Supraventricular tachycardia and the struggle to be believed
Open accessAbstract
BACKGROUND: Little research exists examining patient experiences of life with supraventricular tachycardia (SVT). Realistic expectations of symptoms, patient management strategies, and treatment options are important components of patient education and treatment decisions. AIM: This descriptive qualitative study explored patients' experiences living with SVT. METHODS: Grounded theory methodology was used with semi-structured interviews of 25 SVT patients undergoing radiofrequency ablation treatment. RESULTS: The main core category that emerged from the data was the "struggle to be believed". The struggle or work of living with SVT entails: (1) living with the uncertainty of the occurrence and duration of an episode, (2) "covering up" to manage symptoms and appear normal, (3) searching for causative factors to prevent further episodes, and (4) experimenting with management techniques to shorten or end episodes. CONCLUSION: Clinical diagnosis and referral for ablation treatment were more difficult for women suggesting existence of a gender bias. As with many other chronic conditions, the illness trajectory work is formidable. Patients in this study with SVT, however, reported facing the additional difficulty of being believed. Disruptions in self-esteem and personal relationships are the effects of not being believed. Providers could avoid minimizing women's symptoms by listening seriously and offering realistic expectations; including insight into patient experiences and the trajectory of the dysrhythmia; and efficacy of drug and ablation treatments.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The uncertain trajectory of supraventricular tachycardia can provoke significant anxiety and fear in anticipation of the next symptomatic episode, leading to avoidance of situations or triggers of symptom onset.
“This uncertain trajectory can provoke significant anxiety and fear in anticipation of when the next symptomatic episode will occur, leading to avoidance of situations or triggers of symptom-onset. 16,420 -423”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [420]
Patients with supraventricular tachycardia may commonly experience symptoms such as dyspnoea, fatigue, palpitations, and pre-syncope/syncope, which vary in frequency, duration, and intensity.
“Patients with SVT may commonly experience symptoms such as dyspnoea, fatigue, palpitations, and pre-syncope/syncope, which vary in frequency, duration, and intensity.1,2,16,420,421”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [420]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
The Discovery of Grounded Theory; Strategies for Qualitative Research
Glaser, B. G., Strauss, A. L., & Strutzel, E. (1968) · Nursing Research · doi:10.1097/00006199-196807000-00014 · Cited by 39,449 · see citing works
(1998) · Sage eBooks · Cited by 38,631 · see citing works
(2014) · Cited by 15,747 · see citing works
‘Discovering’ chronic illness: Using grounded theory
Charmaz, K. (1990) · Social Science & Medicine · doi:10.1016/0277-9536(90)90256-r · Cited by 1,648 · see citing works
Differences in the use of procedures between women and men hospitalized for coronary heart disease
Ayanian, J. Z., & Epstein, A. M. (1991) · New England Journal of Medicine · doi:10.1056/nejm199107253250401 · Cited by 1,188 · see citing works
Jackman, W. M., Beckman, K. J., McClelland, J. H., Wang, X., Friday, K. J., Roman, C. A., MOULTON, K. P., Twidale, N., Hazlitt, H. A., PRIOR, M. I., et al. (1992) · New England Journal of Medicine · doi:10.1056/nejm199207303270504 · Cited by 1,160 · see citing works
Dey, I. (1999) · Grounding Grounded Theory · doi:10.1016/b978-012214640-4/50011-5 · Cited by 845 · see citing works
Social Organization of Medical Work
Strauss, A. L., FAGERHAUGH, S. Y., Suczek, B., & Wiener, C. L. (2017) · Routledge eBooks · doi:10.4324/9781315129679 · Cited by 808 · see citing works
Self-citationCalkins, H. G., de Sousa, J., El-Atassi, R., Rosenheck, S., de Buitleir, M., Kou, W. H., Kadish, A. H., Langberg, J. J., & Morady, F. (1991) · New England Journal of Medicine · doi:10.1056/nejm199106063242302 · Cited by 698 · see citing works
Social Organization of Medical Work.
