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Supraventricular

Tachycardia
Thifla Farhani
dr. M. Ridwan, Mapp.,Sc. Sp.JP. FIHA

BAGIAN/ SMF KARDIOLOGI dan KEDOKTERAN VASKULAR


RSUD dr. ZAINOEL ABIDIN BANDA ACEH
2015

Introduction
SVT

is one form of
tachycardia (rate > 100
bpm) that arise above the
bifurcation of the His
bundle.
Generally
have
two
mechanism Reentry and
Automaticity
Delayed diagnosis and
therapy
can
improve
morbidity

Case Report

Anamnesis
A 62 years old women came to RSUZA
emergency
department
with
chief
complain chest palpitation since 3 hours
ago.
There was chest pain without migration
pain and headache beside her chief
complain.
There was history of hypertension since
10 years ago
There was no history of vomiting and
DM

Physical Exam
General Findings

Cardiac Findings

General contition : Not too bad

Consciousness : CM

BP : 140/90mmHg

HR : 160 beat/m, regular

RR : 22 time/m

T : 35,8 0C

I : ictus cordis isnt visible

P : ictus cordis palpable at 1cm lateral side from left anterior axila line
and at ICS V midclavicle line

P : cardiac upper border : in normal limit

cardiac right border : in normal limit


cardiac left border : 1cm lateral side
anterior axila line

from left

A : S1>S2, regular, there is no murmur.

Work Up
Electrocardiogr
aphy

Laboratory
exam

Diagnose
Supraventricular Tachycardia

Treatment
In Emergency unit

In hospital ward

ATP IV every 5 minute (6mg-12mg-12mg)

Inviclot 2x4000 IU in 3 days

Reevaluation

Replace IV ATP with IV digoxin 1 amp + 10cc Nacl slowly for 20


minute if no clinical changing

Reevaluation after 30 minute

Plavix 1x75mg
Aspilet 1x80mg
Actalipid 1x20mg

Lansoprazole 2x30mg

Betahistine 3x1 tab

Prognose

Quo ad Vitam
: Dubia ad bonam
Quo ad Functionam : Dubia ad malam
Quo ad Sanactionam : Dubia ad bonam

Discussion
Literary

Definition
SVT

is
one
form
of
tachycardia (rate > 100
bpm) that arise above the
bifurcation of the His bundle.
Caused by faulty of heart
conduction system.
SVT is a type of arrhythmia,
which means an abnormal
heartbeat.

Mechanism of SVT
AVNRT

AVRT

Atrial
Tachycardia

Clinical
Manisfestation

Palpitation
dizziness
dispnue
Syncope
Chest pain
tiredness
Diaphoresis
anorexia

Work Up
Electrocardiogr
aphy

echocardiograp
hy

Electrophysiolo
gy testing

Diagnose

Treatment
ABCs

for

cardiac

emergency
Supportif care for SVT such
as perform vagal maneuver
Farmacological
therapy
when SVT is not terminated
by vagal maneuver
Cateter
ablation
or
farmacological therapy for
long term therapy

SVT
Short Term
Management
Algoritma

SVT
Long Term
Managemen
t Algoritma

Prognose
Quo ad Vitam : Dubia ad bonam
Quo ad Functionam : Dubia ad
malam
Quo ad Sanactionam : Dubia ad
bonam

Thank You
Lets Discuss