Supraventricular Tachycardia (SVT)

Introduction

Supraventricular tachycardia (SVT) is a condition where the heart beats abnormally fast due to an electrical impulse originating above the ventricles. SVT episodes can start and stop suddenly and may last from a few seconds to several hours.

Symptoms

Common symptoms of SVT include:

  • Rapid heartbeat (palpitations)
  • Dizziness or lightheadedness
  • Shortness of breath
  • Chest discomfort or pain
  • Fatigue

If you experience severe chest pain, fainting, or difficulty breathing, seek emergency medical care immediately.

Causes and Risk Factors

SVT is caused by abnormal electrical pathways in the heart. It can be triggered by:

  • Stress or anxiety
  • Excess caffeine or alcohol consumption
  • Smoking
  • Certain medications
  • Structural heart abnormalities
  • Hyperthyroidism

Diagnosis

Diagnosis of SVT includes:

  • Electrocardiogram (ECG) – Records electrical activity of the heart.
  • Holter Monitor – A portable ECG worn for 24-48 hours.
  • Electrophysiological Study (EPS) – Identifies abnormal electrical circuits in the heart.
  • Echocardiogram – Evaluates heart structure and function.

Treatment

1. Immediate Management

  • Vagal Maneuvers: Methods such as bearing down or splashing cold water on the face can help stop SVT episodes.
  • Medications: Intravenous drugs like adenosine may restore normal rhythm.
  • Cardioversion: If SVT is life-threatening, electrical shock therapy may be needed.

2. Long-Term Management

  • Beta-blockers or Calcium Channel Blockers: To regulate heart rate.
  • Radiofrequency Ablation (RFA): A procedure that destroys the abnormal pathway causing SVT.
  • Lifestyle Changes: Reduction of caffeine, alcohol, and stress can prevent episodes.

Prevention

  • Reduce stress through relaxation techniques.
  • Maintain a heart-healthy diet and exercise.
  • Avoid excessive caffeine, alcohol, and smoking.
  • Follow up with your cardiologist regularly.

Conclusion

SVT can significantly impact quality of life, but with proper diagnosis and treatment, it can be effectively managed. If you experience frequent episodes, consult a cardiologist to discuss the best treatment approach.

Source recommendations

1. American Heart Association Guidelines for 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://professional.heart.org/en/science-news/guideline-for-the-management-of-adult-patients-with-supraventricular-tachycardia/Commentary

2. European Society of Cardiology Guidelines for 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.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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