Ongoing Concerns
Symptoms of
atrioventricular reciprocating tachycardia (AVRT),
including
Wolff-Parkinson-White (WPW) syndrome, usually start
during the teen or young adult years. Episodes of WPW can trigger a
life-threatening heart rhythm called ventricular fibrillation, although this is
extremely rare. Your doctor may recommend that you wear a medical bracelet to
alert medical professionals of your condition if you are at risk for
ventricular fibrillation.
AV nodal re-entrant tachycardia (AVNRT) usually first
causes symptoms from the teen years to middle age.
After episodes of
supraventricular tachycardia begin, they generally
recur. These arrhythmias frequently stop spontaneously or with simple
manoeuvres, but you may have to take medicines daily if the arrhythmias keep
happening. Medicine treatment typically includes
beta-blockers,
calcium channel blockers, or
digoxin. In people with frequent episodes, treatment
with an
antiarrhythmic medicine can decrease recurrences, and
catheter ablation can eliminate the arrhythmia
altogether.
When supraventricular tachycardia occurs in someone with
significant
coronary artery disease, the heart may not receive
enough blood to keep up with the demands of the increased heart rate. If this
occurs, the heart may not get enough oxygen, potentially causing a
heart attack.