Supraventricular tachycardia AHA recommendations for Management of IST

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2015 ACC/AHA Guideline Recommendations

Acute Treatment of SVT of Unknown Mechanism
Ongoing Management of SVT of Unknown Mechanism
Ongoing Management of IST
Acute Treatment of Suspected Focal Atrial Tachycardia
Acute Treatment of Multifocal Atria Tachycardia
Ongoing Management of Multifocal Atrial Tachycardia
Acute Treatment of AVNRT
Ongoing Management of AVNRT
Acute Treatment of Orthodromic AVRT
Ongoing Management of Orthodromic AVRT
Asymptomatic Patients With Pre-Excitation
Management of Symptomatic Patients With Manifest Accessory Pathways
Acute Treatment of Atrial Flutter
Ongoing Management of Atrial Flutter
Acute Treatment of Junctional Tachycardia
Ongoing Management of Junctional Tachycardia
Acute Treatment of SVT in ACHD Patients
Ongoing Management of SVT in ACHD Patients
Acute Treatment of SVT in Pregnant Patients
Acute Treatment and Ongoing Management of SVT in Older Population

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]

Overview

Evaluation for and treatment of reversible causes are recommended in patients with suspected IST. Ivabradine is reasonable for ongoing management in patients with symptomatic IST.[1]

Management of IST(Inappropriate sinus tachycardia)

2015 AHA recommendations for management of IST are described below:[1]

Acute treatment of IST (Inappropriate sinus tachycardia)

There are no specific recommendations for acute treatment of IST.

Treatment of ongoing IST

Class I
"1.Evaluation for and treatment of reversible causes are recommended in patients with suspected IST "(Level of Evidence: C-LD) "
Class IIa
"1.Ivabradine is reasonable for ongoing management in patients with symptomatic IST "(Level of Evidence: B-R) "
Class IIb
"1.Beta blockers may be considered for ongoing management in patients with symptomatic IST "(Level of Evidence:C-LD) "
"2.The combination of beta blockers and ivabradine may be considered for ongoing management in patients with IST ( "(Level of Evidence: C-LD) "

References

  1. 1.0 1.1 Page RL, Joglar JA, Caldwell MA, Calkins H, Conti JB, Deal BJ; et al. (2016). "2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society". J Am Coll Cardiol. 67 (13): e27–e115. doi:10.1016/j.jacc.2015.08.856. PMID 26409259.