […] In severe cases that dont respond to medication or lifestyle changes, you may need a cardiac ablation procedure. This involves using small bursts of radiofrequency energy to destroy a tiny part of the heart tissue in the area, causing tachycardia.
  • #89
    https://www.advocatechildrenshospital.com/services/heart/conditions-we-treat/sinus-tachycardia-treatment
    If symptoms are more severe and dont respond to medication, your childs doctor might consider catheter ablation for sinus tachycardia treatment. Catheter ablation treats abnormally fast heartbeats by inserting a thin tube called a catheter through a blood vessel and into the heart. This sinus tachycardia treatment procedure uses hot or cold radiofrequency energy to stop the electrical pulses that cause an irregular heartbeat.
  • #90 Inappropriate sinus tachycardia | Great Ormond Street Hospital
    https://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/inappropriate-sinus-tachycardia/
    Treatment is not always needed for inappropriate sinus tachycardia (IST), particularly if the episodes are fairly infrequent and not interfering with day to day life. […] If symptoms are more problematic, medicines such as beta blockers or calcium channel blockers may be suggested. […] Other new medicines are being evaluated like ivabridine which may be more helpful in the future. […] Occasionally, ablation of the sinus node can be helpful, although in some cases the IST recurs or comes back. […] The doctor will use either radio frequency ablation or cryoablation on the affected area, which should stop the abnormal signals. […] Ablation works by using a targeted beam of energy to destroy the tissues causing the abnormal signals. […] Radio frequency (RF) ablation burns the area causing the abnormal rhythms and is effective in around 95 per cent of cases.
  • #91 Atrial Tachycardia Treatment & Management: Approach Considerations, Cardioversion, Pharmacologic Treatment
    https://emedicine.medscape.com/article/151456-treatment
    The primary treatment during an episode of atrial tachycardia is considered to be rate control using atrioventricular (AV) nodal blocking agents (eg, beta-blockers or calcium channel blockers). […] In the setting of hemodynamic compromise due to SVT or known atrial tachycardia in which a drug may be therapeutic, the ultra short-acting agent adenosine or the short-acting beta-blocker esmolol may be tried. […] Atrial tachycardia often self-terminates and may be nonsustained if the cause is addressed. […] For any patient who does not tolerate the rhythm well hemodynamically and in whom rate control drugs are ineffective or contraindicated, cardioversion should be considered. […] Atrial tachycardia from triggered activity (most frequently found in the setting of digitalis toxicity) is sensitive to verapamil, beta-blockers, and adenosine.
  • #92 Atrial Tachycardia | Conditions | UCSF Health
    https://www.ucsfhealth.org/conditions/atrial-tachycardia
    With atrial tachycardia, the electrical impulse comes from somewhere in the atria, the heart’s upper chambers, other than the sino-atrial (SA) node, a small mass of tissue near the right atrium that sets the pace for the heartbeat. The alternate origin of the electrical impulse causes a fast heart rate. […] We offer comprehensive evaluations to pinpoint the source of the arrhythmia, as well as the most innovative treatments available to restore the heart’s normal rhythm. […] Patients who choose to participate in clinical trials may have access to experimental therapies, devices or medications that might work better for them than the established options. […] Depending on the type and severity of your arrhythmia, and the results of various tests including the electrophysiology study, there are several treatment options. You and your doctor will decide which one is right for you.
  • #93 Focal atrial tachycardia – Symptoms, diagnosis and treatment | BMJ Best Practice US
    https://bestpractice.bmj.com/topics/en-us/182
    Focal atrial tachycardia occurs in the settings of structurally normal heart, coronary artery disease, congestive heart failure, cardiac surgery, catecholamine ingestion, digoxin toxicity, and alcohol dependency. […] Initial therapy should be guided by cause, comorbid conditions, hemodynamic status, and patient preference. First-line options for hemodynamically stable patients include intravenous beta-blockers or calcium-channel blockers, or catheter ablation. […] For sustained focal atrial tachycardia, cardiology consultation, class Ic or III antiarrhythmic agents, and ablative therapy are appropriate.
