PT - JOURNAL ARTICLE AU - S F O’Rourke AU - A Sauvage AU - P A Evans TI - Paroxysmal supraventricular tachycardia: improving diagnosis and management within the accident and emergency department AID - 10.1136/emj.2003.012054 DP - 2004 Jul 01 TA - Emergency Medicine Journal PG - 495--497 VI - 21 IP - 4 4099 - http://emj.bmj.com/content/21/4/495.short 4100 - http://emj.bmj.com/content/21/4/495.full SO - Emerg Med J2004 Jul 01; 21 AB - Accident and emergency (A&E) senior house offices (SHOs) have difficulties in interpreting the electrocardiogram (ECG) in narrow complex tachycardia. Correct ECG interpretation is fundamental to patient management in paroxysmal supraventricular tachycardia. This study aimed to assess the ability of A&E SHOs to interpret the ECG in this setting. Correct diagnosis in 63% of cases improved to 86% with the introduction of a standard protocol sheet. Ensuring that SHOs follow agreed guidelines in rhythm recognition and management of PSVT improves patient care.