Treatment
Figure 9. Ongoing Management of Orthodromic AVRT
Orthodromic AVRT
Catheter
ablation
(Class I)
Flecainide or
propafenone
(in the
absence of
SHD)
(Class IIa)
Pre-excitation on
resting ECG
YES
NO
Ablation
candidate, willing to
undergo ablation
Ablation
candidate, pt prefers
ablation
YES NO
Amiodarone,
beta blockers,
diltiazem,
dofetilide,
sotalol, or
verapamil
(Class IIb)
18
YES
NO
If ineffective,
consider ablation
Beta blockers,
diltiazem,
or verapamil
(Class I)
Flecainide or
propafenone
(in the
absence of
SHD)
(Class IIa)
Amiodarone,
digoxin,
dofetilide, or
sotalol
(Class IIb)