  • #94 Atrial Tachycardia Treatment & Management: Approach Considerations, Cardioversion, Pharmacologic Treatment
    https://emedicine.medscape.com/article/151456-treatment
    The primary treatment during an episode of atrial tachycardia is considered to be rate control using atrioventricular (AV) nodal blocking agents (eg, beta-blockers or calcium channel blockers). […] In the setting of hemodynamic compromise due to SVT or known atrial tachycardia in which a drug may be therapeutic, the ultra short-acting agent adenosine or the short-acting beta-blocker esmolol may be tried. […] Atrial tachycardia often self-terminates and may be nonsustained if the cause is addressed. […] For any patient who does not tolerate the rhythm well hemodynamically and in whom rate control drugs are ineffective or contraindicated, cardioversion should be considered. […] Atrial tachycardia from triggered activity (most frequently found in the setting of digitalis toxicity) is sensitive to verapamil, beta-blockers, and adenosine.
  • #95 Atrial Tachycardia Treatment & Management: Approach Considerations, Cardioversion, Pharmacologic Treatment
    https://emedicine.medscape.com/article/151456-treatment
    For refractory recurrent atrial tachycardias causing symptoms (particularly recurrence after electrical cardioversion), antiarrhythmic drugs have been tried. […] Class III antiarrhythmic drugs such as amiodarone, sotalol, dronedarone, and dofetilide have variable efficacy in terminating atrial tachycardia. […] Atrial tachycardia due to digitalis intoxication often manifests as AV conduction block, ventricular arrhythmias, or both. […] In patients with multifocal atrial tachycardia (MAT), treatment and/or reversal of the precipitating cause may be the only therapy that is required; however, the arrhythmia may recur if the underlying condition worsens. […] Emergency department care for MAT involves simultaneous assessment and treatment. […] Antiarrhythmics are usually not indicated for treatment of MAT, and specific antiarrhythmic therapy historically has not demonstrated great efficacy in this setting.
  • #96 Atrial Tachycardia: Diagnosis and Treatment – Cancer Therapy Advisor
    https://www.cancertherapyadvisor.com/home/decision-support-in-medicine/cardiology/atrial-tachycardia-diagnosis-and-treatment/
    The treatment of atrial tachycardias is focused on rhythm control and prevention of arrhythmia recurrence. Persistent tachycardias with hemodynamic compromise must be terminated emergently with electrical cardioversion. […] The treatment could be pharmacologic or catheter based ablation. The patient should participate in the decision of which strategy to use as long as he or she can be a candidate for both. Patients with multiple comorbidities and contraindications for antiarrhythmic drugs should be treated with an invasive strategy, and patients with vascular access problems, contraindication to sedatives, and inability to safely withstand an ablation procedure should be treated with a conservative approach until they can be candidates for an invasive procedure. […] Pharmacologic therapy includes beta-blockers, calcium channel blockers, and antiarrhythmic drugs. Among antiarrhythmic drugs, class IC seem to be particularly effective with focal atrial tachycardias, but its use is limited to patients without myocardial scar and by extension, patients without coronary artery disease or significant structural heart disease.
  • #97 Multifocal atrial tachycardia Information | Mount Sinai – New York
    https://www.mountsinai.org/health-library/diseases-conditions/multifocal-atrial-tachycardia
    Multifocal atrial tachycardia (MAT) is a rapid heart rate. It occurs when too many signals (electrical impulses) are sent from the upper heart (atria) to the lower heart (ventricles). […] Treatment for MAT includes: […] Improving blood oxygen levels […] Giving magnesium or potassium through a vein […] Stopping medicines, such as theophylline, which can increase heart rate […] Taking medicines to slow the heart rate (if the heart rate is too fast), such as calcium channel blockers (verapamil, diltiazem) or beta-blockers. […] MAT can be controlled if the condition that causes the rapid heartbeat is treated and controlled.
