Evaluation and management of narrow complex tachycardia
Evaluation and management of narrow complex tachycardia Tachycardia, Narrow Complex Tachycardia, Narrow Complex
«Flowchart»

Narrow complex tachycardia

Narrow complex tachycardia

Narrow complex tachycardia

<Node Text>

<Node Text>

<Node Text>

<Node Text>

<Go to node 3>

<Go to node 3>

<Go to node 3> Node 3

<Go to node 4>

<Go to node 4>

<Go to node 4> Node 4

<End Node 3>

<End Node 3>

<End Node 3>

<End Node 3>

<End Node 4>

<End Node 4>

<End Node 4>

<End Node 4>

DC shock

DC shock

DC shock

Regular rhythm

Regular rhythm

Regular rhythm

Stable

Stable

Stable

Unstable

Unstable

Unstable

PSVT: AV node reentry
AV reentry Atrial tachycardia
? Sinus tachycardia

PSVT: AV node reentry
AV reentry Atrial tachycardia
? Sinus tachycardia

PSVT: AV node reentry
AV reentry Atrial tachycardia
? Sinus tachycardia



Atrial fibrillation Atrial flutter
with variable block Multifocal
atrial tachycardia (MAT)

Atrial fibrillation Atrial flutter
with variable block Multifocal
atrial tachycardia (MAT)

Atrial fibrillation Atrial flutter
with variable block Multifocal
atrial tachycardia (MAT)



No

No

No

Yes

Yes

Yes

IV Verapamil Rx of COPD
(improve oxygenation, correct
electrolyte abnormalities)

IV Verapamil Rx of COPD
(improve oxygenation, correct
electrolyte abnormalities)

IV Verapamil Rx of COPD
(improve oxygenation, correct
electrolyte abnormalities)



Diltiazem/verapamil
beta-Blockers Esmolol
Anticoagulation

Diltiazem/verapamil
beta-Blockers Esmolol
Anticoagulation

Diltiazem/verapamil
beta-Blockers Esmolol
Anticoagulation



MAT

MAT

MAT

Atrial fibrillation/ flutter

Atrial fibrillation/ flutter

Atrial fibrillation/ flutter

Adenosine 6-18 mg IVP

Adenosine 6-18 mg IVP

Adenosine 6-18 mg IVP

Verapamil 5-10
mg IVP

Verapamil 5-10
mg IVP

Verapamil 5-10
mg IVP


Consider
follow-up
EPS and RF
ablation

Consider
follow-up
EPS and RF
ablation

Consider
follow-up
EPS and RF
ablation




Effective

Effective

Effective

Ineffective

Ineffective

Ineffective

IV beta-blockers

IV beta-blockers

IV beta-blockers

Effective

Effective

Effective

Ineffective

Ineffective

Ineffective

Effective

Effective

Effective