Tachykardia
Zapobieganie i profilaktyka

Tachykardia definiowana jest jako spoczynkowa częstość akcji serca >100 uderzeń/min i może być objawem chorób podstawowych lub samodzielnym zaburzeniem rytmu. Profilaktyka tachykardii opiera się na modyfikacji stylu życia: regularnej aktywności fizycznej (≥30 min umiarkowanego wysiłku większość dni tygodnia), zdrowej diecie ograniczającej sól, tłuszcze nasycone, alkohol i kofeinę, kontroli masy ciała, ciśnienia tętniczego oraz cholesterolu, rezygnacji z palenia tytoniu i unikania substancji stymulujących. W farmakoterapii profilaktycznej stosuje się beta-adrenolityki (propranolol, metoprolol), blokery kanału wapniowego (diltiazem, werapamil), leki antyarytmiczne (amiodaron, flekainid, propafenon), digoksynę oraz iwabradynę, dobierając leczenie indywidualnie w zależności od typu tachykardii i chorób współistniejących. W przypadku częstoskurczu nadkomorowego (SVT) zaleca się unikanie czynników wyzwalających (stres, alkohol, kofeina, palenie), a w terapii farmakologicznej beta-1-adrenolityki lub werapamil, z rozważeniem ablacji przezskórnej w nawracających lub opornych przypadkach.

Profilaktyka tachykardii – zasady ogólne

Tachykardia, definiowana jako przyspieszona czynność serca powyżej 100 uderzeń na minutę w spoczynku, może być objawem wielu chorób podstawowych lub występować jako samodzielne zaburzenie rytmu serca. Najlepszym sposobem zapobiegania tachykardii jest utrzymanie zdrowego serca poprzez regularne badania kontrolne oraz odpowiednie leczenie chorób układu sercowo-naczyniowego, jeśli takie występują.12 Profilaktyka tachykardii powinna być dostosowana do jej przyczyny, ponieważ leczenie choroby podstawowej może zmniejszyć lub zapobiec epizodom przyspieszonej czynności serca.3

Warto podkreślić, że niektóre rodzaje tachykardii, zwłaszcza u osób z chorobami serca, mogą prowadzić do poważnych problemów zdrowotnych, takich jak niewydolność serca, udar mózgu lub nagła śmierć sercowa, jeśli pozostaną nieleczone.4 Dlatego tak istotna jest odpowiednia profilaktyka i wczesne leczenie.

Modyfikacje stylu życia

Zmiana stylu życia stanowi podstawę profilaktyki tachykardii. Do najważniejszych elementów zdrowego stylu życia w kontekście zapobiegania tachykardii należą:56

  • Regularna aktywność fizyczna – zaleca się co najmniej 30 minut umiarkowanej aktywności fizycznej w większość dni tygodnia. Odpowiednio dobrane ćwiczenia pomagają obniżyć spoczynkową częstość akcji serca i wzmacniają mięsień sercowy.789
  • Zdrowa dieta – dieta bogata w warzywa, owoce, pełnoziarniste produkty, chude białka i niskotłuszczowe produkty mleczne. Należy ograniczyć spożycie soli, nasyconych tłuszczów, alkoholu i cukru.1011
  • Utrzymanie prawidłowej masy ciała – nadwaga zwiększa ryzyko chorób serca, dlatego utrzymanie zdrowej wagi jest kluczowe.1213
  • Kontrola ciśnienia tętniczego i poziomu cholesterolu – regularne pomiary oraz stosowanie się do zaleceń dotyczących leczenia nadciśnienia i hipercholesterolemii.1415
  • Rezygnacja z palenia tytoniu – palenie może wywoływać tachykardię i zwiększa ryzyko chorób serca.1617
  • Ograniczenie spożycia alkoholu – alkohol, szczególnie czerwone wino, może wywoływać napady częstoskurczu nadkomorowego (SVT).1819
  • Ograniczenie spożycia kofeiny – nadmiar kawy, herbaty, napojów typu cola czy czekolady może zwiększać ryzyko tachykardii.2021
  • Zarządzanie stresem – techniki relaksacyjne, medytacja, głębokie oddychanie i joga mogą zmniejszyć poziom stresu i obniżyć częstość akcji serca.2223
  • Odpowiednia ilość snu – osoby dorosłe powinny dążyć do 7-9 godzin snu dziennie, ponieważ przewlekły brak snu może prowadzić do przyspieszenia akcji serca.2425
  • Unikanie substancji stymulujących – w tym kokainy, metamfetaminy i innych substancji psychoaktywnych, które mogą powodować zaburzenia rytmu serca.2627

Farmakoterapia profilaktyczna

W przypadku nawracających epizodów tachykardii, lekarz może zalecić farmakoterapię profilaktyczną. Wybór leku zależy od rodzaju tachykardii, częstości i nasilenia objawów oraz chorób współistniejących.2829 Do leków stosowanych w profilaktyce tachykardii należą:

  • Beta-adrenolityki (np. propranolol, metoprolol) – są często lekami pierwszego wyboru ze względu na ich bezpieczeństwo. Zwiększają one okres refrakcji węzła przedsionkowo-komorowego, co pomaga zapobiegać częstoskurczom nawrotnym.303132
  • Blokery kanału wapniowego (np. diltiazem, werapamil) – zmniejszają szybkość przewodzenia i wydłużają okres refrakcji, co może zapobiegać tachykardii.3334
  • Leki antyarytmiczne (np. amiodaron, flekainid, propafenon) – stosowane w zapobieganiu zagrażającym życiu arytmiom komorowym, takim jak utrwalony częstoskurcz komorowy.35
  • Digoksyna – pośrednio zwiększa aktywność nerwu błędnego, zmniejszając szybkość przewodzenia przez węzeł przedsionkowo-komorowy, co może zapobiegać napadom częstoskurczu nadkomorowego.36
  • Iwabradyna – zalecana w leczeniu nieodpowiedniego częstoskurczu zatokowego, szczególnie u pacjentów objawowych.37
  • Sotalol – badania wykazały, że profilaktyka sotalolem jest skuteczna i bezpieczna w leczeniu częstoskurczu nadkomorowego u niemowląt.38

Interesujące dane pochodzą z badań porównujących skuteczność różnych leków w profilaktyce częstoskurczu nadkomorowego u niemowląt. Digoksyna była związana z mniejszą liczbą nawrotów częstoskurczu nadkomorowego w porównaniu z propranololem, ale częściej powodowała niedociśnienie u hospitalizowanych niemowląt.39 Natomiast w innym badaniu z randomizacją wykazano, że doustny werapamil w dawce 80 mg co 8 godzin, rozpoczęty wcześnie po rewaskularyzacji mięśnia sercowego, nie jest skuteczny w zmniejszaniu częstości występowania częstoskurczu nadkomorowego.40

Profilaktyka różnych typów tachykardii

Częstoskurcz nadkomorowy (SVT)

Częstoskurcz nadkomorowy (SVT) jest jednym z najczęstszych zaburzeń rytmu serca, charakteryzującym się szybką akcją serca, powyżej 100 uderzeń na minutę, rozpoczynającą się w przedsionkach.41 Profilaktyka SVT obejmuje:

  • Unikanie czynników wyzwalających – do najczęstszych należą: stres, wysiłek fizyczny, brak snu, alkohol (szczególnie czerwone wino), kofeina, palenie tytoniu, niektóre leki bez recepty zawierające środki obkurczające naczynia oraz narkotyki.424344
  • Farmakoterapia – dla pacjentów bez zespołu Wolffa-Parkinsona-White’a (WPW) selektywne beta-1-adrenolityki (z wyjątkiem atenololu) lub werapamil powinny być rozważone w profilaktyce SVT. W przypadku pacjentów z zespołem WPW bez niedokrwiennej lub strukturalnej choroby serca, flekainid lub propafenon powinny być rozważone.45
  • Ablacja przezskórna – w przypadku nawracającego ogniskowego częstoskurczu przedsionkowego, zwłaszcza jeśli jest nieustanny lub powoduje kardiomiopatię tachyarytmiczną, zaleca się ablację przezskórną.46 W większości przypadków arytmii nawrotowych i ogniskowych, ablacja przezskórna powinna być oferowana jako leczenie początkowe po szczegółowym wyjaśnieniu potencjalnych korzyści i ryzyka.47
  • Manewry pobudzające nerw błędny – techniki te mogą pomóc przerwać napad SVT (pod nadzorem medycznym) poprzez wpływ na nerw błędny, który pomaga kontrolować częstość akcji serca.484950

W przypadku wieloogniskowego częstoskurczu przedsionkowego, jako pierwszy krok zaleca się leczenie choroby podstawowej. Należy rozważyć werapamil, diltiazem lub selektywny beta-adrenolityk.51

W zespole tachykardii ortostatycznej (POTS) należy rozważyć regularny i stopniowy program ćwiczeń. Można również rozważyć spożywanie do 2-3 litrów wody i 10-12 g chlorku sodu dziennie, a także midodrynę, nieselektywny beta-adrenolityk w małej dawce, pirydostygminę i iwabradynę.52

Częstoskurcz komorowy (VT)

Częstoskurcz komorowy (VT) to poważna arytmia, która rozpoczyna się w komorach serca i jest definiowana jako 3 lub więcej kolejnych pobudzeń komorowych z częstością ≥120 uderzeń na minutę.53 Profilaktyka VT obejmuje:

  • Wszczepialne kardiowertery-defibrylatory (ICD) – są podstawą prewencji nagłej śmierci sercowej u pacjentów z VT i chorobą strukturalną serca. ICD mogą wykrywać VT i szybko go zatrzymać poprzez kontrolowane wyładowania elektryczne.545556
  • Ablacja przezskórna – procedura, która niszczy komórki powodujące VT, może zmniejszyć potrzebę terapii ICD i jest coraz ważniejszym uzupełnieniem leczenia tych pacjentów.5758 Ablacja jest szczególnie skuteczna u pacjentów z dobrze zdefiniowanymi zespołami VT.59
  • Farmakoterapia – leki antyarytmiczne mogą być stosowane w połączeniu z programowaniem ICD w celu zminimalizowania wyładowań. Beta-adrenolityki są lekami pierwszego wyboru, jeśli nie są przeciwwskazane.6061
  • Programowanie ICD – odpowiednie programowanie urządzenia może pomóc zminimalizować wyładowania. Stymulacja typu overdrive lub anty-tachyarytmiczna (ATP) dla zatrzymania hemodynamicznie stabilnych VT przed wyładowaniami okazała się skuteczna.62