  • #98 Tachycardia: Diagnosis & Treatment | NewYork-Presbyterian
    https://www.nyp.org/heart/arrhythmias/tachycardia/treatment
    Other drugs may be prescribed long-term as tachycardia treatments or intravenously in an emergency. These include amiodarone, flecainide, and others. […] You can prevent and potentially treat tachycardia by taking care of your heart and avoiding behaviors that trigger a rapid heartbeat. Heart-healthy choices to help maintain a normal heart rhythm include: Maintaining a healthy diet, Quitting smoking, Limiting alcohol, Managing stress levels, Losing excess weight, Exercising regularly, Controlling high cholesterol and high blood pressure with recommended medication from your doctor. […] NewYork-Presbyterian provides world-renowned cardiology and cardiac surgical care for adults and children. Our heart doctors are familiar with the symptoms and causes of tachycardia, the types of arrhythmias, and heart conditions. We’ll work with you to develop a personal treatment plan to get your heart back on the right beat.
  • #99 Tachycardia > Fact Sheets > Yale Medicine
    https://www.yalemedicine.org/conditions/tachycardia
    For certain types of tachycardia, the use of vagal maneuvers can help terminate tachycardia. […] Other lifestyle habits may also be effective, including cutting back on caffeine consumption, drinking less alcohol, getting more sleep. […] However, once diagnosed, tachycardia is a very treatable condition. Medication and medical procedures can help keep the condition under control and eliminate the cause of the arrhythmia in the heart, respectively. Medical procedures are usually more effective than medication in treating abnormal tachycardia.
  • #100 Tachycardia: 7 Ways to Help Manage Irregular Heartbeat – Dr. Axe
    https://draxe.com/health/tachycardia/
    In some cases, your doctor can show you how to stop tachycardia naturally. […] After discussing the cause and best course of treatment for your condition with your physician, you may be able to use certain natural remedies for slowing a rapid heart rate. […] Natural ways to manage tachycardia and prevent future episodes may include: Do vagal maneuvers. […] Exercise and eat a heart-healthy diet. […] Avoid energy drinks and limit alcohol. […] Avoid certain medicines, smoking and recreational drugs. […] Reduce stress and anxiety. […] Ask about dietary supplements. […] Try acupuncture. […] Always consult a health care professional before starting or stopping a medication, herb or supplement. […] Tachycardia treatment at home should only be done once you know the type of tachycardia you have and after you have discussed treatment with your doctor.
  • #101 Tachycardia – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/tachycardia/symptoms-causes/syc-20355127
    Tachycardia may not cause any symptoms or complications. But sometimes it’s a warning of a medical condition that needs attention. Some forms of tachycardia can lead to serious health problems if left untreated. Such problems may include heart failure, stroke or sudden cardiac death. […] Treatment for tachycardia may include specific actions or movements, medicine, cardioversion, or surgery to control a rapid heartbeat. […] In some cases, atrial fibrillation can be corrected with medication or by administering a shock to a sedated patient’s heart. In other instances, a procedure called catheter ablation may be used to scar tissue that’s creating the erratic signals in the hopes of getting back to that normal beat. […] The best way to prevent tachycardia is to keep the heart healthy. Have regular health checkups. If you have heart disease, follow your treatment plan. Take all medicines as directed. […] Talk to your healthcare team before using any medicines. Some cold and cough medicines have stimulants that may start a rapid heartbeat. Illegal drugs such as cocaine and methamphetamine are other stimulants that can cause changes in the heart’s rhythm.
  • #102 Supraventricular Tachycardia (SVT): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22152-svt-supraventricular-tachycardia
    Vagal maneuvers and at-home treatments can bring relief right away if they work. Medicines and procedures are more reliable but take longer to work. […] If SVT is from causes you can change, you can: Manage your stress, Drink fewer alcohol-containing drinks, Stop using tobacco products, Drink less coffee and other things that have caffeine, Rest more. […] The outlook is good for most people with SVT. […] Yes. You can manage very infrequent episodes with medications. With successful treatments like catheter ablation, you can do many of the typical things you want to. Ablation can cure certain forms of SVT. […] You should see your provider if you have symptoms of SVT (supraventricular tachycardia). […] Ask your healthcare provider which treatment is best for you.
