Study note

Atrial tachycardia: causes, electrocardiographic features and treatment

THE CONTEXT
Atrial tachycardia may arise from increased atrial automaticity, sinoatrial disease or digoxin toxicity.

Electrocardiographic features

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Atrial tachycardia produces a narrow-complex tachycardia with abnormal P-wave morphology.
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Atrioventricular block may accompany the tachycardia when the atrial rate is rapid.

Drug response

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Atrial tachycardia may respond to beta-blockers, which reduce automaticity.
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Class I or class III anti-arrhythmic drugs may also be effective.
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