Influence of age and gender on the mechanism of supraventricular tachycardia

Porter, Michael; Morton, Joseph B.; Denman, R.; Lin, Albert; Tierney, Sean; Santucci, Peter; Cai, John J.; Madsen, Nathaniel; Wilber, David J.

doi:10.1016/j.hrthm.2004.05.007

Cited by 221 publications

(142 citation statements)

References 25 publications

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“…Meta-analysis of 13 studies of patients undergoing cardioversion of atrial flutter reported short-term stroke risks ranging from 0% to 7%, and the thromboembolism rate in patients with sustained flutter in 4 studies averaged 3% annually. 365 Other studies have reported similar risk and effectiveness of anticoagulation. 369 Therefore, on the basis of the available data, recommendations for antithrombotic therapy for patients with atrial flutter are similar to those for patients with AF.…”

Section: -364mentioning

confidence: 82%

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

Page¹,

Joglar²,

Caldwell³

et al. 2016

Circulation

337

127

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Section: -364mentioning

confidence: 82%

“…Ongoing management with antithrombotic therapy is recommended in patients with atrial flutter to align with recommended antithrombotic therapy for patients with AF. 365 See Online Data Supplements 16 and 17.…”

Section: 327mentioning

confidence: 99%

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

Page¹,

Joglar²,

Caldwell³

et al. 2016

Circulation

337

127

View full text Add to dashboard Cite

“…6 In present study, male sex, description of an irregular heartbeat, history of heart disease was found to be independent predictors of a cardiac aetiology.…”

supporting

confidence: 50%

The aetiological profile of new onset palpitations in natives of Western Himalayas: a cross sectional observational study

et al. 2017

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Background: Palpitation is a common presenting complaint in out patient department. Etiological profile of such patients has not been studied in the recent past. The aim of the study was to study the aetiological profile of patients with new onset palpitations in North Indian tertiary health care centre.Methods: 130 consecutive patients of new onset palpitations were enrolled in the study and the aetiological profile of palpitation was evaluated using detailed history, examination and investigations.Results: The study group had 53% female and 47% male with a ratio of 1.13:1. Majority of the patients in the age group of 18-29 years. The mean age was 32.04+15.14 years. Most common symptom associated was shortness of breath seen in 17% patients. Of the 130 patients 43.8% of patients had cardiac aetiology, 35.38% psychiatric and 20% had miscellaneous aetiology. Among cardiac aetiology, arrhythmias were most common. PSVT was encountered in 15.4% and AF in 13.1%of the total patients. Psychiatry causes were observed in 35% of patients. In psychiatric causes 71.7% patients had panic attack whereas 28.2% patients had generalised anxiety disorder (GAD). In third group of miscellaneous causes which was 20% of total 6.9% had anaemia, 10% hyperthyroidism and 3.8% were on beta agonists.Conclusions: Palpitation is a presenting symptom of various diseases. The cause can be easily ascertained in most of the patients by a good history and examination; serious cardiac diseases require special investigation. Palpitation as a symptom should not be overlooked the underlying cause must be identified; this can be a helpful clue to improve patient outcome.

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“…Gender-related differences in epidemiology of supraventricular tachycardias (SVTs) have been reported by several investigators, includinga twofold greater risk of atrioventricular nodal re-entrant tachycardia in females, 1,2 a double incidence of atrioventricular re-entrant tachycardia in males, 3,4 and a higher incidence of focal automatic atrial tachycardias in pre-menopausal females. 5 In the initial assessment of patients with symptoms suggestive of SVT, epidemiological differences between genders might aid the clinical evaluation.…”

Section: Catheter Ablation Of Supraventricular Tachycardiamentioning

confidence: 99%

Outcomes in Women Undergoing Electrophysiological Procedures

Biase

Basile

Al‐Ahmad

2013

Arrhythmia &Amp; Electrophysiology Review

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The number of invasive electrophysiological procedures is steadily increasing in Western countries, as the age of the population increases and technologies advance. In recent years, gender-related differences in cardiac rhythm disorders have been increasingly appreciated, which can potentially have a great impact on the outcomes of invasive electrophysiological procedures. Among supraventricular arrhythmias, women have a higher incidence of atrioventricular nodal re-entrant tachycardia and a significantly lower incidence of atrioventricular re-entrant tachycardia compared with males, and present to ablation procedures later and after having failed more antiarrhythmic drugs. The results of catheter ablation of atrial fibrillation in women have been reported worse than in men. This finding is possibly due to a later referral of females to ablation procedures, who present older and with a higher incidence of long-standing persistent atrial fibrillation. With regard to cardiac device implantation procedures, a smaller survival benefit from prophylactic implantable cardioverter defibrillator (ICD) implantation has been shown in women, essentially due to gender-specific differences in the clinical course of patients with severe left ventricular dysfunction, with women dying predominantly from non-arrhythmic causes. On the other side, the clinical outcome of cardiac resynchronisation therapy seems to be more favourable in women, who experience a greater degree of reverse left ventricular remodelling and a striking decrease of heart failure events or mortality after biventricular pacing. This review will summarise the available evidence on gender-related differences in outcomes of invasive electrophysiological procedures.

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Influence of age and gender on the mechanism of supraventricular tachycardia

Cited by 221 publications

References 25 publications

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

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

The aetiological profile of new onset palpitations in natives of Western Himalayas: a cross sectional observational study

Outcomes in Women Undergoing Electrophysiological Procedures

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