Figure 13. Acute Treatment of SVT in ACHD Patients
SVT in ACHD pts,
undefined mechanism
Synchronized
cardioversion
a
(Class IIa)
Hemodynamically
stable
YES
NO
IV diltiazem or
IV esmolol
(Class I)
IV ibutilide, IV
procainamide,
or atrial
pacing
(Class IIa)
Dofetilide or
sotalol
(Class IIb)
If ineffective
Treatment
IV adenosine
(Class I)
IV adenosine and/
or synchronized
cardioversion
(Class I)
If ineffective
Rate control
Rhythm control
a
For rhythms that break or recur spontaneously, synchronized cardioversion is not
appropriate.
26
Treatment
strategy
