Supraventricular Tachycardia of the Sick, a Unique Entity
| Autor: | Peyton Card, Fuad Habash, Bradley Boye, Hakan Paydak, Mohammed Eid Madmani |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
Tachycardia lcsh:Internal medicine lcsh:Diseases of the circulatory (Cardiovascular) system medicine.medical_specialty lcsh:Medicine Hyperlipidemias 030204 cardiovascular system & hematology Amiodarone Diabetes Complications Coronary artery disease 03 medical and health sciences 0302 clinical medicine Internal medicine Tachycardia Supraventricular medicine Humans 030212 general & internal medicine lcsh:RC31-1245 Retrospective Studies Metoprolol First episode business.industry lcsh:R Middle Aged avnrt of the sick narrow-complex tachycardia short rp tachycardia sick supraventricular tachycardia medicine.disease Obstructive sleep apnea atrioventricular nodal reentrant tachycardia lcsh:RC666-701 Heart failure Hypertension Cardiology Female Supraventricular tachycardia medicine.symptom Cardiology and Cardiovascular Medicine business Anti-Arrhythmia Agents medicine.drug |
| Zdroj: | Türk Kardiyoloji Derneği Arşivi, Vol 47, Iss 8, Pp 669-673 (2019) |
| ISSN: | 1016-5169 |
| DOI: | 10.5543/tkda.2019.16978 |
| Popis: | Objective This study explored a unique form of atrioventricular nodal reentrant tachycardia (AVNRT) in which certain acutely ill patients have a first episode of supraventricular tachycardia (SVT) with a short RP interval. Methods A retrospective chart review was conducted of patients at a single institution who developed SVT with short RP and yielded 19 patients. Results None of the 19 patients had a prior history of AVNRT or any other arrhythmia. The mean age was 58 years, the majority of patients were male (13/19), and there was a presence of hypertension (10/19), diabetes mellitus (5/19), hyperlipidemia (7/19), congestive heart failure (2/19), coronary artery disease (3/19), obstructive sleep apnea (2/19), and active cancer (8/19). The reasons for admission were planned surgery (8/19), sepsis (8/19), drug abuse (2/19), and neurological disorder (2/19). The AVNRT either terminated spontaneously or following the administration of adenosine. The patients were treated with amiodarone (12/19), metoprolol (6/19), or diltiazem (1/19). Follow-up (mean: 370 days) details revealed that patients were on amiodarone (3/19), metoprolol (6/19), were not taking any cardiac medication (5/19), or had passed away (5/19). Only 1 patient had a recurrence of AVNRT, and none of the patients required ablation therapy. Conclusion 'AVNRT of the sick' has not been previously described in the medical literature, to our knowledge. It can be successfully treated with medications and the chance of recurrence after resolution of the acute illness is small. |
| Databáze: | OpenAIRE |
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