Pintu Kumar Resident, Department of Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, Delhi, India
Aishwarya Walia Resident, Department of Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, Delhi, India
Arun Kaushik Consultant, Department of Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, Delhi, India
Kishalay Datta HOD, Department of Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, Delhi, India
Address for correspondence: Aishwarya Walia, Resident, Department of Emergency Medicine, Max Super Speciality Hospital, Shalimar Bagh 110088, Delhi, India E-mail: aishwarya.walia26@gmail.com
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Kumar P, Walia A, Kaushik A, et al. Management of unstable paroxysmal supraventricular tachycardia in a rigid patient. Ind J Emerg Med. 2024;10(3):137-41.
Timeline
Received : February 29, 2024
Accepted : August 05, 2024
Published : September 10, 2024
Abstract
The most common presentation of cardiac patients in the emergency room is myocardial infarction, followed by arrhythmia. The most common in arrhythmia is atrioventricular arrhythmia, AVNRT (atrioventricular nodal reentrant tachycardia) being the most common. The treatment for undifferentiated narrow complex QRS, (not for all narrow complex tacchycardia) based on the current ACLS guidelines is vagal maneuvers and adenosine. In an unstable narrow complex, synchronized cardioversion is the preferred method for treatment. In this case report, we discuss a patient who, along with his attendants, refused for shock therapy for unstable supraventricular tachycardia, its management and further course.
References
1. Heart Rhythm Disorders | UpBeat.org - powered by the Heart Rhythm Society, 2023.
2. R. A. Colucci, M. J. Silver, and J. Shubrook, “Common types of supraventricular tachycardia: diagnosis and management,” American Family Physician, vol. 82, no. 8, pp. 942–952, 2010.
3. M. E. Josephson and J. A. Kastor, “Supraventricular tachycardia: mechanisms and management,” Annals of Internal Medicine, vol. 87, no. 3, pp. 346–358, 1977.
4. D. G. Katritsis and A. J. Camm, “Classification and differential diagnosis of atrioventricular nodal re-entrant tachycardia,” EP Europace, vol. 8, no. 1, pp. 29–36, 2006.
5. F. Ahmad, M. Abu Sneineh, R. S. Patel et al., “In the line of treatment: a systematic review of paroxysmal supraventricular tachycardia,” Cureus, vol. 13, no. 6, article e15502, 2021.
6. H. Dogan, D. N. Ozucelik, K. Aciksari et al., “To decide medical therapy according to ECG criteria in patients with supraventricular tachycardia in emergency department: adenosine or diltiazem,” International Journal of Clinical and Experimental Medicine, vol. 8, no. 6, pp. 9692–9699, 2015.
7. R. W. Neumar, C. W. Otto, M. S. Link et al., “Part 8: adult advanced cardiovascular life Support,” Circulation, vol. 122, 18_suppl_3, pp. S729–S767, 2010.
8. S. H. Lim, V. Anantharaman, and W. S. Teo, “Slow-infusion of calcium channel blockers in the emergency management of supraventricular tachycardia,” Resuscitation, vol. 52, no. 2, pp. 167–174, 2002.
9. A. Goyal, J. C. Sciammarella, L. Chhabra, and M. Singhal, “Synchronized Electrical Cardioversion,” in StatPearls, StatPearls Publishing, Treasure Island (FL), 2023.
10. J. J. Goy and M. Fromer, “Antiarrhythmic treatment of atrioventricular tachycardias,” Journal of Cardiovascular Pharmacology, vol. 17, Supplement 1, p. S41, 1991.
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Author Contributions
All authors contributed significantly to the work and approve its publication.
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Conflicts of Interest
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Kumar P, Walia A, Kaushik A, et al. Management of unstable paroxysmal supraventricular tachycardia in a rigid patient. Ind J Emerg Med. 2024;10(3):137-41.
This license enables reusers to distribute, remix, adapt,
and build upon the material in any medium or format for noncommercial purposes
only, and only so long as attribution is given to the creator.
This license enables reusers to distribute, remix, adapt,
and build upon the material in any medium or format for noncommercial purposes
only, and only so long as attribution is given to the creator.