Nowsze dane sugerują korzyści z wcześniejszej ablacji VT. W badaniu VANISH (Ventricular Tachycardia Ablation Versus Escalated Antiarrhythmic Drug Therapy in Ischemic Heart Disease) ablacja przezskórna okazała się lepsza niż eskalacja leczenia antyarytmicznego w zmniejszaniu częstości występowania złożonego pierwszorzędowego punktu końcowego obejmującego zgon, burzę elektryczną i odpowiednie wyładowania ICD.63

Metaanaliza randomizowanych badań kontrolowanych wykazała, że ablacja przezskórna w połączeniu z ICD może zmniejszyć częstość terapii ICD, wyładowań ICD i burzy elektrycznej u pacjentów z niedokrwienną chorobą serca, ale nie poprawia ogólnej śmiertelności.6465

Interesujące wyniki przyniosło badanie PREVENTIVE VT, które wykazało, że pierwotna strategia profilaktycznej ablacji VT może być bezpieczną i skuteczną opcją leczenia zapobiegającą interwencjom ICD i hospitalizacjom związanym z arytmią u pacjentów bez wcześniej zarejestrowanych arytmii komorowych.66

Polimorficzny częstoskurcz komorowy katecholaminergiczny (CPVT)

Polimorficzny częstoskurcz komorowy katecholaminergiczny (CPVT) to rzadka, ale groźna arytmia wywoływana wysiłkiem fizycznym lub stresem. Dla osób z CPVT dostępne są leki profilaktyczne (beta-adrenolityki) i inne metody leczenia.67 Pacjenci z zatrzymaniem krążenia wywołanym wysiłkiem lub stresem lub z nagłym niewyjaśnionym zgonem również są kandydatami do diagnostyki w kierunku CPVT.68

Tachykardia po bradykardii

Wolne rytmy serca mogą predysponować do rozwoju rytmów zastępczych i tachyarytmii (poprzez zmiany takie jak wydłużenie okresu refrakcji, dyspersja okresu refrakcji, wczesne depolaryzacje itp.). Całkowity blok serca może być powikłany takimi stanami jak częstoskurcz komorowy (w tym torsades de pointes) oraz częstoskurcz przedsionkowy z migotaniem przedsionków (zespół tachykardia-bradykardia).69

Jeśli można wykazać, że tachykardia jest poprzedzona bradykardią, implantacja stymulatora serca może zmniejszyć częstość występowania tych tachyarytmii.70

Profilaktyka powikłań zakrzepowo-zatorowych

Tachyarytmie przedsionkowe, szczególnie migotanie przedsionków (AF) lub szybki częstoskurcz przedsionkowy (AT), są związane ze zwiększonym ryzykiem powikłań zakrzepowo-zatorowych, w tym udaru mózgu.71

W przypadku pacjentów z urządzeniami wykrywającymi AT/AF (DDAT), zaleca się stosowanie skal ryzyka CHADS2 i CHA2DS2-VASc do określenia potrzeby antykoagulacji. Ryzyko powikłań zakrzepowo-zatorowych można określić na podstawie tych skal w połączeniu z oceną czasu trwania epizodów DDAT.72

W przypadku ablacji endokardialnej lewej komory, która wiąże się ze zwiększonym ryzykiem zdarzeń zakrzepowo-zatorowych, często przepisuje się krótki kurs leczenia przeciwpłytkowego lub doustnego antykoagulantu po zabiegu. Badania sugerują, że warfaryna i bezpośrednie doustne antykoagulanty (DOAC) dają porównywalne wyniki w zapobieganiu zakrzepom po ablacji.73

Multidyscyplinarne podejście do profilaktyki tachykardii

Nowoczesne zarządzanie pacjentami z arytmiami komorowymi wymaga multidyscyplinarnego podejścia zespołowego, zwłaszcza w złożonych przypadkach z tłem wielu chorób współistniejących.74

Leki antyarytmiczne, implantacja ICD i ablacja przezskórna są podstawą obecnego zarządzania VT. Opieka nad pacjentami poddawanymi ablacji przezskórnej VT w dedykowanych jednostkach ze zintegrowaną opieką multidyscyplinarną prowadzi do poprawy wyników.75

W przypadku pacjentów z nawracającymi wyładowaniami ICD, przeprogramowanie urządzeń przez zespół elektrofizjologiczny może pomóc zminimalizować wyładowania.76

Ważne jest, aby w przypadkach, gdy przewiduje się trudności terapeutyczne, przeprowadzać jasne rozmowy z pacjentami i ich rodzinami z wyprzedzeniem, aby wyjaśnić uzasadnienie podejmowania decyzji klinicznych i określić życzenia pacjenta, gdy jest on w stanie je komunikować.77

Specjalne sytuacje kliniczne

Sarkoidoza serca

Sarkoidoza serca to rzadka, ale poważna choroba, która może prowadzić do zagrażających życiu powikłań sercowych, takich jak częstoskurcz komorowy. Wczesna diagnoza i agresywne leczenie są kluczowe dla poprawy wyników i zapobiegania nagłej śmierci sercowej. Implantacja automatycznego kardiowertera-defibrylatora (AICD) jako prewencja wtórna w sarkoidozie serca może zapobiec zatrzymaniu krążenia.78

Skurcz tętnicy wieńcowej

U pacjentów z arytmią komorową spowodowaną skurczem tętnicy wieńcowej zaleca się leki rozszerzające naczynia, takie jak blokery kanału wapniowego w maksymalnych tolerowanych dawkach, oraz zaprzestanie palenia tytoniu.79

U pacjentów, którzy przeżyli nagłe zatrzymanie krążenia z powodu skurczu tętnicy wieńcowej, a leki są nieskuteczne lub nietolerowane, zaleca się implantację ICD, jeśli oczekiwana długość życia wynosi ponad 1 rok.80

Podsumowanie podejścia do profilaktyki tachykardii

Profilaktyka tachykardii wymaga kompleksowego podejścia, które łączy modyfikacje stylu życia, farmakoterapię i, w razie potrzeby, zabiegi inwazyjne. Kluczowe jest leczenie chorób podstawowych, które mogą przyczyniać się do tachykardii.81

Regularne wizyty kontrolne są niezbędne do monitorowania stanu zdrowia i dostosowywania planu leczenia. Pacjenci powinni być świadomi czynników, które mogą wywoływać tachykardię i unikać ich w miarę możliwości.8283

Należy pamiętać, że niektóre leki na przeziębienie i kaszel zawierają stymulanty, które mogą przyspieszać rytm serca. Przed zastosowaniem jakichkolwiek leków warto skonsultować się z lekarzem.8485

W przypadku tachykardii, która nie reaguje na standardowe leczenie, należy rozważyć skierowanie pacjenta do elektrofizjologa w celu dalszej oceny.86

