Protocolo diagnóstico de las taquiarritmias supraventriculares

  1. Rubio Campal, J.M. 1
  2. Sánchez Borque, P. 1
  3. Bravo Calero, L. 1
  4. Miracle Blanco, A. 1
  5. Porta Sánchez, A. 2
  6. Cabrera Rodríguez, J.A. 2
  1. 1 Servicio de Cardiología, Hospital Universitario Fundación Jiménez Díaz. Universidad Autónoma de Madrid, Madrid, España
  2. 2 Servicio de Cardiología, Hospital Universitario Quirónsalud Madrid. Universidad Europea de Madrid. Pozuelo de Alarcón, Madrid, España
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Any de publicació: 2021

Títol de l'exemplar: Enfermedades cardiovasculares (XI)

Sèrie: 13

Número: 45

Pàgines: 2645-2648

Tipus: Article

DOI: 10.1016/J.MED.2021.11.005 DIALNET GOOGLE SCHOLAR

Altres publicacions en: Medicine: Programa de Formación Médica Continuada Acreditado

Resum

Supraventricular tachycardias encompass tachycardias that originate in structures located above the bundle of His bifurcation. In general, supraventricular tachycardias can be atrial, of the AV node, or mediated by an accessory pathway. Most of them are due to reentry mechanisms, from focal to local to macro atrial reentries. For their proper diagnosis, first, a good graphical recording using a 12-lead ECG is fundamental, although sometimes a rhythm strip or a Holter can lead to a correct diagnosis. Second, once the recording has been obtained, it should be analyzed following a series of steps that includes verifying what it is like and the rate of the atrial activity as well as the relationship between the atria and the ventricles (P/QRS). An adenosine infusion or vagal maneuvers can help establish the final diagnosis.

Referències bibliogràfiques

  • Almendral, J., Castellanos, E., Ortiz, M. Taquicardias paroxísticas supraventriculares y síndromes de preexcitacion Rev Esp Cardiol., 65 (5) (2012), pp. 456-469
  • Brugada J, Katritsis DG, Arbelo E, Arribas F, Bax JJ, Blomström Lundqvist C. 2019 ESC Guidelines for the management of patients with supraventricular tachycardia.
  • Farré, J., Wellens, H.J., Rubio, J.M., Benezet, J. Supra ventricular tachycardia A.J. Camm, T.F. Lüscher, P.W. Serruys (Eds.), The ESC Textbook of Cardiovas-cular Medicine, Oxford University Press, Oxford (2009), pp. 1013-1088
  • Page, R.L., Joglar, J.A., Caldwell, M.A., Calkins, H., Conti, J.B., Deal, B.J. ACC/AHA/HRS Guideline for the management of adult patients with supraventricular tachycardia a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society J Am Coll Cardiology., 67 (2015), pp. e27-11
Fuente de los datos: Dialnet