What is the best treatment for suraventricular tachycardia?

Question

wrong spelling... supraventriclar tachycardia

Answer 1

Since supraventriular tachycardia is usually a rate over 150, they administer an IV beta blocker and tell you to stop drinking, no caffiene, no chocolate. They start you on a oral beta blocker such as bisoprolol, metoprolol or propranolol and and this will slow your heart rate down.
I had supraventricular tachycardia with a rate of 200 and had a big blast of Adenosine IV which stops your heart and makes it re start at a slower rate. They tried carotid massage, and vagal maneuvers to slow it down and it wouldnt go down, so it was the only choice I had. It also scares the holy hell out of you, so I decided I had enough of that and had a radiofrequency ablation in 2005.
PS: lidocaine is for ventricular arrythmia's not supraventricular arrythmia's.
I am a RN, but work in Oncology and only know this stuff because of my own heart problems.

Answer 2

One of the first things you can do if you are having the SVT (supraventricular heart rate) is to bear down or push like you are having a bowel movement this stimulates the Vagus Nerve possibly slowing the heart rate. Carotid massage is also stimulating the vagus nerve to slow the heart rate.

Then is actually depends on how the person who is having the SVT is handleing it to what you would do next.

If the do not have a blood pressure or are passed out then you cardiovert them. Shock the heart in a syncronize fasion.

If the person is ok and has a good blood pressure you can give a drug called Adenosine that if it is delivered correctly can slow and momentarily stop the heart rate to truly identify the rhythm. Sometimes this converts the heart back to the normal rate.

Answer 3

Try the vagal maneuver first which means "bearing down". You can do it by aggressively coughing, bearing down like you are having a bowel movement or baby. If that does not work paramedics or doctors depending on signs and symptoms can try Adenosine at 6mg rapid IV push and if no response, 12mg rapid, then another 12mg rapid. That is if it is cardiac related. If it is due to low fluid volume, ie: loss of blood they will give IV fluids and hang blood. If the SVT is accompanied by chest pain, shortness of breath, pulmonary edema (water on the lungs), or low blood pressure, or mental status change then they will try cardioversion to slow the heart rate down which means using electricity. So there are different ways for different reasons. Also Cardizem if it is A-fib RVR. Hope this helps.

Answer 4

You mean supraventricular tachycardia, If im not mistaken lidocaine.

Answer 5

carotid massage. if it doesn't work, anti-arrythmic drugs and cardioversion