Paroxysmal supraventricular tachycardia

Medium urgency
-Moderately severe

It is a sudden and intermittent (comes and goes) accelerated heart rhythm (> 100 beats/min) that originates in the atria of the heart.

It is favored by intoxicants such as tobacco, alcohol, caffeine and other drugs or pharmaceuticals, as well as some diseases.

The person, in an abrupt not maintained way, notices palpitations, anxiety and sometimes chest pain and dizziness.

The diagnosis is made through the medical history and confirmed with an electrocardiogram that records the arrhythmia (a device records the heart rhythm for 24 hours).

In a controlled manner, it can be reversed by massaging the carotid arteries in the neck or by exerting force with the abdomen to simulate a strong cough or straining to defecate. In certain cases, medication or a low-energy electric shock may be necessary to reverse the arrhythmia. In the long term, surgical options (myocardial ablation) may be considered.

Bibliographic references
  1. Leonard I Ganz. Clinical manifestations, diagnosis, and evaluation of narrow QRS complex tachycardias. UpToDate. Sep 28, 2016.
  2. Katritsis DG, Josephson ME. Differential diagnosis of regular, narrow-QRS tachycardias. Heart Rhythm 2015; 12:1667.
  3. Ferguson JD, DiMarco JP. Contemporary management of paroxysmal supraventricular tachycardia. Circulation 2003; 107:1096.
  4. Michaud GF, Stevenson WG. Taquiarritmias supraventriculares. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición: 1483-1484.
  5. Bradley P Knight. Atrioventricular nodal reentrant tachycardia. UpToDate. Jan 13, 2016.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Palpitations


    Low blood pressure


    Short of breath


    Chest pain


    Dizziness

Pre-hospital care recommendations

Call medical assistance for instructions.
Gently massage the carotid sinus with the person lying down.