Regular narrow-complex tachycardia from reentry in AV node (AVNRT, common) or accessory pathway (AVRT).
Management
- • Vagal manoeuvres (Valsalva, modified REVERT)
- • Adenosine 6 mg IV rapid push, then 12 mg, then 18 mg
- • β-blocker/verapamil if adenosine ineffective
- • Unstable: sync cardioversion 50-100 J
- • Definitive: catheter ablation
Related in WardRound
Educational — verify locally.
