Supraventricular Tachycardia: Causes and Prevalence - Cardiology

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Cardiac issues?


Hello, doctor: I underwent cryoablation for cardiac catheterization during my childhood, but at that time, I only knew it was due to an additional conduction pathway that caused tachycardia.
I am curious about the medical term for this condition and what percentage of the population is affected by it.

11, 10~19 year old female. Ask Date: 2022/10/08

Dr. Li Han reply Cardiology


Hello, based on your description, it may refer to atrioventricular reentrant tachycardia, with an incidence of approximately 1.5 per thousand.
The Changhua Hospital of the Ministry of Health and Welfare cares about you.

Reply Date: 2022/10/08

More Info


Supraventricular Tachycardia (SVT) is a term that encompasses a group of arrhythmias originating above the ventricles, primarily in the atria or the atrioventricular (AV) node. The condition is characterized by episodes of rapid heart rate, often exceeding 100 beats per minute, which can lead to symptoms such as palpitations, dizziness, shortness of breath, and chest discomfort.
The most common types of SVT include Atrial Fibrillation, Atrial Flutter, and Paroxysmal Supraventricular Tachycardia (PSVT), which is often triggered by reentrant circuits involving the AV node. In your case, the history of undergoing catheter ablation for an accessory conduction pathway suggests that you may have experienced a type of PSVT known as AV nodal reentrant tachycardia (AVRT) or atrioventricular reentrant tachycardia (AVRT), which is caused by an extra electrical pathway in the heart.

Regarding the prevalence of SVT, it is estimated that SVT affects approximately 2-3% of the general population at some point in their lives. However, the prevalence can vary based on factors such as age, sex, and underlying heart conditions. For instance, SVT is more common in younger individuals and can be associated with structural heart abnormalities or other cardiovascular diseases.
In terms of risk factors, certain lifestyle choices, such as excessive caffeine or alcohol consumption, smoking, and high levels of stress, can trigger episodes of SVT. Additionally, individuals with a family history of arrhythmias may have a higher predisposition to developing SVT.

The management of SVT often involves lifestyle modifications, medication, and in some cases, procedures such as catheter ablation, which you have already undergone. Catheter ablation is a highly effective treatment that aims to eliminate the abnormal electrical pathways responsible for the arrhythmia, significantly reducing the frequency of episodes or potentially curing the condition altogether.

It is essential to maintain regular follow-ups with your cardiologist, especially if you continue to experience symptoms or have concerns about your heart rhythm. They may recommend further diagnostic tests, such as an electrocardiogram (ECG) or Holter monitor, to assess your heart's electrical activity and determine the best course of action for your specific situation.

In summary, SVT is a common arrhythmia that can significantly impact quality of life, but with appropriate management and treatment, individuals can lead healthy and active lives. If you have further questions or concerns about your condition, I encourage you to discuss them with your healthcare provider for personalized advice and recommendations.

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