Treatment of Orthodromic Atrioventricular Reentrant Tachycardia in the Haemodynamically Stable Patient
Orthodromic atrioventricular re-entrant tachycardia (orthodromic AVRT) presenting in a haemodynamically stable patient calls for a structured, stepwise approach. Haemodynamic stability allows time for non-invasive interventions before escalation.
Clinical Scenario
Haemodynamically stable patient with confirmed orthodromic atrioventricular re-entrant tachycardia. Circulatory compensation is maintained, permitting a measured, evidence-based sequence of interventions.
Initial Approach
First-line management involves a specific vagal manoeuvre technique applied under defined conditions. The precise patient positioning and the evidence-based sequence of steps — including what to do if initial attempts are unsuccessful — are detailed in the full protocol.
The complete algorithm, technique specifications, and subsequent options are available in the structured protocol below.
References
- Vagal manoeuvres, preferably in the supine position with leg elevation, are recommended.
DOI: 10.1093/eurheartj/ehz467
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