Table 3

New and Updated Recommendations on Management of Supraventricular Tachycardia6,a

TherapyRecommendationCORbLOEbType of Recommendation
Class Ia antiarrhythmicsNo longer recommended for management of focal atrial tachycardia or atrial flutter. . .c. . .Update
DigoxinNo longer recommended for acute focal atrial tachycardia. . .. . .Update
DofetilideMay be reasonable for patients with acute atrial flutterIANew
May be reasonable for supraventricular tachycardia of unknown originIIbB-RNew
IbutilideMay be reasonable for sinus rhythm restoration for acute focal atrial tachycardiaIIbC-LDNew
IvabradineMay be reasonable as monotherapy for symptomatic patientsIIaB-RNew
May be reasonable in conjunction with β-blockers for symptomatic patientsIIbC-LDNew
MetoprololOption for acute and ongoing management of multifocal atrial tachycardiaIIaC-LDNew
  • a COR = class of recommendation, LOE = level of evidence.

  • b Definitions of levels of classification and evidence provided in guideline summary.

  • c Not applicable.