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Tachycardia – adults

Circulation & Shock

For healthcare professionals. This information does not replace clinical judgement in the individual case; the current summary of product characteristics and the guidelines cited are authoritative.

Medically reviewed: Dr. med. univ. Daniel Pehböck, DESA, 01.11.2026

Tachycardia – adults: Unstable – synchronised cardioversion, Stable – classification, Narrow and regular, Narrow and irregular – atrial fibrillation, Broad and regular, Broad and irregular – concise for emergency, anaesthesia and intensive care teams, with sources and medically reviewed.

What the chapter covers

  1. Unstable – synchronised cardioversion
  2. Stable – classification
  3. Narrow and regular
  4. Narrow and irregular – atrial fibrillation
  5. Broad and regular
  6. Broad and irregular

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Sources and guidelines

  1. Soar J, Böttiger BW et al. European Resuscitation Council Guidelines 2025 Adult Advanced Life Support. Resuscitation 2025;215 Suppl 1:110769 (Korrigendum 2026).
  2. Kurzfassung der Leitlinien des European Resuscitation Council 2025. Notfall Rettungsmed 2025.
  3. German Resuscitation Council (GRC) / European Resuscitation Council (ERC). Algorithmus Peri-Arrest-Tachykardien bei Erwachsenen, Leitlinien 2025 (deutsche Fassung).
  4. Resuscitation Council UK. Adult tachyarrhythmia algorithm.
  5. American Heart Association. Part 9: Adult Advanced Life Support.
  6. Australian and New Zealand Committee on Resuscitation (ANZCOR). Guideline 11.9.
  7. Van Gelder IC, Rienstra M et al. 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J 2024;45:3314–3414.
  8. Brugada J, Katritsis DG, Arbelo E et al. 2019 ESC Guidelines for the management of patients with supraventricular tachycardia. Eur Heart J 2020;41:655–720.
  9. Ortiz M et al. Randomized comparison of intravenous procainamide vs. intravenous amiodarone for the acute treatment of tolerated wide QRS tachycardia.
  10. Appelboam A, Reuben A, Mann C et al. Postural modification to the standard Valsalva manoeuvre for emergency treatment of supraventricular tachycardias (REVERT)
  11. Zeppenfeld K, Tfelt-Hansen J, de Riva M et al. 2022 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death. Eur Heart J 2022;43:3997–4126. Akuttherapie der anhaltenden monomorphen VT.
  12. Resuscitation Council UK. Adult tachyarrhythmia algorithm V3, März 2026 (nationale Adaptation der ERC-Leitlinien 2025), Zweig stabile regelmäßige Breitkomplextachykardie.
  13. Resuscitation Council UK. FAQs: Advanced Life Support (2025 Resuscitation Guidelines), Fragen zur Breitkomplextachykardie: Procainamid in die Tachyarrhythmie-Leitlinie aufgenommen (PROCAMIO), im Vereinigten Königreich verfügbar, aber nicht zugelassen und wenig verwendet.
  14. International Liaison Committee on Resuscitation (ILCOR). 2025 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations.
  15. ESC-Leitlinie Vorhofflimmern 2024, Kardioversion und Antikoagulation.
  16. Summaries of product characteristics of authorised products – product and section for each dose in the app.