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 primari
ly 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 patien
t outcomes.