Paroxysmal supraventricular tachycardia classification

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Noha Elzeiny, M.B.B.Ch, M.Sc.[2]

Overview

PSVT may be classified into several sub types based on underlying mechanism of tachycardia and ECG findings.

ECG findings include2 subtypes: Short PR interval tachycardia and long PR interval tachycardia.

Classification

  • PSVT can be classified based on the underling mechanism and ECG findings.
  • PSVT may be classified based on the underlying mechanism of tachycardia into [1]
      • AV nodal reentry (AVNRT)
      • AV reentry (AVRT)
      • Atrial tachycardia
      • Sinoatrial nodal reentrant tachycardia (SANRT)
      • Intra atrial reentrant tachycardia (IART)
      • Junctional ectopic tachycardia and nonparoxysmal junctional tachycardia (nonreentrent tachycardia, rare in adults, however represent a common cause of PSVT in children )
  • PSVT may be classified based on the ECG appearance into:
    • Short RP interval tachycardia [2]:
      • AVNRT
      • AVRT
      • Atrial tachycardia with first-degree AV block
    • Prolonged RP interval tachycardia [3]:
      • Atypical AVNRT (fast-slow)
      • Atrial tachycardia
      • Sinoatrial nodal reentrant tachycardia (SANRT)
      • Permanent junctional reciprocal tachycardia (PJRT)

References

  1. Fox, D. J., Tischenko, A., Krahn, A. D., Skanes, A. C., Gula, L. J., Yee, R. K., & Klein, G. J. (2008). Supraventricular Tachycardia: Diagnosis and Management. Mayo Clinic Proceedings, 83(12), 1400–1411
  2. Friedewald V.E. (2016) Supraventricular Tachycardia: (SVT/Paroxysmal Supraventicular Tachycardia/PSVT). In: Clinical Guide to Cardiovascular Disease. Springer, London
  3. Blomström-Lundqvist C, Scheinman MM, Aliot EM, et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias--executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias). Circulation. 2003;108(15):1871-1909. doi:10.1161/01.CIR.0000091380.04100.84


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