TABLE 4

Recommendations for Treatment of Focal and Nonparoxysmal Junctional Tachycardia Syndromes

TachycardiaRecommendationClassificationLevel of EvidenceReferences
Focal junctional tachycardiaBeta blockersIIaC
FlecainideIIaC69
PropafenoneIIaC70
SotalolIIaC71
AmiodaroneIIaC72,73
Catheter ablationIIaC68,74–76
Nonparoxysmal junctional tachycardiaReverse digitalis toxicityIC77,78
Correct hypokalemiaIC
Treat myocardial ischemiaIC79
Beta blockers, calcium-channel blockersIIaC14,80

The order in which treatment recommendations appear in this table within each class of recommendation does not necessarily reflect a preferred sequence of administration. Please refer to text for details. For pertinent drug dosing information please refer to the ACC/AHA/ESC Guidelines on the Management of Patients With Atrial Fibrillation.

  • Data available for pediatric patients only.