Treatment FAQ

what is the treatment for supraventricular tachycardia

by Prof. Constance Schimmel MD Published 3 years ago Updated 2 years ago
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Most people with supraventricular tachycardia (SVT) don't need treatment. However, if you have long or frequent episodes, your health care provider may recommend the following: Carotid sinus massage. A health care provider applies gentle pressure on the neck where the carotid artery splits into two branches.Apr 30, 2022

Medication

Treatment for ventricular tachycardia involves managing any disease that causes the condition. These treatments may improve or prevent the abnormal heart rhythm from returning. In emergency situations, CPR, electrical defibrillation and IV medications may be needed to slow the heart rate.

Procedures

Supraventricular tachycardia, or SVT, is a type of rapid heartbeat that begins in the upper chambers of the heart. Most cases don't need to be treated. They go away on their own. But if an episode doesn't end within a few minutes, you may need to take action. You might do this on your own or with the help of a doctor.

Therapy

They include:

  • Valsalva maneuver. This is a way to increase pressure in the abdomen and chest. ...
  • Carotid massage. Your healthcare provider may rub the carotid artery in your neck. ...
  • Medicine. There are various kinds you can take. ...
  • Electrocardioversion. This is a shock to the heart to restart a normal rhythm right away. ...
  • Catheter ablation. This can help cure SVT. ...

Nutrition

  • Atrial or supraventricular tachycardia (SVT) begins in the upper chambers of the heart. ...
  • Sinus tachycardia may be caused by a fever, anxiety, medication or recreational drugs, fright, strenuous exercise, or severe emotional distress. ...
  • Ventricular tachycardia begins in the lower chambers of the heart and can be life-threatening. ...

See more

What is ventricular tachycardia and how is it treated?

Can supraventricular tachycardia be cured without surgery?

What is the best drug treatment for SVT?

How do you treat ventricular tachycardia?

See more

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What is the best treatment for supraventricular tachycardia?

Beta blockers (metoprolol, atenolol, propranolol, and esmolol) are effective in acute termination of SVT. Adenosine may be used for diagnosis and treatment of undifferentiated regular wide complex tachycardia.

What is the drug of choice for supraventricular tachycardia?

In most patients, the drug of choice for acute therapy is either adenosine or verapamil. The use of intravenous adenosine or the calcium channel blocker verapamil are considered safe and effective therapies for controlling SVTs.

What triggers supraventricular tachycardia?

SVT is usually triggered by extra heartbeats (ectopic beats), which occur in all of us but may also be triggered by: some medications, including asthma medications, herbal supplements and cold remedies. drinking large amounts of caffeine or alcohol. stress or emotional upset.

Is supraventricular tachycardia a serious heart condition?

Supraventricular tachycardia (SVT) is a condition where your heart suddenly beats much faster than normal. It's not usually serious, but some people may need treatment.

Which beta blocker is best for tachycardia?

Arrhythmias: bisoprolol and metoprolol succinate are often preferred. Beta-blockers are the first-line treatment for long-term symptomatic rate control in patients with a range of cardiac arrhythmias, including atrial fibrillation and ventricular tachycardia.

Does anxiety cause SVT?

Feeling Tired or Stressed If you are worn out or anxious, you may be more likely to have a bout of SVT. One small study was able to record electrical changes in the hearts of people with the condition who were mentally stressed. Another study concluded that panic attacks can trigger this.

Can SVT go away permanently?

Treatments like medication or catheter ablation can permanently correct SVT.

Does SVT shorten your life?

In the vast majority of cases SVT is a benign condition. This means that it will not cause sudden death, will not damage the heart or cause a heart attack and will not shorten life expectancy.

At what heart rate should you go to the hospital?

If you're sitting down and feeling calm, your heart shouldn't beat more than about 100 times per minute. A heartbeat that's faster than this, also called tachycardia, is a reason to come to the emergency department and get checked out. We often see patients whose hearts are beating 160 beats per minute or more.

