Your doctor will determine the type of treatment you will need for your type of tachycardia. Your treatment options could include medication, ablation, an implantable cardioverter defibrillator, or open-heart surgery.
Your doctor may prescribe medication to try and control a fast heartbeat (tachycardia). It can be taken in pill form or by injection.
Anti-arrhythmics – Commonly given drug such as Amiodarone, Sotolol, and others.
Blood thinners – Patients with tachycardia are at greater risk for blood clots, so your physician may prescribe blood thinners like aspirin, dabigatran (Pradaxa), or warfarin (Coumadin) to reduce blood clot formation.
Beta-blockers – Beta-blockers decrease the heart’s need for blood and oxygen by slowing the heart down. They also help the heart to beat in a regular rhythm.
Calcium channel blockers – Calcium channel blockers decrease blood pressure by dilating vessels. They also decrease how strongly the heart contracts, reducing the amount of oxygen it needs.
Diuretics – Diuretics reduce the amount of fluid in the body so the heart needs to do less work.
Nitrates – Nitrates relax blood vessels, increasing the amount of blood and oxygen that can flow to the heart.
The following arrhythmias (conditions characterized by an abnormal or irregular heartbeat rhythm) are treated by radiofrequency catheter ablation therapy:
An implantable cardioverter-defibrillator (ICD) delivers anti-tachycardia pacing and/or electroshocks to terminate tachycardia (heart rhythms that are so fast that the blood no longer circulates sufficiently). It is larger than a pacemaker and is implanted in the chest to monitor the heartbeat and to deliver electrical shock to reset the heart to its normal rhythm. If you are at risk of life-threatening tachycardia,your doctor may recommend an ICD.
Implantable cardioverter defibrillators (ICD) have historically been considered a contraindication (a reason to withhold medical treatment due to potential harm to the patient) for Magnetic Resonance Imaging (MRI). In 2015, the US Food and Drug Administration (FDA) approved ICD technology that can be used safely during MRI. Today there are ICD available that are MR conditional.
Open-heart surgery can be used to destroy the tissue responsible for creating an electrical pathway that is disrupting the normal function of the heart. During the surgery, incisions will be made to the affected areas. Since scar tissue will not conduct electricity, it will interrupt the impulses responsible for your tachycardia.