Supraventricular tachycardia AHA recommendations for Management of Multifocal Atria Tachycardia

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2015 ACC/AHA Guideline Recommendations;
Acute Treatment of SVT of Unknown Mechanism
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S [2]

Overview

Intravenous metoprolol or verapamil can be useful for acute treatment in patients with MAT. Oral verapamil or diltiazem is reasonable for ongoing management in patients with recurrent symptomatic MAT.^[1]

Management of Multifocal Atria Tachycardia

2015 AHA recommendations for the acute and ongoing management of multifocal atrial tachycardia are described below:^[1]

Acute treatment of Multifocal Atria Tachycardia

Class IIa
"1.Intravenous metoprolol or verapamil can be useful for acute treatment in patients with MAT."(Level of Evidence: C-LD) "

Management of ongoing Multifocal Atria Tachycardia

Class IIa
"1.Oral verapamil "(Level of Evidence: B-NR) " or diltiazem "(Level of Evidence: C-LD) " is reasonable for ongoing management in patients with recurrent symptomatic MAT"(Level of Evidence:B-NR, C-LD) "
"2.Metoprolol is reasonable for ongoing management in patients with recurrent symptomatic MAT ( "(Level of Evidence: C-LD) "

References

↑ ^1.0 ^1.1 Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ; et al. (2016). "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. 67 (13): e27–e115. doi:10.1016/j.jacc.2015.08.856. PMID 26409259.

[pmid26409259-1] 1.0 ^1.1 Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ; et al. (2016). "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. 67 (13): e27–e115. doi:10.1016/j.jacc.2015.08.856. PMID 26409259.

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