Taquicardias supraventriculares

  1. Pastor Pueyo, P.
  2. Valverde Gómez, M.
  3. Lozano Granero, C.
  4. Rodríguez Muñoz, D.
  5. Zamorano Gómez, J.L.
Revue:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Année de publication: 2017

Titre de la publication: Enfermedades cardiológicas (V) Arritmias (II)

Serie: 12

Número: 39

Pages: 2314-2321

Type: Article

DOI: 10.1016/J.MED.2017.07.012 DIALNET GOOGLE SCHOLAR

D'autres publications dans: Medicine: Programa de Formación Médica Continuada Acreditado

Résumé

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.

Références bibliographiques

  • Lee E. Clinical practice. Supraventricular tachycardia. N Eng J Med. 2006;354:1039.
  • Belhassen B. Diagnostic use of adenosine triphosphate in cardiac arrhythmias. Arch Mal Coeur Vaiss. 2002;95(5):57-63.
  • Sebastián R, Tercedor R, Álvarez M, et al. Taquicardia intranodal. Manual de arritmias y electrofisiología cardiaca. Madrid: Pulsa Ediciones; 2011. 159-83.
  • Cauchemez B, Leenhardt A, Coumel P, Slama R. Catheter ablation of atrioventricular nodal reentrant tachycardia. Arch Mal Coeur Vaiss. 1994;87(11)Suppl:1571-9.
  • Rubart M, Zipes D. Génesis de las arritmias cardiacas: aspectos electrofisiológicos. Tratado de Cardiología. Barcelona: Elsevier España; 2013. p. 659-92.
  • Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ. 2015 ACC/AHA/HRS guideline for the management of adult patients with supraventricular tachycardia: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. J Am Coll Cardiol. 2016;67;e27-115.
  • Wolff L, Parkinson J, White PD. Bundle brunch block and short P R interval in healthy young people prone to paroxismal tachycardia. Am Heart J. 1930;5:605-704.
  • LeeB, Olgin JE. Ablation of focal atrial tachycardias. Catheter ablation of cardiac arrhythmias: principles and practical approach. 8th ed. Philadelphia: WB Sanuders; 2005. p. 181-94.
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