title: Paroxysmal Supraventricular Tachycardia: Pathophysiology, Diagnosis, and Management.
abstract: Paroxysmal supraventricular tachycardia (PSVT) is a well-known and thoroughly studied clinical syndrome, characterized by regular tachycardia rhythm with sudden onset and abrupt termination. Most patients present with palpitations and dizziness, and their electrocardiogram demonstrates a narrow QRS complex and regular tachycardia with hidden or inverted P waves. PSVT is caused by re-entry due to the presence of inhomogeneous, accessory, or concealed conducting pathways. Hemodynamically stable patients are treated by vagal maneuvers, intravenous adenosine, diltiazem, or verapamil, hemodynamically unstable patients are treated by cardioversion. Patients with symptomatic and recurrent PSVT can be treated with long-term drug treatment or catheter ablation.
authors.affiliation: Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, 3500 Victoria Street, 336 VB, Pittsburgh, PA 15261, USA. Electronic address: ssa33@pitt.edu.
authors.forename: Salah S
authors.initials: SS
authors.lastname: Al-Zaiti
authors.affiliation: Department of Acute and Tertiary Care, School of Nursing, University of Pittsburgh, 3500 Victoria Street, 336 VB, Pittsburgh, PA 15261, USA.
authors.forename: Kathy S
authors.initials: KS
authors.lastname: Magdic
mesh_terms: D002317:Cardiovascular Agents / Q000627:therapeutic use; D019468:Disease Management; D004562:Electrocardiography; D006801:Humans; D013614:Tachycardia, Paroxysmal / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D013617:Tachycardia, Supraventricular / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy
chemical_list: D002317:Cardiovascular Agents
keywords: Accessory pathways; Paroxysmal supraventricular tachycardia; Supraventricular arrhythmia; Wolff-Parkinson-White syndrome