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  1. 13.04.2026
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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. […] 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 Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/tachycardia.html
    Since tachycardia is usually a sign of some underlying medical problem, discovering and treating the cause is the best way to prevent recurrent tachycardia. […] The first episode of an arrhythmia that causes a rapid heart beat usually cannot be prevented.
  • #3 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. […] Tachycardia treatment involves taking steps to prevent the heart from beating too fast. This may involve medicines, implanted devices, or heart surgeries or procedures. […] An implantable device, such as a pacemaker or implantable cardioverter-defibrillator (ICD), may be used to treat some types of tachycardia.
  • #4 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. […] 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.
  • #5 Tachycardia: Symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/175241
    Some measures can help prevent and manage tachycardia. […] Some ways to prevent tachycardia and other heart issues at home include: avoiding the use of tobacco and illegal drugs, limiting the consumption of certain substances, such as alcohol and caffeine, energy drinks, cardiac stimulants, such as cocaine and methamphetamine, reducing stress, when possible, getting enough sleep, following a balanced diet, getting regular exercise. […] Medications that can help people manage tachycardia include: antiarrhythmic drugs, calcium channel blockers, such as diltiazem (Cardizem) or verapamil (Calan), beta-blockers, such as propranolol (Inderal) or metoprolol (Lopressor). […] Other ways of helping to prevent tachycardia may include: Radiofrequency catheter ablation: This involves inserting catheters into the heart through the blood vessels. Electrodes at the end of the catheter can ablate, or damage, small sections of the heart that are responsible for the abnormal heartbeat.
  • #6 Tachycardia: Types, Symptoms, Causes & Effective Prevention
    https://www.medicoverhospitals.in/articles/tachycardia
    Maintaining a healthy heart and avoiding heart diseases are the best ways to prevent tachycardia. If you already have cardiac disease, follow the treatment plan and monitor it. Make sure you understand the course of treatment and take all prescription medications as instructed. […] Adopting lifestyle modifications that reduce the risk of heart disease can stop a cardiac arrhythmia that causes tachycardia. Here are some recommendations: […] Exercise regularly Make an effort to exercise for at least 30 minutes. […] Eat a healthy diet Make a conscious effort to consume a diet high in whole grains, low-fat diary, lean meat, vegetables and fruits. Limit the intake of salt, saturated fats, alcohol, sugar, and trans fats. […] Maintain a healthy weight As being overweight raises the chance of getting heart problems, keeping a healthy weight is essential.
  • #7 Tachycardia: Symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/175241
    Some measures can help prevent and manage tachycardia. […] Some ways to prevent tachycardia and other heart issues at home include: avoiding the use of tobacco and illegal drugs, limiting the consumption of certain substances, such as alcohol and caffeine, energy drinks, cardiac stimulants, such as cocaine and methamphetamine, reducing stress, when possible, getting enough sleep, following a balanced diet, getting regular exercise. […] Medications that can help people manage tachycardia include: antiarrhythmic drugs, calcium channel blockers, such as diltiazem (Cardizem) or verapamil (Calan), beta-blockers, such as propranolol (Inderal) or metoprolol (Lopressor). […] Other ways of helping to prevent tachycardia may include: Radiofrequency catheter ablation: This involves inserting catheters into the heart through the blood vessels. Electrodes at the end of the catheter can ablate, or damage, small sections of the heart that are responsible for the abnormal heartbeat.
  • #8 Tachycardia: Types, Symptoms, Causes & Effective Prevention
    https://www.medicoverhospitals.in/articles/tachycardia
    Maintaining a healthy heart and avoiding heart diseases are the best ways to prevent tachycardia. If you already have cardiac disease, follow the treatment plan and monitor it. Make sure you understand the course of treatment and take all prescription medications as instructed. […] Adopting lifestyle modifications that reduce the risk of heart disease can stop a cardiac arrhythmia that causes tachycardia. Here are some recommendations: […] Exercise regularly Make an effort to exercise for at least 30 minutes. […] Eat a healthy diet Make a conscious effort to consume a diet high in whole grains, low-fat diary, lean meat, vegetables and fruits. Limit the intake of salt, saturated fats, alcohol, sugar, and trans fats. […] Maintain a healthy weight As being overweight raises the chance of getting heart problems, keeping a healthy weight is essential.
  • #9 Tachycardia (High Heart Rate): Symptoms, Causes, Treatment and Prevention
    https://www.carehospitals.com/symptoms/tachycardia
    Preventing tachycardia involves making lifestyle changes and managing underlying health conditions: […] Regular exercise is crucial in lowering resting heart rate and strengthening the heart. Aim for at least half an hour of moderate physical activity (brisk walking, cycling, or swimming) most days of the week. […] Meditation, deep breathing exercises yoga can reduce stress levels and lower heart rate. […] Getting enough sleep is essential, as chronic sleep deprivation can lead to rapid heart rate. […] Maintaining a healthy diet is vital for heart health. Focus on consuming vegetables, fruits, whole grains, and lean proteins. Limit intake of saturated fats added sugars salt. Stay hydrated by drinking the optimal amount of water throughout the day. […] Avoiding stimulants like caffeine and nicotine can help prevent rapid heartbeats. If you smoke, quitting is one of the best things you can do for your heart. Similarly, limiting alcohol consumption and maintaining a healthy weight can positively impact heart rate.
  • #10 Tachycardia: Types, Symptoms, Causes & Effective Prevention
    https://www.medicoverhospitals.in/articles/tachycardia
    Maintaining a healthy heart and avoiding heart diseases are the best ways to prevent tachycardia. If you already have cardiac disease, follow the treatment plan and monitor it. Make sure you understand the course of treatment and take all prescription medications as instructed. […] Adopting lifestyle modifications that reduce the risk of heart disease can stop a cardiac arrhythmia that causes tachycardia. Here are some recommendations: […] Exercise regularly Make an effort to exercise for at least 30 minutes. […] Eat a healthy diet Make a conscious effort to consume a diet high in whole grains, low-fat diary, lean meat, vegetables and fruits. Limit the intake of salt, saturated fats, alcohol, sugar, and trans fats. […] Maintain a healthy weight As being overweight raises the chance of getting heart problems, keeping a healthy weight is essential.
  • #11 Ventricular Tachycardia: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/heart-disease/atrial-fibrillation/what-is-ventricular-tachycardia
    Ventricular Tachycardia Prevention […] You may not be able to completely prevent ventricular tachycardia, but there are steps you can take to lessen your chances of it happening. You’ll want to focus on heart-healthy habits including: […] Eat mostly fruits, vegetables, whole grains, unsaturated fats, and lean proteins. […] Limit foods high in sugar, salt, and saturated fat. […] Aim for 30 minutes of cardio most days of the week. […] Try yoga. […] Lose excess body weight if you’re overweight or have obesity. […] You’ll also want to: […] Be careful with stimulants like caffeine. […] Find ways to manage stress. […] Try to get 7 to 9 hours of sleep a night. […] Drink alcohol in moderation or not at all. […] Quit smoking or don’t start. […] Avoid recreational drugs such as cocaine or methamphetamines.
  • #12 Tachycardia: Types, Symptoms, Causes & Effective Prevention
    https://www.medicoverhospitals.in/articles/tachycardia
    Maintaining a healthy heart and avoiding heart diseases are the best ways to prevent tachycardia. If you already have cardiac disease, follow the treatment plan and monitor it. Make sure you understand the course of treatment and take all prescription medications as instructed. […] Adopting lifestyle modifications that reduce the risk of heart disease can stop a cardiac arrhythmia that causes tachycardia. Here are some recommendations: […] Exercise regularly Make an effort to exercise for at least 30 minutes. […] Eat a healthy diet Make a conscious effort to consume a diet high in whole grains, low-fat diary, lean meat, vegetables and fruits. Limit the intake of salt, saturated fats, alcohol, sugar, and trans fats. […] Maintain a healthy weight As being overweight raises the chance of getting heart problems, keeping a healthy weight is essential.
  • #13 Ventricular Tachycardia: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/heart-disease/atrial-fibrillation/what-is-ventricular-tachycardia
    Ventricular Tachycardia Prevention […] You may not be able to completely prevent ventricular tachycardia, but there are steps you can take to lessen your chances of it happening. You’ll want to focus on heart-healthy habits including: […] Eat mostly fruits, vegetables, whole grains, unsaturated fats, and lean proteins. […] Limit foods high in sugar, salt, and saturated fat. […] Aim for 30 minutes of cardio most days of the week. […] Try yoga. […] Lose excess body weight if you’re overweight or have obesity. […] You’ll also want to: […] Be careful with stimulants like caffeine. […] Find ways to manage stress. […] Try to get 7 to 9 hours of sleep a night. […] Drink alcohol in moderation or not at all. […] Quit smoking or don’t start. […] Avoid recreational drugs such as cocaine or methamphetamines.
  • #14 Tachycardia: Types, Symptoms, Causes & Effective Prevention
    https://www.medicoverhospitals.in/articles/tachycardia
    Keep cholesterol levels and blood pressure under control Change your lifestyle and take the medications as prescribed to treat high cholesterol or high blood pressure. […] Stop smoking Talk to the healthcare provider about tactics or programs to help you quit smoking if you smoke and find it difficult to stop on your own. […] Drink in moderation If you consume alcohol, do so cautiously. That entails up to one drink per day for women and up to two drinks per day for males for healthy individuals. It’s advised that you entirely abstain from drinking if you have specific medical issues. […] Use medications with caution Some medicines for colds and coughs contain stimulants that could speed up the heartbeat. To learn which medications you should not use, consult the doctor. […] Limit caffeine Caffeinated beverages should be consumed in moderation (no more than one to two daily).
  • #15 Ventricular Tachycardia: Symptoms, Causes, Diagnosis, Treatment
    https://www.webmd.com/heart-disease/atrial-fibrillation/what-is-ventricular-tachycardia
    And make sure you talk to your doctor about: […] How to maintain the right balance of electrolytes like potassium and magnesium […] Ways to control your blood pressure and cholesterol levels […] If you need to manage thyroid disorders or kidney disease […] Which prescription or over-the-counter medications are safe […] Any heart conditions that need treatment […] There may be other ways to lessen your chances of triggering an irregular heart rhythm. Ask your medical team for more tips. […] […] […] Your treatment plan depends on what’s causing your irregular heart rhythm. But here are some steps you can take to manage ventricular tachycardia: […] Take any medication your doctor gives you to regulate your heart rate. […] Get an ICD if your doctor thinks you need one.
