Date: [Date of encounter]
Patient: [Patient Name]
Chief Complaint: [Describe patient’s main concern related to SVT, e.g., palpitations, chest tightness, shortness of breath]
History of Present Illness:
Onset and duration of symptoms
Frequency and characteristics of episodes (e.g., sudden onset, termination, associated symptoms)
Precipitating factors (e.g., caffeine, stress, exercise)
Response to previous interventions (e.g., vagal maneuvers, medications)
Past Medical History:
Prior diagnoses of SVT or other cardiac conditions
Underlying medical conditions (e.g., Wolff-Parkinson-White syndrome, hyperthyroidism)
Medications (including over-the-counter and herbal supplements)
Allergies
Family History:
Presence of heart rhythm abnormalities or sudden cardiac death in family members
Social History:
Tobacco use
Alcohol or caffeine intake
Illicit drug use
Stress level
Physical Exam:
Vital signs (heart rate, rhythm, blood pressure)
General examination findings (e.g., jugular venous distention, peripheral edema)
Cardiac examination (e.g., heart sounds, murmurs)
Electrocardiogram (ECG):
Rhythm (sinus rhythm vs. SVT)
Specific SVT morphology (e.g., AV nodal reentrant tachycardia, atrial fibrillation)
Preexcitation (present or absent)
QT interval (normal or prolonged)
Laboratory Tests (if performed):
Electrolytes (potassium, magnesium)
Thyroid function tests
Assessment:
Type of SVT (e.g., AV nodal reentrant tachycardia, atrial fibrillation)
Hemodynamic status (stable or unstable)
Need for urgent intervention
Underlying cause of SVT (if identified)
Plan:
Acute Management:
Address hemodynamic instability (if present)
Consider vagal maneuvers (if appropriate)
Medication options for rate control or conversion to sinus rhythm (e.g., beta-blockers, calcium channel blockers, adenosine)
Electrical cardioversion (if indicated)
Long-term Management:
Identify and address the underlying cause of SVT
Preventive medications to reduce SVT episodes (e.g., beta-blockers, calcium channel blockers)
Catheter ablation (considered for recurrent or refractory SVT)
Patient education regarding SVT, triggers, and management strategies
Disposition:
Discharge home with instructions and follow-up plan
Admission to inpatient cardiology service (if unstable or requiring further workup)
Transfer to electrophysiology service for ablation evaluation (if indicated)
Follow-up:
Schedule outpatient cardiology follow-up for SVT management and monitoring
Additional Notes:
Include any additional relevant information not covered in the above sections.