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[Inadequate, inappropriate sinus-node tachycardia. An old cardiac arrhythmia in a new perspective].
Orv Hetil. 2019 Sep; 160(37):1464-1470.OH

Abstract

Introduction: The inadequate, inappropriate sinus-node tachycardia is not a rare clinical syndrome, defined as a non-paroxysmal, increased sinus-rate at rest, and/or inadequate response to physical and/or emotional stress, and palpitations. Aim: The aim of this study was to describe our experiences with the investigations of our inappropriate sinus-node tachycardia patients. Method: In the last years, 104 patients (92 women, 12 men, mean age: 31 ± 10 years) were treated with this cardiac arrhythmia entity. All patients underwent 12 leads ECG, chest X-ray, echocardiography, Holter-monitoring and transtelephonic ECG observations. The quality of life score was estimated by using the European Heart Rhythm Association scale. Results: Patients had no structural heart disease (physical examination ECG, chest X-ray, echocardiography were normal), the laboratory values (TSH, blood count) were within normal limits, but the resting heart rates were repeatedly high (102 ± 8/min). The results of Holter recording (expressed as minimal-maximal [average] heart rate/min) without drug therapy showed high heart rate values (59 ± 8, 160 ± 14 [94 ± 6]/min). The standard bicycle ergometry showed an average loading capacity of 124 ± 23 watt (heart rate: control: 99 ± 12/min, top: 167 ± 13/min) with early, inadequate sinus tachycardia. To disclose the episodes of paroxysmal supraventricular tachycardia, beside the Holter-monitoring transtelephonic ECG system was used. This diagnostic modality was very useful for the exclusion of paroxysmal supraventricular tachycardia episodes during the palpitation symptoms. Out of 104 patients, 4 patients (3.8%) showed familiar occurrence, another 16 patients (15.2%) had previous slow-pathway radiofrequency ablation due to atrioventricular nodal reentry tachycardia. Conclusions: Based on our clinical observations, it can be pointed out that inappropriate sinus-node tachycardia syndrome (1) occurs mainly in young women, mostly in students, inducing decreased quality of life scores (EHRA score: 2.3 ± 0.4); (2) the prevalence in our outpatient clinic was 0.7%; (3) the patient population is not homogeneous: familiar or postablation occurrence is possible in some patients; (4) transtelephonic ECG has been proved to be very useful to disclose episodes of paroxysmal supraventricular tachycardia in these patients. Orv Hetil. 2019; 160(37): 1464-1470.

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Publisher Full Text (DOI)

Authors+Show Affiliations

Borbola J
Felnőtt Kardiológiai Osztály, Elektrofiziológiai és Pacemaker Terápiás Osztály, Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Földesi C
Felnőtt Kardiológiai Osztály, Elektrofiziológiai és Pacemaker Terápiás Osztály, Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Kardos A
Felnőtt Kardiológiai Osztály, Elektrofiziológiai és Pacemaker Terápiás Osztály, Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.
Som Z
Felnőtt Kardiológiai Osztály, Elektrofiziológiai és Pacemaker Terápiás Osztály, Gottsegen György Országos Kardiológiai Intézet Budapest, Haller u. 29., 1096.

MeSH

AdultArrhythmias, CardiacCatheter AblationElectrocardiographyFemaleHumansMaleMiddle AgedQuality of LifeSinoatrial NodeTachycardia, Atrioventricular Nodal ReentryTachycardia, SinusTachycardia, Supraventricular

Pub Type(s)

