Table 22. Ongoing Management of SVT in Pregnancy
COR
LOE Recommendations
IIa C-LD e following drugs, alone or in combination, can be effective
for ongoing management in pregnant patients with highly
symptomatic SVT:
a. Digoxin
b. Flecainide
c. Metoprolol
d. Propafenone
e. Propanolol
f. Sotalol
g. Verapamil
IIb C-LD Catheter ablation may be reasonable in pregnant patients with
highly symptomatic, recurrent, drug-refractory SVT with efforts
toward minimizing radiation exposure.
IIb C-LD Oral amiodarone may be considered for ongoing management
in pregnant patients when treatment of highly symptomatic,
recurrent SVT is required and other therapies are ineffective or
contraindicated.
Table 23. Acute Treatment of SVT in Older Populations
COR
LOE Recommendation
I B-NR Diagnostic and therapeutic approaches to SVT should
be individualized in patients more than 75 years of age to
incorporate age, comorbid illness, physical and cognitive
functions, patient preferences, and severity of symptoms.
29
SVT in Pregnancy
SVT in Older Populations