  • #16 Tachycardia: Types, Symptoms, Causes & Effective Prevention
    https://www.medicoverhospitals.in/articles/tachycardia
    Keep cholesterol levels and blood pressure under control Change your lifestyle and take the medications as prescribed to treat high cholesterol or high blood pressure. […] Stop smoking Talk to the healthcare provider about tactics or programs to help you quit smoking if you smoke and find it difficult to stop on your own. […] Drink in moderation If you consume alcohol, do so cautiously. That entails up to one drink per day for women and up to two drinks per day for males for healthy individuals. It’s advised that you entirely abstain from drinking if you have specific medical issues. […] Use medications with caution Some medicines for colds and coughs contain stimulants that could speed up the heartbeat. To learn which medications you should not use, consult the doctor. […] Limit caffeine Caffeinated beverages should be consumed in moderation (no more than one to two daily).
  • #17
    https://www.prevention.com/health/a20429709/13-tachycardia-treatments-to-calm-your-rapid-heartbeat/
    Tachycardia is more common in women, but it also occurs in men. […] Although tachycardia is generally not serious and doesn’t signify heart disease, it may, however, cause serious or even life-threatening complications in people who already have heart disease. […] Learn how to put the brakes on your rapidly beating heart with these strategies for tachycardia treatment. […] Doctors recommend these vagal maneuvers to break up supraventricular tachycardia (SVT), a common form of rapid heartbeat that arises from the upper chambers of the heart. […] Too much coffee, cola, tea, chocolate, diet pills, or stimulants in any form can put you at risk for tachycardia, says Miura. […] Drinking alcohol—red wine, in particular—can trigger SVT. […] Smoking is also associated with triggering tachycardia.
  • #18 Tachycardia: Types, Symptoms, Causes & Effective Prevention
    https://www.medicoverhospitals.in/articles/tachycardia
    Keep cholesterol levels and blood pressure under control Change your lifestyle and take the medications as prescribed to treat high cholesterol or high blood pressure. […] Stop smoking Talk to the healthcare provider about tactics or programs to help you quit smoking if you smoke and find it difficult to stop on your own. […] Drink in moderation If you consume alcohol, do so cautiously. That entails up to one drink per day for women and up to two drinks per day for males for healthy individuals. It’s advised that you entirely abstain from drinking if you have specific medical issues. […] Use medications with caution Some medicines for colds and coughs contain stimulants that could speed up the heartbeat. To learn which medications you should not use, consult the doctor. […] Limit caffeine Caffeinated beverages should be consumed in moderation (no more than one to two daily).
  • #19
    https://www.prevention.com/health/a20429709/13-tachycardia-treatments-to-calm-your-rapid-heartbeat/
    Tachycardia is more common in women, but it also occurs in men. […] Although tachycardia is generally not serious and doesn’t signify heart disease, it may, however, cause serious or even life-threatening complications in people who already have heart disease. […] Learn how to put the brakes on your rapidly beating heart with these strategies for tachycardia treatment. […] Doctors recommend these vagal maneuvers to break up supraventricular tachycardia (SVT), a common form of rapid heartbeat that arises from the upper chambers of the heart. […] Too much coffee, cola, tea, chocolate, diet pills, or stimulants in any form can put you at risk for tachycardia, says Miura. […] Drinking alcohol—red wine, in particular—can trigger SVT. […] Smoking is also associated with triggering tachycardia.
  • #20 Tachycardia: Types, Symptoms, Causes & Effective Prevention
    https://www.medicoverhospitals.in/articles/tachycardia
    Keep cholesterol levels and blood pressure under control Change your lifestyle and take the medications as prescribed to treat high cholesterol or high blood pressure. […] Stop smoking Talk to the healthcare provider about tactics or programs to help you quit smoking if you smoke and find it difficult to stop on your own. […] Drink in moderation If you consume alcohol, do so cautiously. That entails up to one drink per day for women and up to two drinks per day for males for healthy individuals. It’s advised that you entirely abstain from drinking if you have specific medical issues. […] Use medications with caution Some medicines for colds and coughs contain stimulants that could speed up the heartbeat. To learn which medications you should not use, consult the doctor. […] Limit caffeine Caffeinated beverages should be consumed in moderation (no more than one to two daily).
  • #21
    https://www.prevention.com/health/a20429709/13-tachycardia-treatments-to-calm-your-rapid-heartbeat/
    Tachycardia is more common in women, but it also occurs in men. […] Although tachycardia is generally not serious and doesn’t signify heart disease, it may, however, cause serious or even life-threatening complications in people who already have heart disease. […] Learn how to put the brakes on your rapidly beating heart with these strategies for tachycardia treatment. […] Doctors recommend these vagal maneuvers to break up supraventricular tachycardia (SVT), a common form of rapid heartbeat that arises from the upper chambers of the heart. […] Too much coffee, cola, tea, chocolate, diet pills, or stimulants in any form can put you at risk for tachycardia, says Miura. […] Drinking alcohol—red wine, in particular—can trigger SVT. […] Smoking is also associated with triggering tachycardia.
  • #22 Tachycardia: Types, Symptoms, Causes & Effective Prevention
    https://www.medicoverhospitals.in/articles/tachycardia
    Manage stress Find ways to relieve emotional and mental stress. Increasing physical exercise, mindfulness practice, and connecting with others through support groups can all help to relieve stress. […] Go to scheduled checkups Maintain regular physical checks and inform the doctor if your heartbeat changes. Inform your doctor immediately if the symptoms change or worsen or if you develop new ones.
  • #23 Tachycardia (High Heart Rate): Symptoms, Causes, Treatment and Prevention
    https://www.carehospitals.com/symptoms/tachycardia
    Preventing tachycardia involves making lifestyle changes and managing underlying health conditions: […] Regular exercise is crucial in lowering resting heart rate and strengthening the heart. Aim for at least half an hour of moderate physical activity (brisk walking, cycling, or swimming) most days of the week. […] Meditation, deep breathing exercises yoga can reduce stress levels and lower heart rate. […] Getting enough sleep is essential, as chronic sleep deprivation can lead to rapid heart rate. […] Maintaining a healthy diet is vital for heart health. Focus on consuming vegetables, fruits, whole grains, and lean proteins. Limit intake of saturated fats added sugars salt. Stay hydrated by drinking the optimal amount of water throughout the day. […] Avoiding stimulants like caffeine and nicotine can help prevent rapid heartbeats. If you smoke, quitting is one of the best things you can do for your heart. Similarly, limiting alcohol consumption and maintaining a healthy weight can positively impact heart rate.
  • #24 Tachycardia | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/tachycardia
    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. […] Lifestyle changes or treatment of heart conditions may lower the risk of tachycardia. […] Try these tips to prevent heart disease and keep the heart healthy: Don’t smoke. Eat a diet that’s low in salt and saturated fat. Exercise at least 30 minutes a day on most days of the week. Maintain a healthy weight. Reduce and manage stress. Control high blood pressure, high cholesterol and diabetes. Get good sleep. Adults should aim for 7 to 9 hours daily.
  • #25 Tachycardia (High Heart Rate): Symptoms, Causes, Treatment and Prevention
    https://www.carehospitals.com/symptoms/tachycardia
    Preventing tachycardia involves making lifestyle changes and managing underlying health conditions: […] Regular exercise is crucial in lowering resting heart rate and strengthening the heart. Aim for at least half an hour of moderate physical activity (brisk walking, cycling, or swimming) most days of the week. […] Meditation, deep breathing exercises yoga can reduce stress levels and lower heart rate. […] Getting enough sleep is essential, as chronic sleep deprivation can lead to rapid heart rate. […] Maintaining a healthy diet is vital for heart health. Focus on consuming vegetables, fruits, whole grains, and lean proteins. Limit intake of saturated fats added sugars salt. Stay hydrated by drinking the optimal amount of water throughout the day. […] Avoiding stimulants like caffeine and nicotine can help prevent rapid heartbeats. If you smoke, quitting is one of the best things you can do for your heart. Similarly, limiting alcohol consumption and maintaining a healthy weight can positively impact heart rate.
  • #26 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. […] 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.
  • #27 Tachycardia | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/tachycardia
    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. […] Lifestyle changes or treatment of heart conditions may lower the risk of tachycardia. […] Try these tips to prevent heart disease and keep the heart healthy: Don’t smoke. Eat a diet that’s low in salt and saturated fat. Exercise at least 30 minutes a day on most days of the week. Maintain a healthy weight. Reduce and manage stress. Control high blood pressure, high cholesterol and diabetes. Get good sleep. Adults should aim for 7 to 9 hours daily.
  • #28 Tachycardia: Symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/175241
    Some measures can help prevent and manage tachycardia. […] Some ways to prevent tachycardia and other heart issues at home include: avoiding the use of tobacco and illegal drugs, limiting the consumption of certain substances, such as alcohol and caffeine, energy drinks, cardiac stimulants, such as cocaine and methamphetamine, reducing stress, when possible, getting enough sleep, following a balanced diet, getting regular exercise. […] Medications that can help people manage tachycardia include: antiarrhythmic drugs, calcium channel blockers, such as diltiazem (Cardizem) or verapamil (Calan), beta-blockers, such as propranolol (Inderal) or metoprolol (Lopressor). […] Other ways of helping to prevent tachycardia may include: Radiofrequency catheter ablation: This involves inserting catheters into the heart through the blood vessels. Electrodes at the end of the catheter can ablate, or damage, small sections of the heart that are responsible for the abnormal heartbeat.
  • #29 Paroxysmal Supraventricular Tachycardia Medication: Cardiovascular, Other, Calcium Channel Blockers, Beta-Blockers, Beta-1 Selective, Beta-blockers, Nonselective
    https://emedicine.medscape.com/article/156670-medication
    As previously stated, short-term management of supraventricular tachycardia (SVT) involves intravenous adenosine or calcium channel blockers (CCBs). […] Long-term pharmacologic 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). […] These medications are used to treat or prevent arrhythmia. […] In addition, Flecainide is indicated for the prevention of documented, life-threatening ventricular arrhythmias, such as sustained ventricular tachycardia. […] Propafenone is indicated for the treatment of documented, life-threatening ventricular arrhythmias, such as sustained ventricular tachycardia. […] Adenosine is the first-line medical treatment for the termination of paroxysmal SVT.
