Paroxysmal supraventricular tachycardia classification: Difference between revisions

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==Overview==
==Overview==
There is no established system for the classification of [disease name].
[[PSVT]] may be [[Classification|classified]] into several sub types based on underlying mechanism of [[tachycardia]] and ECG findings. Based on the  on the [[Causes|underlying mechanism]] of [[tachycardia]] PSVT can be divided into [[AVNRT|AV nodal reentry (AVNRT]]) [[AV reentry tachycardia|AV reentry]] ([[AVRT]]), [[atrial tachycardia]], [[SANRT|sinoatrial nodal reentrant tachycardia (SANRT)]], intra atrial reentrant tachycardia (IART), [[junctional ectopic tachycardia]] and [[Junctional tachycardia|nonparoxysmal junctional tachycardia]]. [[The electrocardiogram|ECG findings]] include 2 subtypes: Short [[RP interval]] [[tachycardia]] and long [[RP interva]]<nowiki/>l [[tachycardia]].
 
OR
 
[Disease name] may be classified according to [classification method] into [number] subtypes/groups: [group1], [group2], [group3], and [group4].
 
OR
 
[Disease name] may be classified into [large number > 6] subtypes based on [classification method 1], [classification method 2], and [classification method 3].
[Disease name] may be classified into several subtypes based on [classification method 1], [classification method 2], and [classification method 3].
 
OR
 
Based on the duration of symptoms, [disease name] may be classified as either acute or chronic.
 
OR
 
If the staging system involves specific and characteristic findings and features:
According to the [staging system + reference], there are [number] stages of [malignancy name] based on the [finding1], [finding2], and [finding3]. Each stage is assigned a [letter/number1] and a [letter/number2] that designate the [feature1] and [feature2].
 
OR
 
The staging of [malignancy name] is based on the [staging system].
 
OR
 
There is no established system for the staging of [malignancy name].


==Classification==
==Classification==


=== PSVT may be classified based on the underlying mechanism of tachycardia into <ref>Fox, D. J., Tischenko, A., Krahn, A. D., Skanes, A. C., Gula, L. J., Yee, R. K., & Klein, G. J. (2008). Supraventricular Tachycardia: Diagnosis and Management. Mayo Clinic Proceedings, 83(12), 1400–1411</ref>: ===
*[[PSVT]] can be [[Classification|classified]] based on the [[Pathogenesis|underling mechanism]] and [[The electrocardiogram|ECG]] findings.
 
* AV nodal reentry (AVNRT)
* AV reentry (AVRT)
* Atrial tachycardia
* Sinoatrial nodal reentrant tachycardia (SANRT)
* Intra atrial reentrant tachycardia (IART)
* Junctional ectopic tachycardia and nonparoxysmal junctional tachycardia (nonreentrent tachycardia, rare in adults, however represent a common cause of PSVT in children )
 
=== PSVT may be classified based on the ECG appearance into: ===
 
==== Short RP tachycardia (P wave is close after QRS complex) <ref>Friedewald V.E. (2016) Supraventricular Tachycardia: (SVT/Paroxysmal Supraventicular Tachycardia/PSVT). In: Clinical Guide to Cardiovascular Disease. Springer, London</ref>:  ====
 
* AVNRT
* AVRT
* Atrial tachycardia with first-degree AV block


==== Prolonged RP tachycardia (Interval wave before the QRS complex): ====
* PSVT may be classified based on the [[Causes|underlying mechanism]] of [[tachycardia]] into <ref>Fox, D. J., Tischenko, A., Krahn, A. D., Skanes, A. C., Gula, L. J., Yee, R. K., & Klein, G. J. (2008). Supraventricular Tachycardia: Diagnosis and Management. Mayo Clinic Proceedings, 83(12), 1400–1411</ref><ref name=":0">Ferguson JD, DiMarco JP. Contemporary management of paroxysmal supraventricular tachycardia. ''Circulation''. 2003;107(8):1096-1099. doi:10.1161/01.cir.0000059743.36226.e8</ref><ref name=":2">Hafeez Y, Armstrong TJ. Atrioventricular Nodal Reentry Tachycardia (AVNRT) [Updated 2020 May 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: <nowiki>https://www.ncbi.nlm.nih.gov/books/NBK499936/</nowiki></ref><ref name=":3">Lim W.Y., Baca M. (2020) Accessory Pathways and Atrioventricular Re-entrant Tachycardia (AVRT). In: Sohaib A. (eds) Decoding Cardiac Electrophysiology. Springer, Cham</ref><ref>Mahtani, A. U., & Nair, D. G. (2019). ''Supraventricular Tachycardia. Medical Clinics of North America, 103(5), 863–879.'' doi:10.1016/j.mcna.2019.05.007</ref><ref>Hafeez Y, Grossman SA. Sinoatrial Nodal Reentrant Tachycardia (SANRT). In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2019.</ref><ref name=":1">{{Cite web|url=https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000000310|title=2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref>
***[[AVNRT|AV nodal reentry (AVNRT]])
***[[AV reentry tachycardia|AV reentry]] ([[AVRT]])
***[[Atrial tachycardia]]
***[[SANRT|Sinoatrial nodal reentrant tachycardia (SANRT)]]
*** Intra atrial reentrant tachycardia (IART)
***[[Junctional ectopic tachycardia]] and [[Junctional tachycardia|nonparoxysmal junctional tachycardia]] (nonreentrent tachycardia, rare in adults, however represent a common cause of PSVT in children )


