2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia Developed in Partnership with the Heart Rhythm Society © American College of Cardiology Foundation and American Heart Association

Citation This slide set is adapted from the 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia. Published on September 23, 2015, available at: Journal of the American College of Cardiology [http://content.onlinejacc.org/article.aspx?doi=10.1016/j.jacc.2015.08.856]

and Circulation [http://circ.ahajournals.org/lookup/doi/10.1161/CIR.0000000000000311]

The full-text guidelines are also available on the following Web sites: ACC (www.acc.org) and AHA (my.americanheart.org)

2015 ACC/AHA/HRS SVT Guideline Writing Committee Richard L. Page, MD, FACC, FAHA, FHRS, Chair José A. Joglar, MD, FACC, FAHA, FHRS, Vice Chair Mary A. Caldwell, RN, MBA, PhD, FAHA Hugh Calkins, MD, FACC, FAHA, FHRS*‡ Jamie B. Conti, MD, FACC*†§ Barbara J. Deal, MD† N.A. Mark Estes III, MD, FACC, FAHA, FHRS*† Michael E. Field, MD, FACC, FHRS† Zachary D. Goldberger, MD, MS, FACC, FAHA, FHRS†

Stephen C. Hammill, MD, FACC, FHRS‡ Julia H. Indik, MD, PhD, FACC, FAHA, FHRS‡ Bruce D. Lindsay, MD, FACC, FHRS*‡ Brian Olshansky, MD, FACC, FAHA, FHRS*† Andrea M. Russo, MD, FACC, FHRS*§ Win-Kuang Shen, MD, FACC, FAHA, FHRS║ Cynthia M. Tracy, MD, FACC†

Sana M. Al-Khatib, MD, MHS, FACC, FAHA, FHRS, Evidence Review Committee Chair† †ACC/AHA Representative. ‡HRS Representative. §ACC/AHA Task Force on Performance Measures Liaison. ║ACC/AHA Task Force on Clinical Practice Guidelines Liaison.

Scope of the Guideline • Supersedes the “2003 ACC/AHA/ESC Guideline for the Management of Patients with Supraventricular Arrhythmias” • Addresses regular as well as irregular SVT (such as atrial flutter with irregular ventricular response and multifocal atrial tachycardia) but does not include atrial fibrillation • Aimed at the adult population (>18 years of age) and gives no specific recommendations for pediatric patients • Emphasizes shared decision making with the patient whenever possible

Table 1. Applying Class of Recommendation and Level of Evidence

Differential Diagnosis for Adult Narrow QRS Tachycardia Narrow QRS tachycardia (QRS duration