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  2. Treatment of SVT with aberrancy includes1:
    • Initial use of vagotonic maneuvers.
    • If ineffective, treatment with IV adenosine or nondihydropyridine calcium channel blockers for narrow QRS rhythms.
    • For wide QRS rhythms known to be a reentrant SVT with aberrant conduction that requires atrioventricular nodal conduction, similar treatment can be used.
    • The Brugada criteria can help distinguish between SVT with aberrancy and ventricular tachycardia.
    • The “pill-in-the-pocket” approach is effective for infrequent SVT episodes.
    • Catheter ablation is a generally safe and effective treatment for SVT2.
    Learn more:
    Initial treatment is usually with vagotonic maneuvers. If these maneuvers are ineffective, treatment is with IV adenosine or nondihydropyridine calcium channel blockers for narrow QRS rhythms or for wide QRS rhythms known to be a reentrant SVT with aberrant conduction that requires atrioventricular nodal conduction.
    www.msdmanuals.com/professional/cardiovascula…
    The Brugada criteria are sensitive and specific for distinguishing between SVT with aberrancy and ventricular tachycardia. C 28 The “pill-in-the-pocket” approach is effective for infrequent SVT episodes. B 30 Catheter ablation is a generally safe and effective treatment for SVT.
    www.aafp.org/pubs/afp/issues/2015/1101/p793.html
     
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