Can you live a long life with SVT?

In the vast majority of cases SVT is a benign condition. This means that it will not cause sudden death, damage the heart or cause a heart attack. It will not shorten life expectancy.

When should I worry about SVT?

Chest Pain Pain from SVT should go away quickly. If it lasts more than a few minutes, call 911 or your doctor.

Can SVT be caused by stress?

The most common triggers are psychological stress, lack of sleep, or physical activity. Symptoms of supraventricular tachycardia include fluttering in the chest, rapid heartbeat, shortness of breath, dizziness, sweating, the sensation of pounding in the neck, or fainting.

How is supraventricular tachycardia treated?

How is supraventricular tachycardia (SVT) treated? Your treatment for SVT depends on a few things. They include what type of SVT, how often you have episodes, and how severe your symptoms are. The goals of treatment are to prevent episodes, relieve symptoms, and prevent problems.

What is the treatment for recurring SVT?

Ongoing treatment of recurring SVT. If you have recurring episodes of SVT, you may need to take medicines, either on an as-needed basis or daily. Medicine treatment may include beta-blockers, calcium channel blockers, or other antiarrhythmic medicines.

How to tell if you have SVT?

SVT is usually treated if: 1 You have symptoms such as dizziness, chest pain, or fainting that are caused by your fast heart rate. 2 Your episodes of fast heart rate are occurring more often or do not return to normal on their own.

What are the symptoms of SVT?

SVT is usually treated if: You have symptoms such as dizziness, chest pain, or fainting that are caused by your fast heart rate. Your episodes of fast heart rate are occurring more often or do not return to normal on their own.

How to treat sudden onset SVT?

Your doctor will teach you how to do these safely. These are things such as bearing down or putting an ice-cold wet towel on your face.

What is an electric shock to the heart called?

Other treatment. An electric shock to the heart is called electrical cardioversion. It may be needed if you are having severe symptoms of SVT and your heart rate doesn't go back to normal using vagal maneuvers or fast-acting medicines. Types.

What causes supraventricular tachycardia?

Sometimes, another health condition causes supraventricular tachycardia. You may have already been diagnosed with one of the following: 1 Coronary artery disease (blocked, inflamed, or narrow arteries) 2 Hyperthyroidism, which is an overactive thyroid 3 A lung disease 4 Wolff-Parkinson-White Syndrome, which is an electrical pathway problem present from birth

What is a SVT?

Supraventricular tachycardia, or SVT, is a type of rapid heartbeat that begins in the upper chambers of the heart. Most cases don't need to be treated. They go away on their own.

How to stop heart from racing?

You may be able to prevent your heart from racing by reducing or cutting out caffeine, alcohol, tobacco, diet pills, and any stimulant, even those found in decongestants . Also make sure you get plenty of rest. Treating Underlying Conditions. Sometimes, another health condition causes supraventricular tachycardia.

How to get your heart to go back to normal?

This method uses easy exercises to spark the vagus nerve, which helps set the beating of your heart. Begin by bearing down as if you were sitting on a toilet.

What is a carotid sinus massage?

Finally, a nurse or doctor may be able to help with what’s called a carotid sinus massage. They put gentle pressure on the part of the neck where the carotid artery divides into two branches. To prevent serious side effects, let only a trained person do this for you. Medications.

What is the name of the disease that causes a person to have a narrow artery?

You may have already been diagnosed with one of the following: Coronary artery disease (blocked, inflamed, or narrow arteries) Hyperthyroidism, which is an overactive thyroid. A lung disease. Wolff-Parkinson-White Syndrome, which is an electrical pathway problem present from birth.

Overview

When your heart rhythm isn’t normal or the speed of the heartbeats isn’t right, you might have an arrhythmia. There are different names for different kinds of arrhythmias, depending on where they happen in the heart and what causes the problem. Tachycardia means your heart is beating too fast.