  • #30 Tachycardia: Symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/175241
    Some measures can help prevent and manage tachycardia. […] Some ways to prevent tachycardia and other heart issues at home include: avoiding the use of tobacco and illegal drugs, limiting the consumption of certain substances, such as alcohol and caffeine, energy drinks, cardiac stimulants, such as cocaine and methamphetamine, reducing stress, when possible, getting enough sleep, following a balanced diet, getting regular exercise. […] Medications that can help people manage tachycardia include: antiarrhythmic drugs, calcium channel blockers, such as diltiazem (Cardizem) or verapamil (Calan), beta-blockers, such as propranolol (Inderal) or metoprolol (Lopressor). […] Other ways of helping to prevent tachycardia may include: Radiofrequency catheter ablation: This involves inserting catheters into the heart through the blood vessels. Electrodes at the end of the catheter can ablate, or damage, small sections of the heart that are responsible for the abnormal heartbeat.
  • #31 Paroxysmal Supraventricular Tachycardia Medication: Cardiovascular, Other, Calcium Channel Blockers, Beta-Blockers, Beta-1 Selective, Beta-blockers, Nonselective
    https://emedicine.medscape.com/article/156670-medication
    Digoxin indirectly increases vagal activity, thereby decreasing conduction velocity through the AV node. This can result in termination of paroxysmal SVT. […] Class IV calcium channel blockers decrease the conduction velocity and prolong the refractory period. […] Beta-blockers abolish reentry-induced paroxysmal SVT by increasing the refractory period of the AV node. […] Nadolol is frequently prescribed because of its long-term effect. It reduces the effect of sympathetic stimulation on the heart.
  • #32 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. […] 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. […] Because beta-blockers (class II) are safe, they are the first choice unless contraindicated. […] Transcatheter ablation is particularly successful in patients who have VT with well-defined syndromes.
  • #33 Tachycardia: Symptoms, treatment, and more
    https://www.medicalnewstoday.com/articles/175241
    Some measures can help prevent and manage tachycardia. […] Some ways to prevent tachycardia and other heart issues at home include: avoiding the use of tobacco and illegal drugs, limiting the consumption of certain substances, such as alcohol and caffeine, energy drinks, cardiac stimulants, such as cocaine and methamphetamine, reducing stress, when possible, getting enough sleep, following a balanced diet, getting regular exercise. […] Medications that can help people manage tachycardia include: antiarrhythmic drugs, calcium channel blockers, such as diltiazem (Cardizem) or verapamil (Calan), beta-blockers, such as propranolol (Inderal) or metoprolol (Lopressor). […] Other ways of helping to prevent tachycardia may include: Radiofrequency catheter ablation: This involves inserting catheters into the heart through the blood vessels. Electrodes at the end of the catheter can ablate, or damage, small sections of the heart that are responsible for the abnormal heartbeat.
  • #34 Paroxysmal Supraventricular Tachycardia Medication: Cardiovascular, Other, Calcium Channel Blockers, Beta-Blockers, Beta-1 Selective, Beta-blockers, Nonselective
    https://emedicine.medscape.com/article/156670-medication
    Digoxin indirectly increases vagal activity, thereby decreasing conduction velocity through the AV node. This can result in termination of paroxysmal SVT. […] Class IV calcium channel blockers decrease the conduction velocity and prolong the refractory period. […] Beta-blockers abolish reentry-induced paroxysmal SVT by increasing the refractory period of the AV node. […] Nadolol is frequently prescribed because of its long-term effect. It reduces the effect of sympathetic stimulation on the heart.
  • #35 Paroxysmal Supraventricular Tachycardia Medication: Cardiovascular, Other, Calcium Channel Blockers, Beta-Blockers, Beta-1 Selective, Beta-blockers, Nonselective
    https://emedicine.medscape.com/article/156670-medication
    As previously stated, short-term management of supraventricular tachycardia (SVT) involves intravenous adenosine or calcium channel blockers (CCBs). […] Long-term pharmacologic 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). […] These medications are used to treat or prevent arrhythmia. […] In addition, Flecainide is indicated for the prevention of documented, life-threatening ventricular arrhythmias, such as sustained ventricular tachycardia. […] Propafenone is indicated for the treatment of documented, life-threatening ventricular arrhythmias, such as sustained ventricular tachycardia. […] Adenosine is the first-line medical treatment for the termination of paroxysmal SVT.
  • #36 Paroxysmal Supraventricular Tachycardia Medication: Cardiovascular, Other, Calcium Channel Blockers, Beta-Blockers, Beta-1 Selective, Beta-blockers, Nonselective
    https://emedicine.medscape.com/article/156670-medication
    Digoxin indirectly increases vagal activity, thereby decreasing conduction velocity through the AV node. This can result in termination of paroxysmal SVT. […] Class IV calcium channel blockers decrease the conduction velocity and prolong the refractory period. […] Beta-blockers abolish reentry-induced paroxysmal SVT by increasing the refractory period of the AV node. […] Nadolol is frequently prescribed because of its long-term effect. It reduces the effect of sympathetic stimulation on the heart.
  • #37 ESC Guidelines for Management of Supraventricular Tachycardia: Key Points
    https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2019/09/10/12/36/2019-ESC-Guidelines-for-Supraventricular-Tachycardia
    This is the first guideline update for SVT by ESC in 16 years. Amiodarone and digoxin are no longer mentioned in the new guidelines for the acute management of narrow complex tachycardia. Sotalol and lidocaine have been removed from the acute management of wide complex tachycardia algorithm. […] Verapamil/diltiazem and catheter ablation are no longer recommended for inappropriate sinus tachycardia. Ivabradine alone, beta-blocker alone, or both agents taken together should now be considered in symptomatic patients (Class IIa). […] Catheter ablation is recommended for recurrent focal AT, especially if incessant or causing tachycardia cardiomyopathy. Beta-blockers should be considered for recurrent focal AT or atrial flutter, if ablation is not possible or successful. […] For multifocal AT, treatment of an underlying condition is recommended as a first step (Class I). Verapamil, diltiazem, or a selective beta-blocker should be considered (Class IIa).
  • #38 Sotalol prophylaxis was efficient and safe for supraventricular tachycardia in early infancy – PubMed
    https://pubmed.ncbi.nlm.nih.gov/39073535/
    Sotalol prophylaxis was efficient and safe for supraventricular tachycardia in early infancy. […] Sotalol provided effective and safe prophylaxis for SVT during infancy. QTc prolongation rarely caused treatment discontinuation and there were no cases of proarrhythmia.
  • #39
    https://scholars.duke.edu/display/pub1030248
    OBJECTIVES: Supraventricular tachycardia is the most common arrhythmia in infants, and antiarrhythmic medications are frequently used for prophylaxis. […] We used data from a large clinical registry to compare efficacy and safety of digoxin and propranolol for infant supraventricular tachycardia prophylaxis. […] We hypothesized that supraventricular tachycardia recurrence is less common on digoxin when compared with propranolol. […] On multivariable analysis, treatment failure was higher on propranolol when compared with that on digoxin (hazard ratio, 1.97; 95% CI, 1.05-3.71). […] CONCLUSIONS: Digoxin was associated with fewer episodes of supraventricular tachycardia recurrence but more frequent hypotension in hospitalized infants relative to propranolol.
  • #40 Oral verapamil for prophylaxis of supraventricular tachycardia after myocardial revascularization. A randomized trial – PubMed
    https://pubmed.ncbi.nlm.nih.gov/3900590/
    To determine if the prophylactic administration of oral verapamil is effective in reducing the incidence of supraventricular tachycardia after myocardial revascularization, 141 patients were entered into a double-blind randomized trial. […] On the basis of these data, it is concluded that verapamil 80 mg every 8 hours beginning early after myocardial revascularization is not effective in reducing the incidence of supraventricular tachycardia.
  • #41 Tachycardia: Fast Heart Rate | American Heart Association
    https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia–fast-heart-rate
    The normal rate for a heart to beat is 60-100 beats per minute. Tachycardia is when the heart beats too fast, at a rate of more than 100 beats per minute, when at rest. This can depend on age, health status and physical condition. […] SVT is a fast heart rate, greater than 100 beats per minute or more, which starts in the atria, the upper chambers of the heart. The electrical signals occur abnormally and speed up the heart rate. The rapidly beating heart prevents the heart chambers from filling completely between contractions (beats), which may compromise blood flow to the body. […] For some people, SVT/PSVT is triggered by exercise, stress or lack of sleep, while others do not notice anything at all. […] 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.
  • #42 Tachycardia: Fast Heart Rate | American Heart Association
    https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia–fast-heart-rate
    The normal rate for a heart to beat is 60-100 beats per minute. Tachycardia is when the heart beats too fast, at a rate of more than 100 beats per minute, when at rest. This can depend on age, health status and physical condition. […] SVT is a fast heart rate, greater than 100 beats per minute or more, which starts in the atria, the upper chambers of the heart. The electrical signals occur abnormally and speed up the heart rate. The rapidly beating heart prevents the heart chambers from filling completely between contractions (beats), which may compromise blood flow to the body. […] For some people, SVT/PSVT is triggered by exercise, stress or lack of sleep, while others do not notice anything at all. […] 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.
  • #43 Supraventricular Tachycardia (SVT): Symptoms & Treatment
    https://my.clevelandclinic.org/health/diseases/22152-svt-supraventricular-tachycardia
    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. […] You should also keep taking the medicine your healthcare provider prescribed for you.
  • #44 Supraventricular Tachycardia (SVT) | University of Michigan Health
    https://www.uofmhealth.org/conditions-treatments/supraventricular-tachycardia-svt
    Treatments for SVT include medications you can take at the onset of symptoms, and vagal maneuvers which allow you to slow your heart rate yourself through coughing, gagging or putting your face in cold water. […] To manage SVT on a regular basis there are medicines to slow the heart rate and prevent the onset of SVT. […] There are ways to prevent SVT at home by avoiding certain triggers. Common triggers include alcohol, caffeine, smoking, some over-the-counter decongestants, diet pills, and drugs such as cocaine and methamphetamine.
  • #45 ESC Guidelines for Management of Supraventricular Tachycardia: Key Points
    https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2019/09/10/12/36/2019-ESC-Guidelines-for-Supraventricular-Tachycardia
