Algorithm for management of stable acute narrow-complex tachyarrhythmia

Figure 1. Management of stable acute narrow-complex tachyarrhythmia. Appelboam, 2015Brodsky, 1994Neumar, 2010Page, 2016Rankin, 1993Wesley, 1992
Electrical cardioversion for atrial fibrillationFigure 3.11 Initial management of any acute tachyarrhythmiaParoxysmal supraventricular tachycardiaAtrial fibrillation and atrial flutterAdenosine for acute management of paroxysmal supraventricular tachycardiaAdenosine for acute management of paroxysmal supraventricular tachycardiaAtrial flutterAtrial flutter
Note:

NB1: For more information on how to perform the Valsalva manoeuvre, see the REVERT study.

NB2: Avoid carotid sinus massage in older patients and those with vascular disease because it is difficult to perform correctly.