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Differential Diagnosis for SVT

Single Most Likely Diagnosis

  • Supraventricular Tachycardia (SVT): This is the most likely diagnosis given the presentation, as SVT is a common condition characterized by an abnormally fast heart rate originating from a location above the ventricles, often presenting with sudden onset and termination.

Other Likely Diagnoses

  • Atrial Fibrillation: Although less likely than SVT, atrial fibrillation can present with a rapid heart rate and should be considered, especially in older patients or those with underlying heart disease.
  • Atrial Flutter: This condition can also cause a rapid heart rate and may be considered, particularly if the patient has a history of heart disease or recent cardiac surgery.
  • Sinus Tachycardia: While typically not as rapid as SVT, sinus tachycardia can be considered, especially if there's an underlying cause such as dehydration, anxiety, or fever.

Do Not Miss Diagnoses

  • Ventricular Tachycardia: Although less common than SVT, ventricular tachycardia is a life-threatening condition that requires immediate attention. It's crucial to distinguish it from SVT due to its potential for severe consequences, including cardiac arrest.
  • Wolff-Parkinson-White (WPW) Syndrome: This condition can cause SVT but may also lead to more dangerous arrhythmias. Identifying WPW syndrome is critical due to its potential for severe complications.
  • Hyperkalemia: While not a primary cardiac rhythm disorder, hyperkalemia can cause various arrhythmias, including those mimicking SVT. It's a condition that requires immediate treatment to prevent life-threatening complications.

Rare Diagnoses

  • Junctional Tachycardia: A rare condition where the heart's electrical impulse originates from the AV junction, leading to a rapid heart rate.
  • Mahaim Fiber Tachycardia: A rare type of SVT involving an accessory electrical pathway in the heart.
  • Lown-Ganong-Levine (LGL) Syndrome: A rare condition similar to WPW syndrome but with different characteristics, leading to SVT.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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