Stephen J. Schueler, M.D.

Overview Symptoms Evaluation Treatment specialist Home Care pulse check stress warning signs Complications Underlying Cause Anatomy

Supraventricular Tachycardia Paroxysmal 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

Supraventricular Tachycardia Paroxysmal Specialist

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

Continue to Supraventricular Tachycardia Paroxysmal Home Care

Last Updated: Oct 13, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
Copyright DSHI Systems, Inc. Powered by: FreeMD - Your Virtual Doctor

PubMed Supraventricular Tachycardia Paroxysmal 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]
FreeMD is provided for information purposes only and should not be used as a substitute for evaluation and treatment by a physician. Please review our terms of use.