Understanding Supraventricular Tachycardia (SVT)

Introduction

Supraventricular Tachycardia (SVT) is a condition where the heart beats abnormally fast due to improper electrical signals in the upper chambers (atria). Normally, the heart beats at a rate of 60-100 beats per minute (bpm), but in SVT, it can reach 150-250 bpm.

Symptoms of SVT

SVT episodes can vary in duration and severity. Common symptoms include:

  • Rapid heartbeat (palpitations)
  • Dizziness or lightheadedness
  • Shortness of breath
  • Chest discomfort
  • Anxiety
  • Fainting (in severe cases)

Causes and Risk Factors

The causes of SVT can be diverse and may include:

  • Congenital electrical pathway abnormalities (e.g., Wolff-Parkinson-White Syndrome)
  • Excess caffeine or alcohol consumption
  • Stress and anxiety
  • Certain medications
  • Hyperthyroidism
  • Structural heart disease

Diagnosing SVT

Diagnosis typically involves:

  • Electrocardiogram (ECG) – Identifies abnormal heart rhythms.
  • Holter Monitor – A portable device worn for 24-48 hours to detect intermittent SVT episodes.
  • Electrophysiological Study (EPS) – A specialized test to map the heart's electrical pathways.
  • Echocardiogram – Checks for structural heart abnormalities.

Treatment Options

Immediate Treatments (for stopping an ongoing episode)

  • Vagal maneuvers (like bearing down or coughing hard)
  • Carotid sinus massage (performed by a doctor)
  • Cold water splash on the face
  • Medications (e.g., adenosine, beta-blockers, calcium channel blockers)
  • Electrical cardioversion (in emergency cases)

Long-term Management

  • Medications (beta-blockers, calcium channel blockers, antiarrhythmic drugs)
  • Ablation Therapy – A catheter-based procedure that destroys abnormal pathways.
  • Lifestyle Changes – Reducing caffeine, managing stress, and maintaining a healthy lifestyle.

When to Seek Medical Attention

Seek medical help if:

  • Episodes last longer than 30 minutes.
  • Symptoms occur frequently or interfere with daily life.
  • You experience dizziness or fainting.

Prognosis

With proper treatment, SVT is manageable, and most people can lead a normal life. In some cases, ablation may provide a permanent cure.

Conclusion

SVT is a common heart rhythm disorder, but with proper understanding and treatment, serious complications can often be avoided. If you experience frequent episodes or troubling symptoms, consult a cardiologist for appropriate evaluation.

Source recommendations

1. American Heart Association Guidelines on Supraventricular Arrhythmias

  1. https://www.ahajournals.org/doi/10.1161/cir.0000000000000311
  2. https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate
  3. https://pubmed.ncbi.nlm.nih.gov/14557344/
  4. https://www.ahajournals.org/doi/10.1161/01.cir.0000091380.04100.84
  5. https://pubmed.ncbi.nlm.nih.gov/14563598/

2. European Society of Cardiology Guidelines for the Management of Supraventricular Tachycardias

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Supraventricular-Tachycardia
  2. https://academic.oup.com/eurheartj/article/41/5/655/5556821
  3. https://pubmed.ncbi.nlm.nih.gov/31504425/
  4. https://www.ahajournals.org/doi/10.1161/cir.0000000000000311
  5. https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2019/09/10/12/36/2019-ESC-Guidelines-for-Supraventricular-Tachycardia

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