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Blomström-Lundqvist ET AL., MANAGEMENT OF PATIENTS WITH Supraventricular Arrhythmias
J Am Coll Cardiol 2003;42:1493–531

ACC/AHA/ESC Guidelines for the Management of Patients
With Supraventricular Arrhythmias

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)


Committee Members
Carina Blomström-Lundqvist, MD, PHD, FACC, FESC, Co-chair; Melvin M. Scheinman, MD, FACC, Co-chair;
Etienne M. Aliot, MD, FACC, FESC; Joseph S. Alpert, MD, FACC, FAHA, FESC; Hugh Calkins, MD, FACC, FAHA; A. John Camm, MD, FACC, FAHA, FESC; W. Barton Campbell, MD, FACC, FAHA; David E. Haines, MD, FACC; Karl H. Kuck, MD, FACC, FESC; Bruce B. Lerman, MD, FACC; D. Douglas Miller, MD, CM, FACC; Charlie Willard Shaeffer, Jr, MD, FACC;
William G. Stevenson, MD, FACC; Gordon F. Tomaselli, MD, FACC, FAHA

Task Force Members
Elliott M. Antman, MD, FACC, FAHA, Chair; Sidney C. Smith, Jr, MD, FACC, FAHA, FESC, Vice-Chair; Joseph S. Alpert, MD, FACC, FAHA, FESC; David P. Faxon, MD, FACC, FAHA; Valentin Fuster, MD, PhD, FACC, FAHA, FESC; Raymond J. Gibbons, MD, FACC, FAHA†‡; Gabriel Gregoratos, MD, FACC, FAHA; Loren F. Hiratzka, MD, FACC, FAHA; Sharon Ann Hunt, MD, FACC, FAHA; Alice K. Jacobs, MD, FACC, FAHA; Richard O. Russell, Jr, MD, FACC, FAHA†


Preamble

I. Introduction

  1. Organization of Committee and Evidence Review
  2. Contents of these Guidelines—Scope

II. Public Health Considerations and Epidemiology

III. General Mechanisms of Supraventricular Arrhythmia

  1. Specialized Atrial Tissue
  2. General Mechanisms

IV. Clinical Presentation, General Evaluation, and Management of Patients With Supraventricular Arrhythmia

  1. General Evaluation of Patients Without Documented Arrhythmia
    1. Clinical History and Physical Examination
    2. Diagnostic Investigations
    3. Management
  2. General Evaluation of Patients with Documented Arrhythmia
    1. Diagnostic Evaluation
    2. Management

V. Specific Arrhythmias

  1. Sinus Tachyarrhythmias
    1. Physiological Sinus Tachycardia
    2. Inappropriate Sinus Tachycardia
    3. Postural Orthostatic Tachycardia Syndrome
    4. Sinus Node Re-Entry Tachycardia

  2. Atrioventricular Nodal Reciprocating Tachycardia
    1. Definitions and Clinical Features
    2. Acute Treatment
    3. Long-Term Pharmacologic Therapy
    4. Catheter Ablation

  3. Focal and Nonparoxysmal Junctional Tachycardia
    1. Focal Junctional Tachycardia
    2. Nonparoxysmal Junctional Tachycardia

  4. Atrioventricular Reciprocating Tachycardia (Extra Nodal Accessory Pathways)
    1. Sudden Death in WPW Syndrome and Risk Stratification
    2. Acute Treatment
    3. Long-Term Pharmacologic Therapy
    4. Catheter Ablation
    5. Management of Patients With Asymptomatic Accessory Pathways
    6. Summary of Management

  5. Focal Atrial Tachycardias
    1. Definition and Clinical Presentation
    2. Diagnosis
    3. Site of Origin and Mechanisms
    4. Treatment
    5. Multifocal Atrial Tachycardia
  6. Macro–Re-entrant Atrial Tachycardia
    1. Isthmus-Dependent Atrial Flutter
    2. Non–Cavotricuspid Isthmus–Dependent Atrial Flutter

VI. Special Circumstances

  1. Pregnancy
    1. Acute Conversion of Atrioventricular Node-Dependent Tachycardias
    2. Prophylactic Antiarrhythmic Drug Therapy
  2. Supraventricular Tachycardias in Adult Patients With Congenital Heart Disease
    1. Introduction
    2. Specific Disorders
  3. Drug-Drug and Drug-Metabolic Interactions
  4. Quality-of-Life and Cost Considerations

References
Figures and Tables

This document was approved by the American College of Cardiology Foundation Board of Trustees in August 2003, by the American Heart Association Science Advisory and Coordinating Committee in July 2003, and by the European Society of Cardiology Committee for Practice Guidelines in July 2003. When citing this document, the American College of Cardiology Foundation, the American Heart Association, and the European Society of Cardiology request that the following citation format be used: Blomström-Lundqvist C, Scheinman MM, Aliot EM, Alpert JS, Calkins H, Camm AJ, Campbell WB, Haines DE, Kuck KH, Lerman BB, Miller DD, Shaeffer CW, Stevenson WG, Tomaselli GF. 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.). J Am Coll Cardiol 2003;42:1493–531.

This document is available on the World Wide Web sites of the American College of Cardiology (www.acc.org), the American Heart Association (www.americanheart.org), and the European Society of Cardiology (www.escardio.org), as well as published in the October 15, 2003, issue of the Journal of the American College of Cardiology, the October 14, 2003, issue of Circulation, and the 24/20 October 15, 2003, issue of the European Heart Journal. Single and bulk reprints of both the full-text guidelines and the executive summary are available from Elsevier Publishers by calling &#1;44.207.424.4200 or &#1;44.207.424.4389, faxing &#1;44.207.424.4433, or writing to Elsevier Publishers Ltd, European Heart Journal, ESC Guidelines—Reprints, 32 Jamestown Road, London, NW1 7BY, UK; or E-mail gr.davies@elsevier.com. Single copies of executive summary and the full-text guidelines are also available by calling 800-253-4636 or writing the American College of Cardiology Foundation, Resource Center, at 9111 Old Georgetown Road, Bethesda, MD 20814-1699. To purchase bulk reprints (specify version and reprint number— executive summary 71-0261 and full-text guideline 71-0262): up to 999 copies, call 800-611-6083 (U.S. only) or fax 413-665-2671; 1000 or more copies, call 214-706-1789, fax 214-691-6342; or E-mail pubauth@heart.org. © 2003 by the American College of Cardiology Foundation, the American Heart Association, Inc., and the European Society of Cardiology doi:10.1016/S0735-1097(03)01141-0

 

Copyright © 2004 by the American College of Cardiology Foundation and the American Heart Association, Inc.

 

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