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SVT

Inpatient Management Guide Definition Defined as paroxysmal tachyarrythmias that require atrial tissue or AV nodal tissue (or both) for initiation and maintenance Almost always present as narrow QRS-complex rhythm with heart rate > 100 beats per minute on ECG Less than 10% of cases present as a wide complex tachycardia (i.e. Wolff-Parkinson-White syndrome [WPW]) Etiology … Read more

Supraventricular Tachycardia

Inpatient Management Guide Definition Defined as paroxysmal tachyarrythmias that require atrial tissue or AV nodal tissue (or both) for initiation and maintenance Almost always present as narrow QRS-complex rhythm with heart rate > 100 beats per minute on ECG Less than 10% of cases present as a wide complex tachycardia (i.e. Wolff-Parkinson-White syndrome [WPW]) Etiology … Read more

Superior Vena Cava Syndrome

Inpatient Management Guide Definition Oncologic Emergencies Superior vena cava syndrome: Compression or invasion of the SVC causing impaired blood return to the heart and edema of the face or upper body. The large majority of cases are malignancy related (compression of enlarged mediastinal lymph node or directly by tumor) with concomitant venous thrombosis. Malignant pericardial … Read more

STEMI

Inpatient Management Guide Definition Acute coronary syndrome (ACS): A spectrum of conditions compatible with acute myocardial ischemia and/or infarction due to an abrupt reduction in coronary blood flow. ST segment elevation myocardial infarction (STEMI): Coronary plaque rupture event, usually a result of a total or near total occlusion of the coronary artery without collateral flow, … Read more

Pulmonary Hypertension

Inpatient Management Guide Definition Right heart catheterization demonstrating a mean pulmonary artery pressure ≥25 mmHg. Pulmonary hypertension (PH) is not defined by an RVSP on echo (This should only serve as a screening tool). Etiology WHO Group Clinical Classification:[1] Group 1: Pulmonary Arterial Hypertension (PAH):mPAP ≥25 mmHg, PCWP ≤15 mmHg, pulmonary vascular resistance >3 Wood … Read more

Persistent Atrial Fibrillation

Inpatient Management Guide Definition Supraventricular tachycardia with irregularly irregular atrial rhythm and no discernible P waves on electrocardiogram, leading to uncoordinated and ineffective atrial contraction. This is the most common pathologic form of supraventricular tachycardia and is associated with age (0.05% prevalence among ages 25–35, >5% in age >69). Classification: Functionally, atrial fibrillation can be … Read more

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