SUPRAVENTRICULAR TACHYCARDIAS (Continued) 2002 Cardiovascular Conference Report Recommendation Tables, Page 97 DIAGNOSIS PHYSIOLOGY/ CERTIFICATION RE-CERTIFICATION FUNCTIONAL Same as for atrial Same as for atrial Same as for atrial Atrial flutter fibrillation. fibrillation. fibrillation. Yes if: Isthmus ablation Annual performed and at least 1 month after procedure; Arrhythmia successfully treated; Cleared by electrophysiologist. Multifocal Atrial Often associated with Yes if: Annual Tachycardia comorbidities, such as Asymptomatic; lung disease, that may impair prognosis. Unless associated condition is disqualifying. No, if symptomatic. Yes if: Annual. Symptoms controlled and secondary cause is not exclusionary. No if: Atrioventricular Nodal Prognosis generally Symptomatic; or Reentrant Tachycardia excellent, but may rarely WPW with atrial (AVNRT) have syncope or fibrillation. symptoms of cerebral Atrioventricular Reentrant hypoperfusion. Yes if: Tachycardia (AVRT) and Annual Asymptomatic; Wolff-Parkinson-White For those with WPW, pre- Treated and excitation presents risk for (WPW) Syndrome Recommend consultation asymptomatic for at least death or syncope if atrial with cardiologist 1 month and Atrial Tachycardia fibrillation develops. assessed and cleared by expert in cardiac Junctional Tachycardia arrhythmias.
SUPRAVENTRICULAR TACHYCARDIAS (Continued) 2002 Cardiovascular Conference Report Recommendation Tables, Page 97 DIAGNOSIS PHYSIOLOGY/ FUNCTIONAL CERTIFICATION RE-CERTIFICATION Atrial flutter Same as for atrial fibrillation. Same as for atrial fibrillation. Yes if: Isthmus ablation performed and at least 1 month after procedure; Arrhythmia successfully treated; Cleared by electrophysiologist. Same as for atrial fibrillation. Annual Multifocal Atrial Tachycardia Often associated with comorbidities, such as lung disease, that may impair prognosis. Yes if: Asymptomatic; Unless associated condition is disqualifying. No, if symptomatic. Yes if: Symptoms controlled and secondary cause is not exclusionary. Annual Annual. Atrioventricular Nodal Reentrant Tachycardia (AVNRT) Atrioventricular Reentrant Tachycardia (AVRT) and Wolff-Parkinson-White (WPW) Syndrome Atrial Tachycardia Junctional Tachycardia Prognosis generally excellent, but may rarely have syncope or symptoms of cerebral hypoperfusion. For those with WPW, pre- excitation presents risk for death or syncope if atrial fibrillation develops. No if: Symptomatic; or WPW with atrial fibrillation. Yes if: Asymptomatic; Treated and asymptomatic for at least 1 month and assessed and cleared by expert in cardiac arrhythmias. Annual Recommend consultation with cardiologist