PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIAS AND PRE-EXCITATION SYNDROMES: COMPREHENSIVE NARRATIVE REVIEW

Abstract

This comprehensive review explores the management of supraventricular paroxysmal tachycardias (SVTs) and preexcitation syndromes, providing a synthesis of 15 selected studies. A meticulous literature search in prominent databases guided our review, yielding 15 relevant articles. Etiology and pathogenesis, clinical manifestations, diagnostic strategies, and treatment modalities are extensively discussed. The etiology of SVTs and preexcitation involves accessory pathways, and their manifestation varies from asymptomatic cases to life-threatening arrhythmias. Diagnosis relies on electrocardiography, electrophysiological studies, and imaging. Ablation is the preferred treatment for symptomatic cases, with catheter-based procedures demonstrating efcacy. Prognosis is generally favorable, with low recurrence rates post-ablation. In conclusion, this narrative review emphasizes the signicance of tailored therapeutic approaches and the need for vigilant follow-up in SVTs and preexcitation syndromes. The wealth of evidence presented underscores the role of catheter ablation as a pivotal intervention, ensuring improved patient outcomes and highlighting the nuanced nature of these arrhythmias.