Supraventricular tachycardia
Tachycardia supraventricularis · Supraventrikulární tachykardie
What it is
A short circuit near the AV node fires the heart at 150–250 bpm.
Symptoms & signs
- Sudden racing regular heartbeat
- starts and stops abruptly
- chest flutter
- light-headedness
🚩 Get help if…
- call 112 / 911 now Racing heart with chest pain, fainting or severe breathlessness
- see a doctor soon Racing heart lasting over 15 minutes despite breath-holding or straining
- see a doctor soon Attacks becoming more frequent or longer
Where it strikes
Medical treatment
- Vagal manoeuvres (modified Valsalva)
- IV adenosine
- beta blockers
- catheter ablation is curative
Natural & lifestyle
- Reduce caffeine and stimulants
- treat thyroid
- hydration
- sleep
Emerging & experimental
- Pulsed-field ablation
- wearable ECG-guided care
Alternative, off-label & anecdotal
Approaches used outside the guidelines, with what their supporters report and what testing has found so far.
- Modified Valsalva (strain, then lie down with legs raised) — the REVERT trial converted about four in ten attacks trials support
- Cold water on the face (diving reflex) — widely taught; works for some anecdotal / traditional
- Magnesium — small studies of fewer episodes early / small studies
ICD codes
- ICD-10 I47.1
- ICD-11 BC81.Z Supraventricular tachyarrhythmia, unspecified