  • #103 How Can I Reduce Tachycardia (High Heart Rate) Immediately?
    https://www.emedicinehealth.com/how_can_i_reduce_tachycardia_immediately/article_em.htm
    Reduce a racing heart rate with tips such as coughing, gagging, taking a cold shower, the Valsalva maneuver, meditation, yoga, deep breathing, relaxation techniques, and staying hydrated. […] In many cases, no treatment is needed for tachycardia and the heart will return to a normal heart rate on its own. […] Home remedies may help reduce a racing heart rate, such as: Stimulate the vagus nerve, a nerve that connects the brain to the heart to help synchronize the heart and the brain. […] To help prevent tachycardia: Drink plenty of fluids. […] Tachycardia can be dangerous if it is too high. In general, a fast resting heart rate for adults is over 100 beats per minute (bpm). […] Call 911 or get to a hospitals emergency department (do not drive yourself) if you have an unusually fast heart rate accompanied by symptoms such as: Chest pain or tightness, Shortness of breath, Dizziness, Lightheadedness, Fainting, Fatigue, Exercise intolerance.
  • #104 Tachycardia | healthdirect
    https://www.healthdirect.gov.au/tachycardia
    If you feel rapid heart palpitations, with dizziness, chest pains or severe shortness of breath, call triple zero (000) and ask for an ambulance. Please note that a rapid heartbeat may also be a normal response to exercise or stress but may signify something more serious. […] Tachycardia means that your heart is beating much faster than normal, usually more than 100 beats per minute. […] The treatment for abnormal tachycardia depends on the cause, but could include: changes to your lifestyle: reducing stress, drinking less caffeine or alcohol, quitting smoking, getting enough sleep; medicines to slow your heart rate; medicines to prevent your abnormal rhythm; treatment of medical conditions leading to the abnormal rhythm (for example, treating an overactive thyroid); techniques such as the Valsalva manoeuvre for supraventricular tachycardia; cardioversion doctors give your heart an electric shock to reset the abnormal rhythm.
  • #105 Tachycardia | healthdirect
    https://www.healthdirect.gov.au/tachycardia
    If you feel rapid heart palpitations, with dizziness, chest pains or severe shortness of breath, call triple zero (000) and ask for an ambulance. Please note that a rapid heartbeat may also be a normal response to exercise or stress but may signify something more serious. […] Tachycardia means that your heart is beating much faster than normal, usually more than 100 beats per minute. […] The treatment for abnormal tachycardia depends on the cause, but could include: changes to your lifestyle: reducing stress, drinking less caffeine or alcohol, quitting smoking, getting enough sleep; medicines to slow your heart rate; medicines to prevent your abnormal rhythm; treatment of medical conditions leading to the abnormal rhythm (for example, treating an overactive thyroid); techniques such as the Valsalva manoeuvre for supraventricular tachycardia; cardioversion doctors give your heart an electric shock to reset the abnormal rhythm.
  • #106 Ventricular Tachycardia – StatPearls – NCBI Bookshelf
    https://www.ncbi.nlm.nih.gov/books/NBK532954/
    […] Cardiac arrest is the life-threatening presentation of ventricular tachycardia. Patients presenting with cardiac arrest secondary to ventricular tachycardia should be resuscitated and managed according to the advanced life support (ACLS) algorithm. In the absence of a cardiac arrest, patients with hemodynamically unstable ventricular tachycardia are managed with direct current cardioversion. […] In hemodynamically unstable patients, intravenous amiodarone should be used to maintain the sinus rhythm if ventricular tachycardia does not respond to direct current cardioversion or VT recurs after successful cardioversion. […] […] Ventricular tachycardia (VT) storm is one of the presentations of VT in patients with structural heart diseases. It is defined as three or more episodes of sustained ventricular tachycardia within 24 hours, which requires intervention in the form of antiarrhythmic drugs, anti-tachycardia pacing, or direct current cardioversion. […] The initial management of VT storm includes intravenous antiarrhythmic drugs, intravenous beta-blockers, and direct current cardioversion along with sedation.