    In all re-entrant and most focal arrhythmias, catheter ablation should be offered as an initial choice to patients, after having explained in detail the potential risks and benefits. […] Catheter ablation is recommended in asymptomatic patients in whom electrophysiology testing with the use of isoprenaline identifies high-risk properties, such as shortest pre-excited RR interval during AF 250 ms, accessory pathway effective refractory period […] Beta-1 selective blockers (except atenolol) or verapamil should be considered for prevention of SVT in patients without Wolff-Parkinson-White (WPW) syndrome (Class IIa). Flecainide or propafenone should be considered for prevention of SVT in patients with WPW syndrome and without ischemic or structural heart disease (Class IIa). […] In postural orthostatic tachycardia syndrome, a regular and progressive exercise program should be considered (Class IIa). The consumption of up to 2-3 L of water and 10-12 g of sodium chloride daily, as well as midodrine, low-dose nonselective beta-blocker, pyridostigmine, and ivabradine may be considered (Class IIb).
  • #46 ESC Guidelines for Management of Supraventricular Tachycardia: Key Points
    https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2019/09/10/12/36/2019-ESC-Guidelines-for-Supraventricular-Tachycardia
    This is the first guideline update for SVT by ESC in 16 years. Amiodarone and digoxin are no longer mentioned in the new guidelines for the acute management of narrow complex tachycardia. Sotalol and lidocaine have been removed from the acute management of wide complex tachycardia algorithm. […] Verapamil/diltiazem and catheter ablation are no longer recommended for inappropriate sinus tachycardia. Ivabradine alone, beta-blocker alone, or both agents taken together should now be considered in symptomatic patients (Class IIa). […] Catheter ablation is recommended for recurrent focal AT, especially if incessant or causing tachycardia cardiomyopathy. Beta-blockers should be considered for recurrent focal AT or atrial flutter, if ablation is not possible or successful. […] For multifocal AT, treatment of an underlying condition is recommended as a first step (Class I). Verapamil, diltiazem, or a selective beta-blocker should be considered (Class IIa).
  • #47 ESC Guidelines for Management of Supraventricular Tachycardia: Key Points
    https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2019/09/10/12/36/2019-ESC-Guidelines-for-Supraventricular-Tachycardia
    In all re-entrant and most focal arrhythmias, catheter ablation should be offered as an initial choice to patients, after having explained in detail the potential risks and benefits. […] Catheter ablation is recommended in asymptomatic patients in whom electrophysiology testing with the use of isoprenaline identifies high-risk properties, such as shortest pre-excited RR interval during AF 250 ms, accessory pathway effective refractory period […] Beta-1 selective blockers (except atenolol) or verapamil should be considered for prevention of SVT in patients without Wolff-Parkinson-White (WPW) syndrome (Class IIa). Flecainide or propafenone should be considered for prevention of SVT in patients with WPW syndrome and without ischemic or structural heart disease (Class IIa). […] In postural orthostatic tachycardia syndrome, a regular and progressive exercise program should be considered (Class IIa). The consumption of up to 2-3 L of water and 10-12 g of sodium chloride daily, as well as midodrine, low-dose nonselective beta-blocker, pyridostigmine, and ivabradine may be considered (Class IIb).
  • #48 Tachycardia: Fast Heart Rate | American Heart Association
    https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia–fast-heart-rate
    The normal rate for a heart to beat is 60-100 beats per minute. Tachycardia is when the heart beats too fast, at a rate of more than 100 beats per minute, when at rest. This can depend on age, health status and physical condition. […] SVT is a fast heart rate, greater than 100 beats per minute or more, which starts in the atria, the upper chambers of the heart. The electrical signals occur abnormally and speed up the heart rate. The rapidly beating heart prevents the heart chambers from filling completely between contractions (beats), which may compromise blood flow to the body. […] For some people, SVT/PSVT is triggered by exercise, stress or lack of sleep, while others do not notice anything at all. […] 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.
  • #49 Supraventricular Tachycardia (SVT) | University of Michigan Health
    https://www.uofmhealth.org/conditions-treatments/supraventricular-tachycardia-svt
    Treatments for SVT include medications you can take at the onset of symptoms, and vagal maneuvers which allow you to slow your heart rate yourself through coughing, gagging or putting your face in cold water. […] To manage SVT on a regular basis there are medicines to slow the heart rate and prevent the onset of SVT. […] There are ways to prevent SVT at home by avoiding certain triggers. Common triggers include alcohol, caffeine, smoking, some over-the-counter decongestants, diet pills, and drugs such as cocaine and methamphetamine.
  • #50
    https://www.prevention.com/health/a20429709/13-tachycardia-treatments-to-calm-your-rapid-heartbeat/
    Tachycardia is more common in women, but it also occurs in men. […] Although tachycardia is generally not serious and doesn’t signify heart disease, it may, however, cause serious or even life-threatening complications in people who already have heart disease. […] Learn how to put the brakes on your rapidly beating heart with these strategies for tachycardia treatment. […] Doctors recommend these vagal maneuvers to break up supraventricular tachycardia (SVT), a common form of rapid heartbeat that arises from the upper chambers of the heart. […] Too much coffee, cola, tea, chocolate, diet pills, or stimulants in any form can put you at risk for tachycardia, says Miura. […] Drinking alcohol—red wine, in particular—can trigger SVT. […] Smoking is also associated with triggering tachycardia.
  • #51 ESC Guidelines for Management of Supraventricular Tachycardia: Key Points
    https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2019/09/10/12/36/2019-ESC-Guidelines-for-Supraventricular-Tachycardia
    This is the first guideline update for SVT by ESC in 16 years. Amiodarone and digoxin are no longer mentioned in the new guidelines for the acute management of narrow complex tachycardia. Sotalol and lidocaine have been removed from the acute management of wide complex tachycardia algorithm. […] Verapamil/diltiazem and catheter ablation are no longer recommended for inappropriate sinus tachycardia. Ivabradine alone, beta-blocker alone, or both agents taken together should now be considered in symptomatic patients (Class IIa). […] Catheter ablation is recommended for recurrent focal AT, especially if incessant or causing tachycardia cardiomyopathy. Beta-blockers should be considered for recurrent focal AT or atrial flutter, if ablation is not possible or successful. […] For multifocal AT, treatment of an underlying condition is recommended as a first step (Class I). Verapamil, diltiazem, or a selective beta-blocker should be considered (Class IIa).
  • #52 ESC Guidelines for Management of Supraventricular Tachycardia: Key Points
    https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2019/09/10/12/36/2019-ESC-Guidelines-for-Supraventricular-Tachycardia
    In all re-entrant and most focal arrhythmias, catheter ablation should be offered as an initial choice to patients, after having explained in detail the potential risks and benefits. […] Catheter ablation is recommended in asymptomatic patients in whom electrophysiology testing with the use of isoprenaline identifies high-risk properties, such as shortest pre-excited RR interval during AF 250 ms, accessory pathway effective refractory period […] Beta-1 selective blockers (except atenolol) or verapamil should be considered for prevention of SVT in patients without Wolff-Parkinson-White (WPW) syndrome (Class IIa). Flecainide or propafenone should be considered for prevention of SVT in patients with WPW syndrome and without ischemic or structural heart disease (Class IIa). […] In postural orthostatic tachycardia syndrome, a regular and progressive exercise program should be considered (Class IIa). The consumption of up to 2-3 L of water and 10-12 g of sodium chloride daily, as well as midodrine, low-dose nonselective beta-blocker, pyridostigmine, and ivabradine may be considered (Class IIb).
  • #53 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. […] 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. […] Because beta-blockers (class II) are safe, they are the first choice unless contraindicated. […] Transcatheter ablation is particularly successful in patients who have VT with well-defined syndromes.
  • #54 Tachycardia: Fast Heart Rate | American Heart Association
    https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia–fast-heart-rate
    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. […] Treatment will depend on your symptoms and the cause of your VT. Possible treatments include: Medication that helps prevent arrhythmias, Radiofrequency ablation, a procedure that destroys the cells causing the VT, Surgery to implant a cardioverter defibrillator (ICD), which delivers an electrical pulse to the heart to reset a dangerously irregular heartbeat, Immediate electrical defibrillation, in extreme cases.
  • #55 Team Management of the Ventricular Tachycardia Patient | AER Journal
    https://www.aerjournal.com/articles/team-management-ventricular-tachycardia-patient?language_content_entity=en
    Ventricular tachycardia is a common arrhythmia in patients with structural heart disease and heart failure, and is now seen more frequently as these patients survive longer with modern therapies. […] A coordinated team approach is therefore essential to achieve the best possible outcomes for these complex patients. […] Modern management of patients with ventricular arrhythmias requires a multidisciplinary team approach, especially in complex presentations with a background of multiple medical comorbidities. […] Antiarrhythmic medications, ICD implantation and catheter ablation are the cornerstones of current VT management. […] Caring for patients undergoing catheter ablation of VT in dedicated units with integrated multidisciplinary care has been shown to lead to improved outcomes.
  • #56 Ventricular tachycardia | informedhealth.org
    https://www.informedhealth.org/ventricular-tachycardia.html
    Ventricular tachycardia usually develops in people who already have another heart condition, like CAD or heart failure. That is why its more common in older people. […] The risk of dying from ventricular tachycardia is particularly high in adults if heart disease is causing it. Apart from treating the causes, various procedures can be done to lower the risk of ventricular tachycardia episodes. These treatments are often combined. […] Implanting a defibrillator is commonly recommended. This device can detect ventricular tachycardia and quickly stop it by giving off controlled electric shocks. […] The heart muscle tissue that’s causing the tachycardia can be destroyed (ablated). This is done using a catheter procedure called catheter ablation. […] Long-term use of medication is a good way to stabilize the heart rate in many people. For instance, sometimes children and teenagers who regularly take medication don’t need a defibrillator as a result.
  • #57 Catheter ablation for prevention of ventricular tachycardia | Nature Reviews Cardiology
    https://www.nature.com/articles/nrcardio.2010.17
    Patients with structural heart disease are at risk for life-threatening ventricular tachycardias (VTs). […] Catheter ablation for VT can reduce the need for ICD therapies and is an increasingly important adjunct to the treatment of these patients. […] Prophylactic catheter ablation for the prevention of defibrillator therapy.
  • #58
    https://link.springer.com/article/10.1007/s10840-020-00848-1
