Treatment of Idiopathic Outflow Tract (RVOT) Ventricular Tachycardia When Haemodynamically Tolerated

Clinical Scenario

This protocol addresses idiopathic outflow tract (RVOT) ventricular tachycardia presenting without haemodynamic instability — a setting where the patient is haemodynamically tolerated and an urgent pharmacological approach is indicated rather than immediate electrical intervention.

First-Line Approach

Management in this setting involves an intravenous agent from a specific drug class. The complete first-line regimen — including agent selection, clinical decision criteria, and the full treatment algorithm — is available in the structured protocol.

Treatment Goal

Termination of ventricular tachycardia with conversion to sinus rhythm.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1093/eurheartj/ehac262

In patients presenting with a haemodynamically tolerated idiopathic VT, treatment with intravenous beta-blocker (RVOT VT) or verapamil (fascicular VT) is recommended.

In case of a known idiopathic VT (Figure 4), treatment with beta-blockers (for RVOT VT) or verapamil (for fascicular VT) is recommended for acute conversion.

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