Supraventricular tachycardia. Mechanisms and therapy
Manolis, A.S.; Estes, N.A.
Archives of Internal Medicine 147(10): 1706-1716
1987
ISSN/ISBN: 0003-9926 PMID: 3310939 Document Number: 287790
The insights into the mechanisms of supraventricular tachycardia provided by the techniques of intracardiac recording and programmed cardiac stimulation have had a major impact on our therapeutic approach to this common problem. These techniques have led to a more systematic analysis and precise interpretation of the standard surface electrocardiogram. An accurate diagnosis of the mechanism of supraventricular tachycardia can be made in the majority of patients using the electrocardiogram aided by special leads (eg, Lewis leads) and bedside maneuvers. Identification of the likely electrophysiologic mechanism allows for a more rational and effective approach to both acute and chronic therapy.