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Narrow-complex tachycardia

M C Giudici¹, T J Gumpert, L L Heathman

¹St. Luke's Regional Heart Center, Davenport, Iowa.

American Family Physician

|March 1, 1994

Summary

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Narrow-complex tachycardia encompasses various arrhythmias, with atrial fibrillation being most common. Radiofrequency catheter ablation effectively treats several types, including atrioventricular nodal reentrant tachycardia.

Area of Science:

Cardiology
Electrophysiology
Internal Medicine

Background:

Narrow-complex tachycardia is a broad term for several common and rare arrhythmias.
Different types of narrow-complex tachycardia have distinct patient populations and causes, such as atrial fibrillation, sinus tachycardia, paroxysmal atrial tachycardia, multifocal atrial tachycardia, and atrioventricular nodal reentrant tachycardia.

Purpose of the Study:

To review the differential diagnosis and management of narrow-complex tachycardias.
To highlight the efficacy of radiofrequency catheter ablation for specific reentrant tachycardias.

Main Methods:

Review of clinical presentations and diagnostic considerations for various narrow-complex tachycardias.
Discussion of therapeutic options, emphasizing radiofrequency catheter ablation for specific conditions.

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Main Results:

Atrial fibrillation is the most prevalent narrow-complex tachycardia.
Atrioventricular nodal reentrant tachycardia is common in young, healthy individuals.
Radiofrequency catheter ablation is a highly effective treatment for atrioventricular nodal reentrant tachycardia, atrioventricular reentrant tachycardia (Wolff-Parkinson-White syndrome), and permanent junctional reentrant tachycardia.

Conclusions:

Subtle differences in rhythm disturbances necessitate reconsidering initial diagnoses if drug therapy fails.
Catheter ablation is a valuable treatment option for refractory or difficult-to-manage narrow-complex tachycardias, including atrial flutter and intra-atrial reentry.