Last reviewed: November 2017
Last updated: November  2017

Summary

Definition

History and exam

Key diagnostic factors

  • atrioventricular re-entrant tachycardia (AVRT)

Other diagnostic factors

  • palpitations
  • dizziness
  • SOB
  • chest pain
  • atrial fibrillation
  • atrial flutter
  • congenital cardiac abnormalities
  • sudden cardiac death (SCD)
  • syncope and presyncope
  • tachycardia in pregnancy

Risk factors

  • Ebstein anomaly
  • hypertrophic cardiomyopathy
  • mitral valve prolapse
  • atrial septal defect
  • ventricular septal defect
  • transposition of great vessels
  • coarctation of aorta
  • dextrocardia
  • coronary sinus diverticula
  • right and left atrial aneurysms
  • cardiac rhabdomyomas
  • Marfan syndrome
  • Friedreich ataxia
  • family history

Diagnostic investigations

Investigations to consider

  • echo
  • treadmill exercise test
  • pharmacologic testing with procainamide or ajmaline
  • electrophysiology study
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Associate Director

Cardiac Electrophysiology Fellowship Program

Assistant Professor of Medicine

Perelman School of Medicine

University of Pennsylvania

Philadelphia

PA

Disclosures

DF declares that he has no competing interests.

Dr David Frankel would like to gratefully acknowledge Dr Mithilesh K. Das and Dr Douglas P. Zipes, the previous contributors to this monograph. MKD and DPZ declare that they have no competing interests.

Peer reviewers VIEW ALL

Associate Professor of Medicine

Director of Electrophysiology

Johns Hopkins University School of Medicine

Baltimore

MD

Disclosures

JEM declares that he has no competing interests.

Director

Electrophysiology Laboratory

The St. Luke's-Roosevelt Hospital Center

New York

NY

Disclosures

SM declares that he has no competing interests.

Cardiology Specialist Registrar

The James Cook University Hospital

Middlesbrough

UK

Disclosures

AT declares that he has no competing interests.

Associate Professor

Department of Medicine

Division of Cardiology

University of Florida College of Medicine

Jacksonville

FL

Disclosures

SH declares that he has no competing interests.

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