* Atypical AVNRT (fast-slow)
* PSVT may be [[Classification|classified]] based on the [[ECG]] appearance into <ref name=":0" />:
* Atrial tachycardia
** Short RP interval [[tachycardia]] <ref name=":2" /><ref name=":3" /><ref>Friedewald V.E. (2016) Supraventricular Tachycardia: (SVT/Paroxysmal Supraventicular Tachycardia/PSVT). In: Clinical Guide to Cardiovascular Disease. Springer, London</ref>:
* Sinoatrial nodal reentrant tachycardia (SANRT)
***[[AVNRT]]
* Permanent junctional tachycardia (PJRT)
***[[AVRT]]
***[[Atrial tachycardia]] with [[first-degree AV block]]
** Prolonged RP interval tachycardia <ref name=":1" /><ref>Blomström-Lundqvist C, Scheinman MM, Aliot EM, et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias--executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias). ''Circulation''. 2003;108(15):1871-1909. doi:10.1161/01.CIR.0000091380.04100.84</ref><ref>Ban J. E. (2017). Neonatal arrhythmias: diagnosis, treatment, and clinical outcome. ''Korean journal of pediatrics'', ''60''(11), 344–352. <nowiki>https://doi.org/10.3345/kjp.2017.60.11.344</nowiki></ref>:
***[[Atypical AVNRT]] (fast-slow)
***[[Atrial tachycardia]]
***[[SANRT|Sinoatrial nodal reentrant tachycardia (SANRT)]]
*** Permanent junctional reciprocal tachycardia (PJRT)


==References==
==References==

Latest revision as of 22:58, 16 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Noha Elzeiny, M.B.B.Ch, M.Sc.[2]

Overview

PSVT may be classified into several sub types based on underlying mechanism of tachycardia and ECG findings. Based on the on the underlying mechanism of tachycardia PSVT can be divided into AV nodal reentry (AVNRT) AV reentry (AVRT), atrial tachycardia, sinoatrial nodal reentrant tachycardia (SANRT), intra atrial reentrant tachycardia (IART), junctional ectopic tachycardia and nonparoxysmal junctional tachycardia. ECG findings include 2 subtypes: Short RP interval tachycardia and long RP interval tachycardia.

Classification

References

  1. ↑ Fox, D. J., Tischenko, A., Krahn, A. D., Skanes, A. C., Gula, L. J., Yee, R. K., & Klein, G. J. (2008). Supraventricular Tachycardia: Diagnosis and Management. Mayo Clinic Proceedings, 83(12), 1400–1411
  2. ↑ 2.0 2.1 Ferguson JD, DiMarco JP. Contemporary management of paroxysmal supraventricular tachycardia. Circulation. 2003;107(8):1096-1099. doi:10.1161/01.cir.0000059743.36226.e8
  3. ↑ 3.0 3.1 Hafeez Y, Armstrong TJ. Atrioventricular Nodal Reentry Tachycardia (AVNRT) [Updated 2020 May 23]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK499936/
  4. ↑ 4.0 4.1 Lim W.Y., Baca M. (2020) Accessory Pathways and Atrioventricular Re-entrant Tachycardia (AVRT). In: Sohaib A. (eds) Decoding Cardiac Electrophysiology. Springer, Cham
  5. ↑ Mahtani, A. U., & Nair, D. G. (2019). Supraventricular Tachycardia. Medical Clinics of North America, 103(5), 863–879. doi:10.1016/j.mcna.2019.05.007
  6. ↑ Hafeez Y, Grossman SA. Sinoatrial Nodal Reentrant Tachycardia (SANRT). In: StatPearls. StatPearls Publishing, Treasure Island (FL); 2019.
  7. ↑ 7.0 7.1 "2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary".
  8. ↑ Friedewald V.E. (2016) Supraventricular Tachycardia: (SVT/Paroxysmal Supraventicular Tachycardia/PSVT). In: Clinical Guide to Cardiovascular Disease. Springer, London
  9. ↑ Blomström-Lundqvist C, Scheinman MM, Aliot EM, et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias--executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for the Management of Patients With Supraventricular Arrhythmias). Circulation. 2003;108(15):1871-1909. doi:10.1161/01.CIR.0000091380.04100.84
  10. ↑ Ban J. E. (2017). Neonatal arrhythmias: diagnosis, treatment, and clinical outcome. Korean journal of pediatrics, 60(11), 344–352. https://doi.org/10.3345/kjp.2017.60.11.344


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