Causes of supraventricular tachycardia

Supraventricular tachycardia (SVT) is caused by a problem with electrical impulses inthe heart.

Heartbeats are normallyinitiated by a small group of cells at the top of the heart called the sinoatrial node, which acts as the heart's natural pacemaker.

The sinoatrial node produces electrical signals that pass through the muscles of the upper heart chambers (atria), causing them to contract and pump blood into the lower heart chambers (ventricles).

The signal then passesinto another group of cells in the middle of the heart calledthe atrioventricular (AV) node.From here, the signals travelinto the ventricle muscles, causing them to contract and pump blood out of the heart.

Episodes of SVT occur when a problem develops in this system. This causes faster signals to be sent around the heart, increasing the speed at which the heart beats.

In most cases, the problemis temporary and lasts for a few seconds, minutes, or in some cases hours.

Types ofSVT

There are several different types of SVT, which are classified by the specific problem in the heart that disruptsthe electrical system.

Atype of SVT called Wolff-Parkinson-White syndrome occurs as a result of an abnormal electrical connection between the atriaand ventricles, which creates a short circuit in the heart's electrical system. This happens because people with Wolff-Parkinson-White syndrome are born with an extra strand of muscle tissue between these chambers.

In other cases of SVT, a short circuit occurs, even though the heart is otherwisenormal.

SVT can also be caused by an electrical signal from another part of the heart overriding the signal from the sinoatrial node.

SVT triggers

SVT is usually triggered by extra heartbeats (ectopic beats), which everyone has.It may also be triggered by:

  • some medications, including asthma medications, herbal supplements and cold remedies
  • drinking large amounts of caffeine or alcohol
  • tiredness, stress or emotional upset
  • smoking lots of cigarettes

However, in the majority of cases, there's no identifiable trigger for SVT.

Content supplied by the NHS Website

Medically Reviewed by a doctor on 28 Nov 2016