Symptoms and Causes

A problem with your heart’s electrical signals or circuitry causes SVT, but some people may not be aware of what brings on their symptoms. Others have a clear “trigger” like stress or exercise that starts their SVT. Things that can bring about symptoms include:

Diagnosis and Tests

Your healthcare provider will most likely do an electrocardiogram (EKG or ECG). If your provider needs to study your heart for a longer amount of time, they may ask you to wear a heart monitor that records the electrical activity in your heart.

Management and Treatment

You may not need treatment. Some people may feel better after resting more, drinking less coffee or alcohol or after quitting smoking.

Prevention

If your SVT (supraventricular tachycardia) is from causes you can control, you can:

Living With

Lifestyle changes can help with SVT (supraventricular tachycardia). You can:

What medicine can be given to prevent SVT?

For emergent cases, calcium channel or beta blockers can be given through IV (intravenously) for more rapid correction of the heart rhythm. Adenosine is another medicince that can be given through IV as well that can work in a matter of seconds.

How to prevent SVT?

Your healthcare provider might suggest other ways to help prevent SVT, such as the following: 1 Have less alcohol and caffeine 2 Don't smoke 3 Lower your stress 4 Eat foods that are healthy for your heart 5 Don't take recreational drugs, especially stimulants that can over-excite the heart muscle. Some herbs and supplements can have this same effect. Always check with your healthcare team before you take any non-prescribed medicines. 6 Stay well hydrated and get enough sleep

How does a SVT catheter work?

Your healthcare provider puts a thin, flexible tube (catheter) into a blood vessel in the groin. He or she then gently pushes it up into your heart. The area of your heart that causes your SVT is then either cauterized with heat or scarred with freezing energy.

How to correct heart rhythm right away?

Valsalva maneuver. This is a way to increase pressure in the abdomen and chest. It can correct your heart rhythm right away. To do it, you bear down with your stomach muscles, as though you are trying to have a bowel movement. Carotid massage. Your healthcare provider may rub the carotid artery in your neck.

Introduction: What Is Supraventricular Tachycardia?

Supraventricular tachycardia (SVT) is an arrhythmia initiated above the ventricles, at or above the atrioventricular (AV) node. This cardiac rhythm occurs due to improper electrical conduction within the heart that disrupts the coordination of heartbeats.

What Are ECG Characteristics of Supraventricular Tachycardia?

Typically characterized by having a narrow QRS complex that is less than or equal to 0.12 seconds. A wide QRS (greater than or equal to 0.12 seconds) can occur, but is less common.

What Signs or Symptoms May Be Present?

Symptom severity tends to be associated with the duration of time that supraventricular tachycardia takes place. Signs or symptoms that may present with SVT include:

Treatment of Supraventricular Tachycardia

Care of the conscious patient should be initiated using the Advanced Cardiovascular Life Support (ACLS) Primary Assessment. Components of this assessment include evaluating the patient’s airway, breathing, circulation, disability, and potential exposure.

How To Prepare for Your ACLS Exam

Are you ready to test your knowledge and skills to identify and treat supraventricular tachycardia? Numerous quizzes are available to help you evaluate and reinforce your understanding of cardiac rhythms. You may access quizzes here and here.

What is supraventricular tachycardia?

Supraventricular tachycardia (SVT) is a common cause of hospital admissions and can cause significant patient discomfort and distress. The most common SVTs include atrioventricular nodal re-entrant tachycardia, atrioventricular re-entrant tachycardia and atrial tachycardia. In many cases, the underlying mechanism can be deduced from ...

Where does tachycardia originate?

Atrial tachycardia. Atrial tachycardia (AT) originates within the atrium and is oblivious to the behaviour of the AV node. On surface ECG, the P-waves appear monomorphic with a stable tachycardia cycle length, but morphologically distinct from the sinus P-wave.

Is catheter ablation recommended for tachycardia?

