2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary

Page, Richard L.; Joglar, José A.; Caldwell, Mary A.; Calkins, Hugh; Conti, Jamie B.; Deal, Barbara J.; Estes, N.A. Mark; Field, Michael E.; Goldberger, Zachary D.; Hammill, Stephen C.; Indik, Julia H.; Lindsay, Bruce D.; Olshansky, Brian; Russo, Andrea M.; Shen, Win Kuang; Tracy, Cynthia M.; Al‐Khatib, Sana M.

doi:10.1161/cir.0000000000000310

Cited by 101 publications

(53 citation statements)

References 425 publications

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“…In 40% of the sample, fatigue prevented return to even part time work at three weeks after ablation, which differs greatly from ablation recovery for other types of arrhythmias where patients return to full time work in two to four days. 6, 7, 24, 25 Restricted activity day data showed that these subjects reported their activity continued to be quite limited at one month after the ablation, having to miss work or normal activities for almost half of the month. The increased severity and duration of fatigue post AF ablation is frustrating for patients, and may lead to other distressing symptoms, such as anxiety and depression.…”

Section: Discussionmentioning

confidence: 99%

Symptom challenges after atrial fibrillation ablation

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Symptom challenges after atrial fibrillation ablation

et al. 2017

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“…255 For unidentified supraventricular arrhythmias, arrhythmia monitoring will aid in diagno sis. For AF, monitoring will aid in determining the bur den of AF and the adequacy of rate control.…”

Section: Atrial Tachyarrhythmiasmentioning

confidence: 99%

Update to Practice Standards for Electrocardiographic Monitoring in Hospital Settings: A Scientific Statement From the American Heart Association

Sandau¹,

Funk²,

Auerbach³

et al. 2017

Circulation

206

214

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Background and Purpose: This scientific statement provides an interprofessional, comprehensive review of evidence and recommendations for indications, duration, and implementation of continuous electro cardiographic monitoring of hospitalized patients. Since the original practice standards were published in 2004, new issues have emerged that need to be addressed: overuse of arrhythmia monitoring among a variety of patient populations, appropriate use of ischemia and QT-interval monitoring among select populations, alarm management, and documentation in electronic health records. Methods: Authors were commissioned by the American Heart Association and included experts from general cardiology, electrophysiology (adult and pediatric), and interventional cardiology, as well as a hospitalist and experts in alarm management. Strict adherence to the American Heart Association conflict of interest policy was maintained throughout the consensus process. Authors were assigned topics relevant to their areas of expertise, reviewed the literature with an emphasis on publications since the prior practice standards, and drafted recommendations on indications and duration for electrocardiographic monitoring in accordance with the American Heart Association Level of Evidence grading algorithm that was in place at the time of commissioning. Results: The comprehensive document is grouped into 5 sections: (1) Overview of Arrhythmia, Ischemia, and QTc Monitoring; (2) Recommendations for Indication and Duration of Electrocardiographic Monitoring presented by patient population; (3) Organizational Aspects: Alarm Management, Education of Staff, and Documentation; (4) Implementation of Practice Standards; and (5) Call for Research. Conclusions: Many of the recommendations are based on limited data, so authors conclude with specific questions for further research.

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“…Among the arrhythmias, the correlation between the syncope symptom and VT record, supraventricular tachycardia (with heart rate ≥ 160 bpm) or asystole ≥ 3 s is considered a gold standard for diagnosis [1]. Syncope can occur in 15% of cases in patients with supraventricular tachycardia [16] and among those who present this arrhythmia while driving, syncope can occur in 14% and pre-syncope in 50% of cases [17].…”

Section: Discussionmentioning

confidence: 99%

Sex Differences in Patients Hospitalized for Syncope: Experience in University Hospital of Middle-income Country and with a Predominance of Chagasic Etiology

Silva

Paula

Manso

et al. 2020

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Background: Syncope is a common sign with an inpatient rate of up to 83%. Data on sex differences of patients with syncope in the emergency and hospitalization are scarce. Aim: The present study aimed to verify sex differences regarding clinical profile, risk scores, causes of syncope and treatment modalities. Study Design: This is a single center, prospective, observational study. Place and Duration of Study: Department of Internal Medicine, Faculty of Medicine, Hospital das Clínicas, Federal University of Minas Gerais, Brazil, between February 2015 and February 2017. Methodology: We included 375 consecutive patients, 203 men and mean age of 52 years, hospitalized because of syncope. They underwent clinical evaluation, the laboratory tests, and the calculation of Martin, OESIL and EGSYS scores. Results: 114 patients had chagasic cardiomyopathy. The causes of syncope due to arrhythmia were ventricular tachycardia in 127 patients (66.1% men), supraventricular in 117 (63.2% women) and bradyarrhythmias in 56 patients (66.1% men), p<0.0001. Odds ratio for ventricular tachycardia in chagasic patients was 8.78 (95% IC: 5.33-14.46). Heart disease was predominant among men (p=0.001), even among patients with Chagas' heart disease. Comparing male and female, median age was 57 versus 48 years (p=0.04) and ejection fraction was 53 versus 58% (p=0.03). Martin and OESIL scores were higher in males (p <0.0001). There was no difference in treatment. Applying the receiver operating characteristic curve for ventricular tachycardia, Martin score had the largest area under the curve (0.84), p <0.0001. Conclusions: Men hospitalized for syncope were older, had more systolic ventricular dysfunction, and had higher Martin and OESIL scores. The main causes of syncope were ventricular tachycardia and bradyarrhythmias among men and supraventricular tachycardias among women.

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2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: Executive Summary

Cited by 101 publications

References 425 publications

Symptom challenges after atrial fibrillation ablation

Symptom challenges after atrial fibrillation ablation

Update to Practice Standards for Electrocardiographic Monitoring in Hospital Settings: A Scientific Statement From the American Heart Association

Sex Differences in Patients Hospitalized for Syncope: Experience in University Hospital of Middle-income Country and with a Predominance of Chagasic Etiology

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