Article

Consensus Document on Supraventricular Arrhythmias: A Valuable Initiative from EHRA

Register or Login to View PDF Permissions
Permissions× For commercial reprint enquiries please contact Springer Healthcare: ReprintsWarehouse@springernature.com.

For permissions and non-commercial reprint enquiries, please visit Copyright.com to start a request.

For author reprints, please email rob.barclay@radcliffe-group.com.

  • Views: 743

  • Likes: 0

  • Downloads: 15

Average (ratings)
No ratings
Your rating

Received:

Accepted:

DOI:https://doi.org/10.15420/aer.2016.5.1.8

Copyright Statement:

The copyright in this work belongs to Radcliffe Medical Media. Only articles clearly marked with the CC BY-NC logo are published with the Creative Commons by Attribution Licence. The CC BY-NC option was not available for Radcliffe journals before 1 January 2019. Articles marked ‘Open Access’ but not marked ‘CC BY-NC’ are made freely accessible at the time of publication but are subject to standard copyright law regarding reproduction and distribution. Permission is required for reuse of this content.

Supraventricular tachycardias (SVT) are common, with an estimated prevalence of 2.25/1,000 persons and an incidence of 35/100,000 person-years.1 Atrioventricular nodal reentrant tachycardia (AVNRT), in particular, represents the most common regular arrhythmia in the human, and its proportion increases with age.2 However, the European Society of Cardiology has not published management guidelines for SVT since its original 2003 document,3 while our colleagues in the US did so in 2015.4 In this respect, the recent initiative of the European Heart Rhythm Association (EHRA) to produce a consensus document guiding the management of patients with SVT is most welcome. This will be presented in the forthcoming CARDIOSTIMEHRA EUROPACE congress in June, and is to be followed by formal ESC guidelines scheduled for 2019.

The Task Force convened for this purpose by EHRA worked together with representatives from the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS) and the Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLAECE). Thus, a global, rather than strictly European perspective, was ensured. The final document is aimed at summarising current developments in the field, with focus on new advances since the last ESC guidelines, and providing general recommendations for the management of these common clinical entities, based on the principles of evidence-based medicine. In addition, it presents a new concept of recommended diagnostic and therapeutic practices. Current systems of ranking levels of evidence are becoming complicated in such a way that their practical utility might be compromised.5 EHRA, APHRS and SOLAECE therefore, have opted for an easier system of ranking that classifies recommendations simply as recommended, may be recommended or not recommended. It is hoped that this user-friendly and straightforward approach will allow physicians to easily assess the current status of evidence and consequent guidance.

Demosthenes Katritsis
Editor-in-Chief, Arrhythmia & Electrophysiology Review
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, US

References

  1. Orejarena LA, Vidaillet H, Jr, DeStefano F, et al. Paroxysmal supraventricular tachycardia in the general population. J Am Coll Cardiol 1998;31:150–7. 
    Crossref | PubMed
  2. Porter MJ, Morton JB, Denman R, et al. Influence of age and gender on the mechanism of supraventricular tachycardia. Heart Rhythm 2004;1:393–6. 
    Crossref | PubMed
  3. Blomstrom-Lundqvist C, Scheinman MM, Aliot EM, et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias – executive summary: A report of the American College of Cardiology/ American Heart Association task force on practice guidelines and the European Society of Cardiology committee for practice guidelines (writing committee to develop guidelines for the management of patients with supraventricular arrhythmias). Circulation 2003;108:1871–909.
    Crossref | PubMed
  4. Page RL, Joglar JA, Caldwell MA, et al. 2015 ACC/AHA/ HRS guideline for the management of adult patients with supraventricular tachycardia: A report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines and the Heart Rhythm Society. Circulation 2015;133:e506–74.
    Crossref | PubMed
  5. Benhorin J, Bodenheimer M, Brown M, et al. Improving clinical practice guidelines for practicing cardiologists. The Am J Cardiol 2015;115:1773–6.
    Crossref | PubMed
Next Volume Article