Santis, G. D., Strauss, A., FAGERHAUGH, S. Y., Suczek, B., & Wiener, C. L. (1985) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2071472 · Cited by 506 · see citing works
Self-citationA Nursing Model for Chronic Illness Management Based Upon the Trajectory Framework
Corbin, J. M., & Strauss, A. (1991) · Research and theory for nursing practice · doi:10.1891/0889-7182.5.3.155 · Cited by 400 · see citing works
Atrioventricular nodal reentry. Clinical, electrophysiological, and therapeutic considerations.
Akhtar, M., Jazayeri, M.-R., Sra, J. S., Blanck, Z., Deshpande, S. V., & Dhala, A. A. (1993) · Circulation · doi:10.1161/01.cir.88.1.282 · Cited by 222 · see citing works
The burden of rheumatoid arthritis: Tolerating the uncertainty
Wiener, C. L. (1975) · Social Science & Medicine (1967) · doi:10.1016/0037-7856(75)90101-8 · Cited by 187 · see citing works
Self-citationLeitch, J. W., Klein, G. J., Yee, R., Leather, R. A., & Kim, Y. H. (1992) · Circulation · doi:10.1161/01.cir.85.3.1064 · Cited by 171 · see citing works
Unrecognized Paroxysmal Supraventricular Tachycardia: Potential for Misdiagnosis as Panic Disorder
Lessmeier, T. J. (1997) · Archives of Internal Medicine · doi:10.1001/archinte.1997.00440260085013 · Cited by 157 · see citing works
Gender bias in the diagnosis and treatment of coronary artery disease
Beery, T. A. (1995) · Heart & Lung · doi:10.1016/s0147-9563(95)80020-4 · Cited by 133 · see citing works
Human Nature and Collective Behavior
Park, R. E. (1927) · American Journal of Sociology · doi:10.1086/214235 · Cited by 131 · see citing works
Catheter Ablation of Supraventricular Arrhythmias:
Morady, F. (2004) · Journal of Cardiovascular Electrophysiology · doi:10.1046/j.1540-8167.2004.03516.x · Cited by 122 · see citing works
Internal cardioverter defibrillator device discharge: experiences of patients and family members.
Dunbar, S. B., Warner, C. D., & Purcell, J. A. (1994) · PubMed · Cited by 118 · see citing works
Women’s experiences of ‘being diagnosed’ with a long‐term illness
Kralik, D., Brown, M., & Koch, T. (2001) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2001.01704.x · Cited by 115 · see citing works
Differential Diagnosis of Supraventricular Tachycardia
Josephson, M. E., & Wellens, H. J. J. (1990) · Cardiology Clinics · doi:10.1016/s0733-8651(18)30348-5 · Cited by 106 · see citing works
Clair, W. K., Wilkinson, W. E., McCarthy, E. A., Page, R. L., & Pritchett, E. L. (1993) · Circulation · doi:10.1161/01.cir.87.4.1114 · Cited by 105 · see citing works
Frequency of disabling symptoms in supraventricular tachycardia
Wood, K. A., Drew, B. J., & Scheinman, M. M. (1997) · The American Journal of Cardiology · doi:10.1016/s0002-9149(96)00701-1 · Cited by 104 · see citing works
Self-citationSignificant gender-related differences in radiofrequency catheter ablation therapy
Dagres, N., Clague, J. R., BREITHARDT, G. E., & Borggrefe, M. (2003) · Journal of the American College of Cardiology · doi:10.1016/s0735-1097(03)00925-2 · Cited by 86 · see citing works
Tagney, J., James, J. E., & Albarran, J. W. (2003) · European Journal of Cardiovascular Nursing · doi:10.1016/s1474-5151(03)00061-6 · Cited by 83 · see citing works
The Hemodynamic Mechanism of Pounding in the Neck in Atrioventricular Nodal Reentrant Tachycardia
Gürsoy, S., Steurer, G., Brugada, J., Andries, E., & Brugada, P. (1992) · New England Journal of Medicine · doi:10.1056/nejm199209103271105 · Cited by 83 · see citing works
Coping amid uncertainty: an illness trajectory perspective.
