Treatment of Orthodromic Atrioventricular Reentrant Tachycardia in the Haemodynamically Stable Patient

Clinical Scenario

This protocol addresses haemodynamically stable patients presenting with orthodromic atrioventricular re-entrant tachycardia (AVRT) — a specific subtype of supraventricular tachycardia requiring a defined management approach based on the patient's clinical stability.

Patient Situation

The patient is haemodynamically stable, which shapes the sequencing of interventions. The tachycardia is orthodromic in character. This combination defines the clinical context to which this structured protocol applies.

Treatment Approach — Partial Overview

The regimen for this scenario involves electrical cardioversion as a key intervention. The complete protocol — including the precise indication, sequencing, and all relevant parameters — is available in the full guideline.

Full algorithm and step-by-step guidance available via the link below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1093/eurheartj/ehz467

In orthodromic AVRT, adenosine (6-18 mg i.v. bolus) is recommended if vagal manoeuvres fail and the tachycardia is orthodromic.
Synchronized DC cardioversion is recommended when drug therapy fails to convert or control the tachycardia.

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