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Mechanisms and Therapy

Antonis S. Manolis, MD; N. A. Mark Estes III, MD

Arch Intern Med. 1987;147(10):1706-1716.

Abstract
• The insights into the mechanisms of supraventricular tachycardias provided by the techniques of intracardiac recording and programmed cardiac stimulation have had a major impact on our therapeutic approach to this common problem. These techniques have led to a more systematic analysis and precise interpretation of the standard surface electrocardiogram. An accurate diagnosis of the mechanism of supraventricular tachycardia can be made in the majority of patients using the electrocardiogram aided by special leads (eg, Lewis leads) and bedside maneuvers. Identification of the likely electrophysiologic mechanism allows for a more rational and effective approach to both acute and chronic therapy.

(Arch Intern Med 1987;147:1706-1716)

Author Affiliations
From the Cardiac Arrhythmia Service, Cardiology Division, Tufts—New England Medical Center, Boston.

Footnotes
Accepted for publication July 16, 1987.

Reprint requests to Cardiac Electrophysiology Laboratory, Box 98, New England Medical Center, 750 Washington St, Boston, MA 02111 (Dr Estes).

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