Stephen J. Schueler, M.D.

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Paroxysmal Supraventricular Tachycardia Treatment

The treatment of paroxysmal supraventricular tachycardia depends in part on the underlying cause for the arrhythmia. Vagal maneuvers such as breath-holding and the Valsalva maneuver may stop paroxysmal supraventricular tachycardia. However, these maneuvers are only used in patients who have no symptoms and a stable blood pressure.

In cases that fail to respond to vagal maneuvers, the initial treatment for paroxysmal supraventricular tachycardia includes medications. A smaller number may benefit from cardioversion.

Medications for paroxysmal supraventricular tachycardia:

Additional treatment may also include:
  • Cardioversion: an electrical current resets the heart rhythm:
    • May be performed with paddles
    • May be performed via internal defibrillator
    • May be performed through special pacemaker
  • Coronary artery angioplasty
  • Coronary artery bypass surgery

Paroxysmal Supraventricular Tachycardia Specialist

Physicians from the following specialties evaluate and treat paroxysmal supraventricular tachycardia:

Continue to Paroxysmal Supraventricular Tachycardia Home Care

Last Updated: Oct 13, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Paroxysmal Supraventricular Tachycardia References
  1. Betts TR, Goldberger JJ, Kadish AH. Frequency and characteristics of progressive aberrancy during supraventricular tachycardia. Am J Cardiol. 2003 Sep 15;92(6):736-9. [12972123]
  2. Goebel PJ, Daya MR, Gunnels MD. Accuracy of arrhythmia recognition in paramedic treatment of paroxysmal supraventricular tachycardia: a ten-year review. Prehosp Emerg Care. 2004 Apr-Jun;8(2):166-70. [15060851]
  3. Losek JD, Endom E, Dietrich A, Stewart G, Zempsky W, Smith K. Adenosine and pediatric supraventricular tachycardia in the emergency department: multicenter study and review. Ann Emerg Med. 1999 Feb;33(2):185-91. [9922414]
  4. Porter MJ, Morton JB, Denman R, et al. Influence of age and gender on the mechanism of supraventricular tachycardia. Heart Rhythm. 2004 Oct;1(4):393-6. [15851189]
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