Supraventricular tachycardia: implications for the intensivist

The critical care physician must have a keen awareness of supraventricular tachycardia patterns, mechanisms, precipitants, and treatment. Although long-term management of most forms of supraventricular tachycardia lies primarily in the realm of the cardiac electrophysiologist, the intensivist must be proficient at acute arrhythmia therapy. Expertise in electrocardiography, pharmacokinetics, and pharmacodynamics is essential. Careful assessment of hemodynamics and prudent bedside clinical acumen help assure optimal patient outcomes.