Catheter ablation is strongly recommended in the event of a high-risk pathway being diagnosed. Conclusion. Supraventricular tachycardia is a common cause of hospital attendance and acute admission. With close inspection of the ECG in sinus rhythm at the time of onset, offset and during tachycardia, a diagnosis can often be formulated.

Is catheter ablation curative?

Long-term treatment is dependent on several factors including frequency of symptoms, risk stratification, and patient preference. Management can range from conservative, if symptoms are rare and the patient is low risk, to catheter ablation which is curative in the majority of patients.

Is atrioventricular nodal reentrant tachycardia a vagal

Atrioventricular nodal re-entrant tachycardia and atrioventricular re-entrant tachycardia are re-entrant tachycardias involving the atrioventricular node and are therefore highly sensitive to termination with vagal manoeuvres and administration of adenosine.

Drugs used to treat Supraventricular Tachycardia

The following list of medications are in some way related to, or used in the treatment of this condition.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Home remedies

If you feel your heart starting to race with an SVT episode, vagal maneuvers that stimulate the vagus nerve can help control your heart rate and other important functions.

Medications

Medications can help slow down a racing heart if your SVT episodes are frequent and last long, or if they’re causing symptoms such as:

Ablation

For people with recurrent SVT, including children, ablation is considered generally safe and effective. According to a 2015 study, this is true even if you’re taking SVT medications, or you choose not to take medications in the long term.

What is a supraventricular tachycardia?

Supraventricular tachycardias are usually narrow-complex tachycardias with a QRS interval of 100 ms or less on an electrocardiogram (ECG). Occasionally, they may show a wide QRS complex in the case of a pre-existing conduction delay, an aberrancy due to rate-related conduction delay or a bundle branch block.

What is the P wave in EKG?

On surface ECG, the P waves are usually seen before every QRS complex and have a different axis than a sinus P wave. At high atrial rates, the P waves may be embedded in the descending limb of the T wave or completely obscured by the T waves.7. Open in a separate window.

Does adenosine slow the ventricular rate?

In patients whose tachycardia does not involve the AV node (e. g., atrial flutter and atrial tachycardia), vagal manoeuvres or intravenous use of adenosine may slow the ventricular rate briefly and thu s unmask the underlying atrial rhythm.

Should a patient with SVT be referred to a cardiologist?

All patients with symptomatic SVT should be referred to a cardiologist for assessment and management. Depending on patient preferences, curative radiofrequency ablation should be considered because of its high success rate, which will subsequently improve quality of life and reduce associated costs. Key points.

Is AVNRT a sinus rhythm?

A narrow-complex tachycardia with a regular rhythm is likely to be sinus tachycardia, AVRT, AVNRT, atrial flutter or atrial tachycardia.

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Diagnosis

Treatment

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Preparing For Your Appointment

Medically reviewed by
Dr. Kabir Sethi
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment may not be necessary for most of the cases. If the problem persists for longer time and is more frequent, certain medications and therapies slow down the heart beat.
Medication

Anti-arrhythmic drugs: Normalize the heart rhythm.

Verapamil


Beta blockers: To control the heart rhythm.

Atenolol

Procedures

Electrical cardioversion: Use of electrical current to reset the heart rhythm.

Catheter ablation: Destroying a tiny part of the heart that causes the problem.

Therapy

Vagal maneuver:Certain maneuvers, like blowing with mouth and nose closed, splashing cold water on the face, coughing, affects the nerves controlling the heart rhythm.

Nutrition

Foods to eat:

  • Low fat food such as skimmed milk, fat free yogurt
  • Foods high in protein content such as beef, green peas, soya

Foods to avoid:

  • Avoid beverages containing caffeine such as tea and coffee
  • Avoid fried foods

Specialist to consult

Cardiologist
Specializes in the diagnosis and management heart related disorders.
Emergency medicine specialist
Specializes in identifying and managing illnesses or injuries requiring immediate medical attention.
Primary care physician
Specializes in the acute and chronic illnesses and provides preventive care and health.

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