Supraventricular Tachycardia (SVT)

Introduction

Supraventricular Tachycardia (SVT) is a condition where the heart suddenly beats much faster than normal due to abnormal electrical activity in the upper chambers (atria). It can start and stop suddenly and often causes symptoms like palpitations, dizziness, or shortness of breath.

Causes of SVT

The most common causes include:

  • Reentry circuits – abnormal electrical pathways within the heart
  • Triggers – caffeine, alcohol, stress, or certain medications
  • Underlying heart conditions – congenital defects, mitral valve prolapse

Symptoms

Symptoms vary but may include:

  • Rapid heart rate (over 100 beats per minute)
  • Palpitations (the sensation of a racing heart)
  • Lightheadedness or dizziness
  • Shortness of breath
  • Chest discomfort

Diagnosis

  • Electrocardiogram (ECG) – records heart rhythm
  • Holter monitor – records heart activity over 24-48 hours
  • Electrophysiology study – identifies abnormal electrical circuits

Treatment Options

Acute Management

  • Valsalva maneuver – Bearing down or applying pressure to slow the heart rate
  • Carotid sinus massage – Gentle pressure on the neck (by a doctor)
  • Medication – Adenosine or beta-blockers
  • Cardioversion – Electric shock to restore normal rhythm in emergency cases

Long-Term Treatment

  • Medications – Beta-blockers, calcium channel blockers, or antiarrhythmic drugs
  • Catheter Ablation – A procedure to destroy abnormal electrical pathways in the heart
  • Lifestyle Changes – Reduced caffeine and alcohol intake, stress management

Conclusion

SVT can be distressing, but with proper diagnosis and management, most people live normal and healthy lives. If you experience recurrent episodes, consult a cardiologist for personalized treatment.

Source recommendations

1. American Heart Association Guidelines on Supraventricular Tachycardia

  1. https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia/tachycardia--fast-heart-rate
  2. https://www.ahajournals.org/doi/10.1161/cir.0000000000000311
  3. https://professional.heart.org/en/science-news/-/media/028ddd505f514ea2b3a4e74bb72e3557.ashx
  4. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193
  5. https://pubmed.ncbi.nlm.nih.gov/26399662/

2. European Society of Cardiology Guidelines on Supraventricular Tachycardia

  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.acc.org/Latest-in-Cardiology/ten-points-to-remember/2019/09/10/12/36/2019-ESC-Guidelines-for-Supraventricular-Tachycardia
  5. https://www.ahajournals.org/doi/10.1161/cir.0000000000000311

Our advantages:

patient2376100
Best practices from USA, EU and Japan
Our answers to your questions are based on the clinical recommendations of countries with the most developed healthcare systems in the field of cardiology in the USA, the EU and Japan.
prescription18648039
Always up-to-date information
On a daily basis, we monitor for you all new scientific research publications in leading scientific journals on medical issues of interest to you.
We monitor all innovations and changes in the field of cardiac disease treatment on a daily basis.
fvfflf7q
Get second opinion
Here you can learn everything that even your doctor may not know about cardiology (if he does not speak English and he does not read 117 leading medical journals on cardiology every month).
1xr4duup
The most comprehensive and up-to-date collection of free cardiology materials
Our website contains the most comprehensive and up-to-date collection of free cardiology materials in your country.
Every 3-5 years, half of the scientific approaches to treatment in the field of cardiology are reviewed as a result of specialized scientific discoveries. With us, you don't have to wait these years to learn about the best ways to treat you and your loved ones.
arrow
Please register in order to receive information regarding possible complications and new approaches to treatment of cardiovascular diseases via email in our Newsletters.
arrow