Last reviewed: June 2018
Last updated: June  2018

Summary

Definition

History and exam

Key diagnostic factors

  • atrioventricular re-entrant tachycardia (AVRT)

Other diagnostic factors

  • palpitations
  • dizziness
  • shortness of breath
  • chest pain
  • atrial fibrillation
  • atrial flutter
  • congenital cardiac abnormalities
  • sudden cardiac death
  • 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
  • electrophysiology study
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Professor of Medicine

Director of Electrophysiology

Johns Hopkins University School of Medicine

Baltimore

MD

Disclosures

HC declares that he is a consultant for Medtronic and Biosense Webster; receives research support from Boston Scientific; is a contributor to Up to Date on atrial fibrillation, arrhythmogenic right ventricular dysplasia, and sarcoidosis; has reviewed and testified in medical malpractice cases; and has authored a chapter in the European Society of Cardiology textbook on Wolff-Parkinson-White syndrome.

Professor Hugh Calkins would like to gratefully acknowledge Dr David Frankel, Dr Mithilesh K. Das, and Dr Douglas P. Zipes, previous contributors to this topic. DF, 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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