    Although implantable cardioverter defibrillator (ICD) could prevent the sudden death of ventricular tachycardia (VT) in patients with ischemic heart disease, it could not effectively prevent the recurrence of ventricular tachycardia. […] Several studies have suggested that catheter ablation may effectively decrease the incidence of ICD events, but relevant dates from randomized controlled trials were limited. […] A systematic review and meta-analysis of randomized controlled trials were performed to evaluate the effect of catheter ablation for the prevention of VT in patients with ischemic heart disease. […] Compared with the control group (ICDAAD), catheter ablation could significantly reduce the incidence of ICD therapy (OR, 0.49; 95% CI, 0.28~0.87), ICD shock (OR, 0.50; 95% CI, 0.28~0.87), VT storm (OR, 0.60; 95% CI, 0.40~0.90), and cardiovascular-related hospitalization (OR, 0.66; 95% CI, 0.45~0.9).
  • #59 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. […] 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. […] Because beta-blockers (class II) are safe, they are the first choice unless contraindicated. […] Transcatheter ablation is particularly successful in patients who have VT with well-defined syndromes.
  • #60 Team Management of the Ventricular Tachycardia Patient | AER Journal
    https://www.aerjournal.com/articles/team-management-ventricular-tachycardia-patient?language_content_entity=en
    In patients with recurrent ICD shocks, reprogramming of ICDs by the EP team can help to minimise shocks. […] The use of overdrive or anti-tachycardia pacing (ATP) to terminate haemodynamically stable VTs before shocks has been shown to be effective. […] In patients with SHD and VT, antiarrhythmic drugs can be used in conjunction with ICD programming to minimise shocks. […] Catheter ablation of VT has since gained an increasingly prominent role in the management of many types of VT. […] The impact of catheter ablation has been studied in a variety of causes of VT. […] In the recent Ventricular Tachycardia Ablation Versus Escalated Antiarrhythmic Drug Therapy in Ischemic Heart Disease (VANISH) trial, catheter ablation was also found to be superior to escalation of antiarrhythmic therapy in reducing the incidence of a composite primary endpoint of death, VT storm and appropriate ICD shocks.
  • #61 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. […] 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. […] Because beta-blockers (class II) are safe, they are the first choice unless contraindicated. […] Transcatheter ablation is particularly successful in patients who have VT with well-defined syndromes.
  • #62 Team Management of the Ventricular Tachycardia Patient | AER Journal
    https://www.aerjournal.com/articles/team-management-ventricular-tachycardia-patient?language_content_entity=en
    In patients with recurrent ICD shocks, reprogramming of ICDs by the EP team can help to minimise shocks. […] The use of overdrive or anti-tachycardia pacing (ATP) to terminate haemodynamically stable VTs before shocks has been shown to be effective. […] In patients with SHD and VT, antiarrhythmic drugs can be used in conjunction with ICD programming to minimise shocks. […] Catheter ablation of VT has since gained an increasingly prominent role in the management of many types of VT. […] The impact of catheter ablation has been studied in a variety of causes of VT. […] In the recent Ventricular Tachycardia Ablation Versus Escalated Antiarrhythmic Drug Therapy in Ischemic Heart Disease (VANISH) trial, catheter ablation was also found to be superior to escalation of antiarrhythmic therapy in reducing the incidence of a composite primary endpoint of death, VT storm and appropriate ICD shocks.
  • #63 Team Management of the Ventricular Tachycardia Patient | AER Journal
    https://www.aerjournal.com/articles/team-management-ventricular-tachycardia-patient?language_content_entity=en
    In patients with recurrent ICD shocks, reprogramming of ICDs by the EP team can help to minimise shocks. […] The use of overdrive or anti-tachycardia pacing (ATP) to terminate haemodynamically stable VTs before shocks has been shown to be effective. […] In patients with SHD and VT, antiarrhythmic drugs can be used in conjunction with ICD programming to minimise shocks. […] Catheter ablation of VT has since gained an increasingly prominent role in the management of many types of VT. […] The impact of catheter ablation has been studied in a variety of causes of VT. […] In the recent Ventricular Tachycardia Ablation Versus Escalated Antiarrhythmic Drug Therapy in Ischemic Heart Disease (VANISH) trial, catheter ablation was also found to be superior to escalation of antiarrhythmic therapy in reducing the incidence of a composite primary endpoint of death, VT storm and appropriate ICD shocks.
  • #64
    https://link.springer.com/article/10.1007/s10840-020-00848-1
    Although implantable cardioverter defibrillator (ICD) could prevent the sudden death of ventricular tachycardia (VT) in patients with ischemic heart disease, it could not effectively prevent the recurrence of ventricular tachycardia. […] Several studies have suggested that catheter ablation may effectively decrease the incidence of ICD events, but relevant dates from randomized controlled trials were limited. […] A systematic review and meta-analysis of randomized controlled trials were performed to evaluate the effect of catheter ablation for the prevention of VT in patients with ischemic heart disease. […] Compared with the control group (ICDAAD), catheter ablation could significantly reduce the incidence of ICD therapy (OR, 0.49; 95% CI, 0.28~0.87), ICD shock (OR, 0.50; 95% CI, 0.28~0.87), VT storm (OR, 0.60; 95% CI, 0.40~0.90), and cardiovascular-related hospitalization (OR, 0.66; 95% CI, 0.45~0.9).
  • #65
    https://link.springer.com/article/10.1007/s10840-020-00848-1
    These results showed that catheter ablation combined with ICD could reduce ICD therapy, ICD shock, and VT storm in patients with ischemic heart disease, but there was no improvement in all-cause mortality. […] Therefore, larger randomized controlled trials with longer follow-up period were needed to further explore the effects of catheter ablation on the recurrence of VT, quality of life, and mortality in patients with ischemic heart disease. […] Catheter ablation of the pathological matrix of patients with ischemic cardiomyopathy can effectively reduce ICD events and VT recurrence, which can be more effective and safer for such patients with the extensive application of the three-dimensional mapping system. […] Although our meta-analysis also showed that catheter ablation may significantly reduce VT storm, it could not significantly reduce all-cause mortality as mentioned above, which may be accounted for the difference of cardiac function and ejection fraction of the patients enrolled in different research.
  • #66 Preventive ablation of ventricular tachycardia avoids shocks and hospitalisation
    https://www.escardio.org/The-ESC/Press-Office/Press-releases/preventive-ablation-of-ventricular-tachycardia-avoids-shocks-and-hospitalisation
    The first randomised trial to investigate preventive ablation of a potential arrhythmogenic substrate associated with coronary chronic total occlusion (CTO) in patients at high risk of ventricular arrhythmias (VAs) reduces the risk of appropriate implantable cardioverter-defibrillator (ICD) therapy and unplanned hospitalisation in patients with no previously recorded VAs. […] Our study shows that a primary prevention ablation strategy can be a safe and effective treatment option to prevent ICD interventions and arrhythmia-related hospitalisations. […] The PREVENTIVE VT trial investigated the impact of preventive VT ablation on ICD interventions in patients with ischaemic cardiomyopathy and infarct-related coronary CTO. […] Dr. Zizek said: Our study also highlights the importance of identifying ischaemic cardiomyopathy patients with a high risk of VAs in whom substrate ablation might prevent arrhythmias and consequent debilitating ICD shocks, while outweighing the potential for procedural complications.
  • #67 Catecholaminergic Polymorphic Ventricular Tachycardia Panel Test – PreventionGenetics
    https://www.preventiongenetics.com/testInfo?val=Catecholaminergic-Polymorphic-Ventricular-Tachycardia-Panel
    Patients with CPVT. Individuals with exercise or stress induced cardiac arrest or sudden unexplained death are also candidates. […] Preventative drugs (beta-blockers) and other treatments are available for susceptible individuals. […] Pathogenic variants in these eight genes account for 52%-60% of CPVT cases. […] Clinical sensitivity for deletion and duplications is currently not known.
  • #68 Catecholaminergic Polymorphic Ventricular Tachycardia Panel Test – PreventionGenetics
    https://www.preventiongenetics.com/testInfo?val=Catecholaminergic-Polymorphic-Ventricular-Tachycardia-Panel
    Patients with CPVT. Individuals with exercise or stress induced cardiac arrest or sudden unexplained death are also candidates. […] Preventative drugs (beta-blockers) and other treatments are available for susceptible individuals. […] Pathogenic variants in these eight genes account for 52%-60% of CPVT cases. […] Clinical sensitivity for deletion and duplications is currently not known.
  • #69 Prevention of tachycardia – Primary Care Notebook
    https://primarycarenotebook.com/pages/cardiovascular-medicine/indications-for-a-permanent-pacemaker/prevention-of-tachycardia
    Tachycardia following bradycardia: slow cardiac rhythms may predispose to development of escape rhythms and tachyarrhythmias (via changes such as prolongation of refractoriness, dispersion of refractoriness, early after depolarizations etc.). Thus complete heart block may be complicated by conditions such as ventricular tachycardia (including torsades de pointes), and atrial tachycardia with atrial fibrillation (tachycardia-bradycardia syndrome). […] if it can be demonstrated that the tachycardia is preceded by bradycardia then implantation of a pacemaker may reduce these tachyarrhythmias.
  • #70 Prevention of tachycardia – Primary Care Notebook
    https://primarycarenotebook.com/pages/cardiovascular-medicine/indications-for-a-permanent-pacemaker/prevention-of-tachycardia
    Tachycardia following bradycardia: slow cardiac rhythms may predispose to development of escape rhythms and tachyarrhythmias (via changes such as prolongation of refractoriness, dispersion of refractoriness, early after depolarizations etc.). Thus complete heart block may be complicated by conditions such as ventricular tachycardia (including torsades de pointes), and atrial tachycardia with atrial fibrillation (tachycardia-bradycardia syndrome). […] if it can be demonstrated that the tachycardia is preceded by bradycardia then implantation of a pacemaker may reduce these tachyarrhythmias.
  • #71 Device-Detected Atrial Tachycardia and Risk of Thromboembolism
    https://www.acc.org/latest-in-cardiology/articles/2017/02/03/09/44/device-detected-atrial-tachycardia-and-risk-of-thromboembolism
    Atrial Tachyarrhythmia and Cryptogenic Stroke. The association between atrial tachyarrhythmia, particularly atrial fibrillation (AF) or fast atrial tachycardia (AT), and the risk for cardioembolic stroke has been established. […] While it is clear there that: (1) underlying AT/AF, even when subclinical or silent, is associated with increased risk of TE, and (2) longer-term cardiac monitoring increases the rate of diagnosis of AT/AF; it is not known whether the initiation of anticoagulation based on device-detected AT/AF modifies the risk of subsequent TE. […] Therefore, we recommend using CHADS2 and CHA2DS2-VASc risk scores to determine need for AC in patients DDAT detected. TE risk can be determined with evaluation of these risk scores in the setting of the duration of DDAT burden. […] The presence of DDAT has clearly been shown to be associated with an increased risk of stroke and other TE, although a causal association has not yet been elucidated.
  • #72 Device-Detected Atrial Tachycardia and Risk of Thromboembolism
