Supraventricular Tachycardia and Postural Orthostatic Tachycardia Syndrome Overlap: A Retrospective Study.

Ablation autoimmune dysautonomia electrophysiological study syncope

Journal

The Journal of innovations in cardiac rhythm management
ISSN: 2156-3977
Titre abrégé: J Innov Card Rhythm Manag
Pays: United States
ID NLM: 101589872

Informations de publication

Date de publication:
Feb 2021
Historique:
received: 04 08 2020
accepted: 03 09 2020
entrez: 3 3 2021
pubmed: 4 3 2021
medline: 4 3 2021
Statut: epublish

Résumé

Postural orthostatic tachycardia syndrome (POTS) and supraventricular tachycardia (SVT) are disease states with distinctive features but overlapping clinical manifestations. Currently, studies on the presence of underlying SVT in patients with POTS are lacking. This retrospective study analyzed 64 patients [mean age: 43 years; 41 (61%) women] who had a POTS diagnosis and were found to have concomitant SVT during rhythm monitoring from September 1, 2013 to September 30, 2019 at our Syncope and Autonomic Disorders Clinic. The outcomes assessed were changes in disease severity, frequency of symptoms, heart rate, and blood pressure between before and after SVT ablation. The most frequent types of SVT noted on the electrophysiologic study were atrioventricular nodal reentrant tachycardia (57.81%), atrial flutter (29.68%), atrioventricular reentrant tachycardia (9.37%), atrial tachycardia (1.56%), and junctional tachycardia (1.56%). After SVT ablation, all 64 patients experienced an improvement in symptoms. Palpitations and lightheadedness experienced the most improvement after the procedure (72% vs. 31%; p < 0.001 and 63% vs. 22%; p < 0.001, respectively). There was a significant improvement in the resting heart rate (81.1 ± 12.8 vs. 75.8 ± 15.6 bpm; p < 0.002), but the orthostatic tachycardia on standing persisted (93.6 ± 16.5 vs. 77.3 ± 19.8 bpm; p = 0.14). Underlying SVT in patients with POTS can be missed easily. A strong suspicion and long-term ambulatory cardiac rhythm monitoring can help in diagnosing the condition.

Identifiants

pubmed: 33654569
doi: 10.19102/icrm.2021.120201
pii: icrm.2021.120201
pmc: PMC7906564
doi:

Types de publication

Journal Article

Langues

eng

Pagination

4385-4389

Informations de copyright

Copyright: © 2021 Innovations in Cardiac Rhythm Management.

Déclaration de conflit d'intérêts

The authors report no conflicts of interest for the published content.

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Auteurs

Zeid Nesheiwat (Z)

Department of Internal Medicine, The University of Toledo Medical Center, Toledo, OH, USA.

Arooge Towheed (A)

Department of Cardiac Electrophysiology, The Georgetown University/Medstar Washington Hospital Center, Washington DC, USA.

Joseph Eid (J)

Department of Internal Medicine, The University of Toledo Medical Center, Toledo, OH, USA.

Jeremy Tomcho (J)

Department of Internal Medicine, The University of Toledo Medical Center, Toledo, OH, USA.

Pinang Shastri (P)

Department of Internal Medicine, The University of Toledo Medical Center, Toledo, OH, USA.

Carson Oostra (C)

Division of Cardiovascular Medicine, The University of Toledo Medical Center, Toledo, OH, USA.

Beverly Karabin (B)

Division of Cardiovascular Medicine, The University of Toledo Medical Center, Toledo, OH, USA.

Blair Grubb (B)

Division of Cardiovascular Medicine, The University of Toledo Medical Center, Toledo, OH, USA.

Classifications MeSH