  • #107 Overview of the acute management of tachyarrhythmias – UpToDate
    https://www.uptodate.com/contents/overview-of-the-acute-management-of-tachyarrhythmias
    Is the patient clinically (or hemodynamically) unstable? — The most important clinical determination in a patient presenting with a tachyarrhythmia is whether or not the patient is experiencing signs and symptoms related to the rapid heart rate. These can include hypotension, shortness of breath, chest pain suggestive of coronary ischemia, shock, and/or decreased level of consciousness. […] Determining whether a patient’s symptoms are related to the tachycardia depends upon several factors, including age and the presence of underlying cardiac disease. […] • Hemodynamically unstable and not sinus rhythm – If a patient has clinically significant hemodynamic instability potentially due to the tachyarrhythmia, an attempt should be made as quickly as possible to determine whether the rhythm is sinus tachycardia (algorithm 1). If the rhythm is not sinus tachycardia, or if there is any doubt that the rhythm is sinus tachycardia, urgent conversion to sinus rhythm is recommended.
  • #108 Tachycardia Causes, Symptoms, and Treatments
    https://www.upmc.com/services/heart-vascular/conditions/tachycardia
    Nonsurgical procedures to treat tachycardia include cardioversion and stereotactic body radiation therapy (SBRT). […] During catheter ablation, a special catheter is threaded through your blood vessels to your heart, where it uses heat or cold to create a small scar to block the electrical pathway that is causing your heart to beat abnormally. […] A pacemaker or an implantable cardioverter-defibrillator (ICD) is surgically placed under your skin to help control your heart rhythm. […] Your doctors will recommend the treatment that is most likely to be effective for your heart rhythm disorder while considering your lifestyle, preferences, and overall health.
  • #109 Supraventricular Tachycardia (SVT): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22152-svt-supraventricular-tachycardia
    Vagal maneuvers and at-home treatments can bring relief right away if they work. Medicines and procedures are more reliable but take longer to work. […] If SVT is from causes you can change, you can: Manage your stress, Drink fewer alcohol-containing drinks, Stop using tobacco products, Drink less coffee and other things that have caffeine, Rest more. […] The outlook is good for most people with SVT. […] Yes. You can manage very infrequent episodes with medications. With successful treatments like catheter ablation, you can do many of the typical things you want to. Ablation can cure certain forms of SVT. […] You should see your provider if you have symptoms of SVT (supraventricular tachycardia). […] Ask your healthcare provider which treatment is best for you.
  • #110 Treatment
    http://www.cardiosmart.org/topics/supraventricular-tachycardia/treatment
    Cardioversion: In rare cases, you might require an electrical shock to get your heart back into a normal rhythm. […] Catheter ablation: Ablation can be considered as a primary, first-line therapy for certain types of SVT, and it may also be considered if you often have symptoms despite being on medical therapy. During an ablation, a catheter is placed through a vein typically in your leg, then guided to your heart. An electrical study is done to find the area in your heart causing the electrical problems that trigger SVT. Your doctor then destroys this area either by burning or freezing that part of the heart. […] Ablation is effective in treating specific forms of SVT. However, it does have some rare, but serious procedural risks. Be sure to talk about the procedure, and its risks and benefits, with your physician. Together with your health care team, you will find a treatment that is right for you.
  • #111 Effective Tachycardia Treatment and Care | CardioMDM in Florida
    https://cardiomdm.com/conditions/heart-rhythm-disorders/tachycardia
    For persistent or high-risk tachycardias, implantable devices such as pacemakers or implantable cardioverter-defibrillators (ICDs) may be recommended. Pacemakers help regulate slow heart rates, while ICDs monitor the heart’s rhythm and deliver electric shocks when dangerous rhythms are detected. […] In some cases, surgical procedures may be necessary to correct structural abnormalities that contribute to tachycardia. Surgical options depend on the specific diagnosis and patient’s overall health.