Journal Article

Language

hun

PubMed ID

31495186

Citation

Borbola, József, et al. "[Inadequate, Inappropriate Sinus-node Tachycardia. an Old Cardiac Arrhythmia in a New Perspective]." Orvosi Hetilap, vol. 160, no. 37, 2019, pp. 1464-1470.
Borbola J, Földesi C, Kardos A, et al. [Inadequate, inappropriate sinus-node tachycardia. An old cardiac arrhythmia in a new perspective]. Orv Hetil. 2019;160(37):1464-1470.
Borbola, J., Földesi, C., Kardos, A., & Som, Z. (2019). [Inadequate, inappropriate sinus-node tachycardia. An old cardiac arrhythmia in a new perspective]. Orvosi Hetilap, 160(37), 1464-1470. https://doi.org/10.1556/650.2019.31462
Borbola J, et al. [Inadequate, Inappropriate Sinus-node Tachycardia. an Old Cardiac Arrhythmia in a New Perspective]. Orv Hetil. 2019;160(37):1464-1470. PubMed PMID: 31495186.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Inadequate, inappropriate sinus-node tachycardia. An old cardiac arrhythmia in a new perspective]. AU - Borbola,József, AU - Földesi,Csaba, AU - Kardos,Attila, AU - Som,Zoltán, PY - 2019/9/10/entrez PY - 2019/9/10/pubmed PY - 2019/10/18/medline KW - appropriate sinus-node tachycardia KW - aránytalan sinuscsomó-tachycardia KW - cardiac arrhythmia KW - családi eredet KW - familiar origin KW - postablation occurrence KW - postablatiós eredet KW - szívritmuszavar SP - 1464 EP - 1470 JF - Orvosi hetilap JO - Orv Hetil VL - 160 IS - 37 N2 - Introduction: The inadequate, inappropriate sinus-node tachycardia is not a rare clinical syndrome, defined as a non-paroxysmal, increased sinus-rate at rest, and/or inadequate response to physical and/or emotional stress, and palpitations. Aim: The aim of this study was to describe our experiences with the investigations of our inappropriate sinus-node tachycardia patients. Method: In the last years, 104 patients (92 women, 12 men, mean age: 31 ± 10 years) were treated with this cardiac arrhythmia entity. All patients underwent 12 leads ECG, chest X-ray, echocardiography, Holter-monitoring and transtelephonic ECG observations. The quality of life score was estimated by using the European Heart Rhythm Association scale. Results: Patients had no structural heart disease (physical examination ECG, chest X-ray, echocardiography were normal), the laboratory values (TSH, blood count) were within normal limits, but the resting heart rates were repeatedly high (102 ± 8/min). The results of Holter recording (expressed as minimal-maximal [average] heart rate/min) without drug therapy showed high heart rate values (59 ± 8, 160 ± 14 [94 ± 6]/min). The standard bicycle ergometry showed an average loading capacity of 124 ± 23 watt (heart rate: control: 99 ± 12/min, top: 167 ± 13/min) with early, inadequate sinus tachycardia. To disclose the episodes of paroxysmal supraventricular tachycardia, beside the Holter-monitoring transtelephonic ECG system was used. This diagnostic modality was very useful for the exclusion of paroxysmal supraventricular tachycardia episodes during the palpitation symptoms. Out of 104 patients, 4 patients (3.8%) showed familiar occurrence, another 16 patients (15.2%) had previous slow-pathway radiofrequency ablation due to atrioventricular nodal reentry tachycardia. Conclusions: Based on our clinical observations, it can be pointed out that inappropriate sinus-node tachycardia syndrome (1) occurs mainly in young women, mostly in students, inducing decreased quality of life scores (EHRA score: 2.3 ± 0.4); (2) the prevalence in our outpatient clinic was 0.7%; (3) the patient population is not homogeneous: familiar or postablation occurrence is possible in some patients; (4) transtelephonic ECG has been proved to be very useful to disclose episodes of paroxysmal supraventricular tachycardia in these patients. Orv Hetil. 2019; 160(37): 1464-1470. SN - 1788-6120 UR - https://www.unboundmedicine.com/medline/citation/31495186/[Inadequate_inappropriate_sinus_node_tachycardia__An_old_cardiac_arrhythmia_in_a_new_perspective]_ DB - PRIME DP - Unbound Medicine ER -