    https://www.acc.org/latest-in-cardiology/articles/2017/02/03/09/44/device-detected-atrial-tachycardia-and-risk-of-thromboembolism
    Atrial Tachyarrhythmia and Cryptogenic Stroke. The association between atrial tachyarrhythmia, particularly atrial fibrillation (AF) or fast atrial tachycardia (AT), and the risk for cardioembolic stroke has been established. […] While it is clear there that: (1) underlying AT/AF, even when subclinical or silent, is associated with increased risk of TE, and (2) longer-term cardiac monitoring increases the rate of diagnosis of AT/AF; it is not known whether the initiation of anticoagulation based on device-detected AT/AF modifies the risk of subsequent TE. […] Therefore, we recommend using CHADS2 and CHA2DS2-VASc risk scores to determine need for AC in patients DDAT detected. TE risk can be determined with evaluation of these risk scores in the setting of the duration of DDAT burden. […] The presence of DDAT has clearly been shown to be associated with an increased risk of stroke and other TE, although a causal association has not yet been elucidated.
  • #73 57/Thromboembolic prophylaxis after ventricular tachycardia ablation – touchCARDIOLOGY
    https://touchcardio.com/arrhythmia/journal-articles/57-thromboembolic-prophylaxis-after-ventricular-tachycardia-ablation/
    Endocardial left ventricular (LV) ablation is associated with an increased risk of thromboembolic events. […] While many operators prescribe a course of post-operative antiplatelet or oral anticoagulant (OAC) medication to prevent thromboembolism, the benefit of this approach is unknown. […] Furthermore, the safety of using direct OACs (DOACs) for this indication is uncertain. […] A short course of OAC following substrate-based LV endocardial ablation is associated with a low rate of post-procedural thromboembolism. […] Although the numbers were small, warfarin and DOACs gave comparable results.
  • #74 Team Management of the Ventricular Tachycardia Patient | AER Journal
    https://www.aerjournal.com/articles/team-management-ventricular-tachycardia-patient?language_content_entity=en
    Ventricular tachycardia is a common arrhythmia in patients with structural heart disease and heart failure, and is now seen more frequently as these patients survive longer with modern therapies. […] A coordinated team approach is therefore essential to achieve the best possible outcomes for these complex patients. […] Modern management of patients with ventricular arrhythmias requires a multidisciplinary team approach, especially in complex presentations with a background of multiple medical comorbidities. […] Antiarrhythmic medications, ICD implantation and catheter ablation are the cornerstones of current VT management. […] Caring for patients undergoing catheter ablation of VT in dedicated units with integrated multidisciplinary care has been shown to lead to improved outcomes.
  • #75 Team Management of the Ventricular Tachycardia Patient | AER Journal
    https://www.aerjournal.com/articles/team-management-ventricular-tachycardia-patient?language_content_entity=en
    Ventricular tachycardia is a common arrhythmia in patients with structural heart disease and heart failure, and is now seen more frequently as these patients survive longer with modern therapies. […] A coordinated team approach is therefore essential to achieve the best possible outcomes for these complex patients. […] Modern management of patients with ventricular arrhythmias requires a multidisciplinary team approach, especially in complex presentations with a background of multiple medical comorbidities. […] Antiarrhythmic medications, ICD implantation and catheter ablation are the cornerstones of current VT management. […] Caring for patients undergoing catheter ablation of VT in dedicated units with integrated multidisciplinary care has been shown to lead to improved outcomes.
  • #76 Team Management of the Ventricular Tachycardia Patient | AER Journal
    https://www.aerjournal.com/articles/team-management-ventricular-tachycardia-patient?language_content_entity=en
    In patients with recurrent ICD shocks, reprogramming of ICDs by the EP team can help to minimise shocks. […] The use of overdrive or anti-tachycardia pacing (ATP) to terminate haemodynamically stable VTs before shocks has been shown to be effective. […] In patients with SHD and VT, antiarrhythmic drugs can be used in conjunction with ICD programming to minimise shocks. […] Catheter ablation of VT has since gained an increasingly prominent role in the management of many types of VT. […] The impact of catheter ablation has been studied in a variety of causes of VT. […] In the recent Ventricular Tachycardia Ablation Versus Escalated Antiarrhythmic Drug Therapy in Ischemic Heart Disease (VANISH) trial, catheter ablation was also found to be superior to escalation of antiarrhythmic therapy in reducing the incidence of a composite primary endpoint of death, VT storm and appropriate ICD shocks.
  • #77 Team Management of the Ventricular Tachycardia Patient | AER Journal
    https://www.aerjournal.com/articles/team-management-ventricular-tachycardia-patient?language_content_entity=en
    Although ablation procedures have a relatively high success rate, a significant number of VTs remain refractory to ablation. […] In such cases, repeat ablation may be indicated. […] Autonomic modulation procedures may be indicated in the setting of ongoing refractory VT. […] It is important that in cases where these situations are anticipated, that clear discussions with patients and relatives are held in advance to explain the rationale behind clinical decision-making and to determine the wishes of the patient while they are able to communicate them.
  • #78
    https://www.ejcrim.com/index.php/EJCRIM/article/view/4469
    Background: Cardiac sarcoidosis can cause a wide range of symptoms, including shortness of breath, chest pain, oedema, and fatal arrhythmias such as ventricular tachycardia (VT). […] Conclusion: Cardiac sarcoidosis is a rare but serious disease that can lead to life-threatening cardiac complications such as ventricular tachycardia. Early diagnosis and aggressive management are crucial for improving outcomes and preventing sudden cardiac death. AICD implantation as a secondary prevention in cardiac sarcoidosis might prevent cardiac arrest.
  • #79 Ventricular tachycardia secondary prevention – wikidoc
    https://www.wikidoc.org/index.php/Ventricular_tachycardia_secondary_prevention
    In patients with higher risk of death due to ventricular arrhythmia and lower risk of non cardiac death due to other comorbidities, ICD implantation has intermediate value. […] In patients with IHD and unexplained syncope with induction of sustained monomorphic VT in EPS, ICD implantation is recommended if life expectancy is more than 1 year. […] In patients with ventricular arrhythmia due to coronary artery spasm, vasodilator such as calcium channel blocker with maximum tolerated doses smoking cessation and is recommended. […] In survival of SCA due to coronary artery spasm with ineffective or not tolerated medications, ICD implantation is recommended if the survival is more than 1 year. […] In survival of SCA due to coronary artery spasm, ICD implantation in addition to medical therapy is recommended if life expectancy is more than 1 year.
  • #80 Ventricular tachycardia secondary prevention – wikidoc
    https://www.wikidoc.org/index.php/Ventricular_tachycardia_secondary_prevention
    In patients with higher risk of death due to ventricular arrhythmia and lower risk of non cardiac death due to other comorbidities, ICD implantation has intermediate value. […] In patients with IHD and unexplained syncope with induction of sustained monomorphic VT in EPS, ICD implantation is recommended if life expectancy is more than 1 year. […] In patients with ventricular arrhythmia due to coronary artery spasm, vasodilator such as calcium channel blocker with maximum tolerated doses smoking cessation and is recommended. […] In survival of SCA due to coronary artery spasm with ineffective or not tolerated medications, ICD implantation is recommended if the survival is more than 1 year. […] In survival of SCA due to coronary artery spasm, ICD implantation in addition to medical therapy is recommended if life expectancy is more than 1 year.
  • #81 Tachycardia Guide: Causes, Symptoms and Treatment Options
    https://www.drugs.com/health-guide/tachycardia.html
    Since tachycardia is usually a sign of some underlying medical problem, discovering and treating the cause is the best way to prevent recurrent tachycardia. […] The first episode of an arrhythmia that causes a rapid heart beat usually cannot be prevented.
  • #82 Tips for Living With Supraventricular Tachycardia
    https://www.webmd.com/heart-disease/atrial-fibrillation/living-with-supraventricular-tachycardia
    When you have supraventricular tachycardia, your heart’s electrical system sometimes makes it beat faster than normal. […] Your doctor can prescribe medicine and other treatments to get your heart back into a regular rhythm. But there are plenty of positive things you can do, too, to keep on track. […] Certain foods might trigger SVT while others are full of minerals that help keep your heart in rhythm. […] A fast run or other hard exercise might trigger a bout of SVT in some people. Don’t stop exercising, though. It’s an important way to keep your heart strong. […] Check with your doctor to see how much exercise and which types are safest for you. […] Treatment starts with your doctor, but it doesn’t end there. You’re also a big part of your own health care team. […] Your doctors may have you on medicines called beta-blockers or calcium channel blockers. They can help keep your heart pumping at the right pace.
  • #83 Living With Supraventricular Tachycardia
    https://www.cardiosmart.org/topics/supraventricular-tachycardia/living-with-svt-and-prevention
    One way to prevent SVT is to work with your health care team to identify triggers that may cause the abnormal heart rhythm. […] If episodes of SVT happen often, talk with your health care team about treatments that might be able to cure the abnormal heart rhythm. […] Remember to bring a list of all your medications to your health visits. Also, don’t use any medications over-the-counter medications or supplements without talking to your health care professional. […] It’s also important to keep up with regular health visits. If your symptoms get worse, or if you notice anything new, be sure to share those details with your health care team.
  • #84 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. […] 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.
  • #85 Tachycardia | UM Health-Sparrow
    https://www.uofmhealthsparrow.org/departments-conditions/conditions/tachycardia
    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. […] Lifestyle changes or treatment of heart conditions may lower the risk of tachycardia. […] Try these tips to prevent heart disease and keep the heart healthy: Don’t smoke. Eat a diet that’s low in salt and saturated fat. Exercise at least 30 minutes a day on most days of the week. Maintain a healthy weight. Reduce and manage stress. Control high blood pressure, high cholesterol and diabetes. Get good sleep. Adults should aim for 7 to 9 hours daily.
  • #86
    https://www.prevention.com/health/a20429709/13-tachycardia-treatments-to-calm-your-rapid-heartbeat/
    Magnesium helps balance the effects of calcium, which stimulates muscular contractions within the cell itself. […] Potassium is another mineral that helps slow heart action and reduce irritability of the muscle fibers. […] Getting in shape with moderate aerobic exercise tends to reset your resting heart rate at a lower level. […] If your heart has lost its sense of timing, get to a doctor as soon as possible. […] If your doctor has ruled out a serious condition, but you still have recurrent tachycardia symptoms that bother you physically or emotionally, seek an evaluation by an electrophysiologist, says Miura.