SHORT REPORT Paroxysmal supraventricular tachycardia: improving diagnosis and management within the accident and emergency department
نویسندگان
چکیده
Accident and emergency (A&E) senior house offices (SHOs) have difficulties in interpreting the electrocardiogram (ECG) in narrow complex tachycardia. Correct ECG interpretation is fundamental to patient management in paroxysmal supraventricular tachycardia. This study aimed to assess the ability of A&E SHOs to interpret the ECG in this setting. Correct diagnosis in 63% of cases improved to 86% with the introduction of a standard protocol sheet. Ensuring that SHOs follow agreed guidelines in rhythm recognition and management of PSVT improves patient care.
منابع مشابه
Paroxysmal supraventricular tachycardia: improving diagnosis and management within the accident and emergency department.
Accident and emergency (A&E) senior house offices (SHOs) have difficulties in interpreting the electrocardiogram (ECG) in narrow complex tachycardia. Correct ECG interpretation is fundamental to patient management in paroxysmal supraventricular tachycardia. This study aimed to assess the ability of A&E SHOs to interpret the ECG in this setting. Correct diagnosis in 63% of cases improved to 86% ...
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Tachycardia is common in the pediatric age group. The most commonly seen arrhythmias in children are sinus tachycardia. However, supraventricular tachycardia is the most common tachyarrhythmia that necessitates treatment. Ventricular tachycardia is rare in healthy children but may be associated with sudden cardiac death. The important risk factors that predispose children for arrhythmias inclu...
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BACKGROUND AND PURPOSE It is unknown whether supraventricular arrhythmias other than atrial fibrillation or flutter are associated with stroke. METHODS To examine the association between paroxysmal supraventricular tachycardia (PSVT) and stroke, we performed a retrospective cohort study using administrative claims data from all emergency department encounters and hospitalizations at Californi...
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Circulation. 2016;134:1054–1056. DOI: 10.1161/CIRCULATIONAHA.116.024043 ECG ChallEnGE A 21-year-old woman without prior cardiac history presented to the emergency department with palpitations. On telemetry she was noted to have a paroxysmal supraventricular tachycardia with no discernible P waves. She was given 6 mg of intravenous adenosine with prompt conversion to normal sinus rhythm. Thirty ...
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BACKGROUND The human dive reflex (HDR), a physiological phenomenon similar to the bradycardia reflex used by marine mammals during prolonged submersion, can be employed in managing paroxysmal supraventricular tachycardia (PSVT). This review aims to identify a standardised HDR technique for haemodynamically stable PSVT, to determine the effectiveness of the HDR and to define its usefulness in th...
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