Taquicardias supraventriculares
- Pastor Pueyo, P.
- Valverde Gómez, M.
- Lozano Granero, C.
- Rodríguez Muñoz, D.
- Zamorano Gómez, J.L.
ISSN: 0304-5412
Año de publicación: 2017
Título del ejemplar: Enfermedades cardiológicas (V) Arritmias (II)
Serie: 12
Número: 39
Páginas: 2314-2321
Tipo: Artículo
Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado
Objetivos de desarrollo sostenible
Resumen
Abstract/Introduction Supraventricular tachycardias include a set of arrhythmias with similar clinical and electrocardiographic presentation. Diagnosis We should suspect a supraventricular tachycardia in patients typically without structural heart disease, in which episodes of regular palpitations of sudden onset and onset appear, varying in duration between minutes and up to hours, and in which, on the ECG performed during tachycardia, Observes a regular tachycardia of narrow QRS complex. In the differential diagnosis, three entities should be considered: intranodal tachycardia, accessory-mediated tachycardia and atrial tachycardia. Management The invasive electrophysiological study gives the definitive diagnosis of the mechanism of tachycardia that, however, may be previously suspected based on electrocardiographic criteria during tachycardia or sinus rhythm and by the characteristics of the patient. Medical treatment is generally ineffective in this type of tachycardia, with ablation being an effective treatment in most cases and with a low risk profile.
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