Show Summary Details
Page of

Palpitations 

Palpitations
Chapter:
Palpitations
Author(s):

Colin Turner

DOI:
10.1093/med/9780190865412.003.0042
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 16 June 2019

This case deals with the recognition and management of atrioventricular nodal re-entrant tachycardia (AVNRT), the most common narrow-complex tachyarrhythmia. The differential diagnosis of narrow-complex tachycardia is considered, with suggestions to aid in electrocardiographic and clinical distinction of various arrhythmias. Nonpharmacologic management strategies are outlined, including an emphasis on the Valsalva maneuver with postural modification, as recently examined in the REVERT trial. Finally, pharmacologic management is discussed, including the use of adenosine. Key management points include recognition of the differential diagnosis for regular, narrow-complex tachycardia, attempting nonpharmacologic maneuvers to terminate AVNRT, and, if necessary, administering adenosine as the first-line pharmacologic step.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.