Feasibility of out-of-hospital treatment of supraventricular tachycardias

Abstract Despite the overall good prognosis, most patients with supraventricular tachyarrhythmias require hospitalization for the restoration of sinus rhythm. In the last decade, Mobile Coronary Care Units (MCCU) were instituted in several towns for the treatment of out-of-hospital cardiac arrest and to decrease prehospital times in acute myocardial infarction. 1 Cardiologist-staffed MCCUs can successfully attempt at-home cardioversion in patients with supraventricular arrhythmias, thus decreasing the number and cost of most hospitalizations. The present study reviews the results of 10 years of activity by Florence's MCCU in the out-of-hospital treatment of recent onset (