Clinical presentation of paroxysmal supraventricular tachycardia: evaluation of usual and unusual symptoms

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dc.authoridErtan Yetkin / 0000-0001-8862-750X
dc.authorscopusidErtan Yetkin / 7004009443
dc.authorwosidErtan Yetkin / AGX-3712-2022
dc.contributor.authorYetkin, Ertan
dc.contributor.authorÖztürk, Selçuk
dc.contributor.authorÇuğlan, Bilal
dc.contributor.authorTurhan, Hasan
dc.date.accessioned2020-11-25T07:31:20Z
dc.date.available2020-11-25T07:31:20Z
dc.date.issued2020en_US
dc.departmentİstinye Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractObjective: Clinical presentation of paroxysmal supraventricular tachycardia may vary from asymptomatic occurrence or mild perception of palpitation to severe chest pain or syncope. This variation is the most challenging issue in the diagnostic evaluation of rhythm disturbances and paroxysmal supraventricular tachycardia as well. This study sought to evaluate the symptoms during the tachycardia attack or index event in patients who underwent electrophysiological study and ablation procedure. Methods: This retrospective study included 100 consecutive patients who underwent electrophysiological study and ablation procedures due to supraventricular tachycardia. Structural heart disease, moderate/severe valvular pathology, systemic pathologies, such as connective tissue disease and chronic obstructive lung disease, history of pacemaker implantation was defined as exclusion criteria. In addition, medically managed patients and patients with unsuccessful ablation were not included in the study. Results: Palpitation was the most frequently observed symptom in 84% of patients, followed by chest pain in 47%, dyspnea in 38%, syncope 26%, lightheadedness in 19%, and sweating in 18% of the patients. The most common symptoms after tachycardia event were fatigue and lightheadedness with frequencies of 56% and 55%, respectively. Forty-five percent of the patients reported more than one, unusually frequent urination within the following 1-3 hours after the index event. Conclusions: Paroxysmal supraventricular tachycardia might manifest itself as gastrointestinal, neurological, psychosomatic symptoms, and unusual complaints in association with or without main symptoms, including palpitation, chest pain, syncope, and dyspnea. Symptoms after tachycardia or index event should be questioned systematically.en_US
dc.identifier.citationYetkin, E., Ozturk, S., Cuglan, B., & Turhan, H. (2020). Clinical presentation of paroxysmal supraventricular tachycardia: evaluation of usual and unusual symptoms. Cardiovascular endocrinology & metabolism, 9(4), 153–158. https://doi.org/10.1097/XCE.0000000000000208en_US
dc.identifier.doi10.1097/XCE.0000000000000208en_US
dc.identifier.endpage158en_US
dc.identifier.issn2574-0954en_US
dc.identifier.issue4en_US
dc.identifier.pmid33225230en_US
dc.identifier.scopus2-s2.0-85096983956en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage153en_US
dc.identifier.urihttps://doi.org/10.1097/XCE.0000000000000208
dc.identifier.urihttps://hdl.handle.net/20.500.12713/1255
dc.identifier.volume9en_US
dc.identifier.wosWOS:000593501700004en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorYetkin, Ertan
dc.language.isoenen_US
dc.relation.ispartofCardiovascular endocrinology & metabolismen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAblationen_US
dc.subjectElectrophysiological Studyen_US
dc.subjectParoxysmal Supraventricular Tachycardiaen_US
dc.subjectSymptomen_US
dc.titleClinical presentation of paroxysmal supraventricular tachycardia: evaluation of usual and unusual symptomsen_US
dc.typeArticleen_US

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