Wiener, C. L., & Dodd, M. J. (1993) · PubMed · Cited by 77 · see citing works
Self-citationWalker, R. L., Campbell, K. A., Sears, S. F., Glenn, B. A., SOTILE, R. O., Curtis, A. B., & CONTI, J. B. (2004) · Clinical Cardiology · doi:10.1002/clc.4960271019 · Cited by 65 · see citing works
Psychosocial Issues of Patients With Implantable Cardioverter Defibrillators
Dunbar, S. B. (2005) · American Journal of Critical Care · doi:10.4037/ajcc2005.14.3.184 · Cited by 54 · see citing works
Radiofrequency catheter ablation in the treatment of supraventricular tachycardia in the elderly
Epstein, L. M., Chiesa, N. A., Wong, M. N., et al. (1994) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(94)90377-8 · Cited by 53 · see citing works
Living with unexplained chest pain
Jerlock, M., Gaston‐Johansson, F., & Danielson, E. (2005) · Journal of Clinical Nursing · doi:10.1111/j.1365-2702.2005.01195.x · Cited by 51 · see citing works
Fridlund, Lindgren, E., Ivarsson, et al. (2000) · Journal of Clinical Nursing · doi:10.1046/j.1365-2702.2000.00335.x · Cited by 50 · see citing works
Deaton, C., Dunbar, S. B., Moloney, M. F., Sears, S. F., & Ujhelyi, M. R. (2003) · Heart & Lung · doi:10.1016/s0147-9563(03)00074-8 · Cited by 49 · see citing works
Psychosocial Issues of Patients With Implantable Cardioverter Defibrillators
Dunbar, S. B. (2005) · American Journal of Critical Care · doi:10.4037/ajcc2005.14.4.294 · Cited by 49 · see citing works
Discovering new theory from previous theory
Strauss, A. L. (1987) · doi:10.1017/cbo9780511557842.017 · Cited by 40 · see citing works
WALFRIDSSON, U., & WALFRIDSSON, H. (2005) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2005.09753.x · Cited by 39 · see citing works
Wong, C. C., Froelicher, E. S., Bacchetti, P., et al. (1997) · PubMed · Cited by 36 · see citing works
Flemme, I., Bolse, K., Ivarsson, A., et al. (2001) · Journal of Clinical Nursing · doi:10.1046/j.1365-2702.2001.00494.x · Cited by 31 · see citing works
Impairment of driving abilities in patients with supraventricular tachycardias
Dhala, A., Bremner, S., Blanck, Z., Sra, J., Deshpande, S., Jazayeri, M. R., & Akhtar, M. (1995) · The American Journal of Cardiology · doi:10.1016/s0002-9149(99)80595-5 · Cited by 29 · see citing works
Xinjian, W., & Zhang, Y. (2024) · Springer eBooks · doi:10.1007/978-981-97-7874-4_387 · Cited by 29 · see citing works
Patients’ Experiences of Daily Living with a Pacemaker
Malm, D., & Hallberg, L. R. ‐. (2006) · Journal of Health Psychology · doi:10.1177/1359105306066642 · Cited by 28 · see citing works
Defensive work in nursing homes: Accountability gone amok
Wiener, C. L., & Kayser-Jones, J. S. (1989) · Social Science & Medicine · doi:10.1016/0277-9536(89)90304-3 · Cited by 28 · see citing works
Self-citationFocused Life Stories of Women with Cardiac Pacemakers
Beery, T. A., Sommers, M. S., Hall, J. C., & King, K. M. (2002) · Western Journal of Nursing Research · doi:10.1177/01939450222045680 · Cited by 26 · see citing works
Clinical Aspects of Paroxysmal Rapid Heart Action
Wolff, L. (1942) · New England Journal of Medicine · doi:10.1056/nejm194204162261603 · Cited by 25 · see citing works
de Gévigney, G., Mosnier, S., Écochard, R., et al. (2001) · Acta Cardiologica · doi:10.2143/ac.56.3.2005637 · Cited by 25 · see citing works
Selected clinical features of paroxysmal tachycardia. A prospective study in 120 patients.
Luria, M. (1971) · Heart · doi:10.1136/hrt.33.3.351 · Cited by 24 · see citing works
McCormick, K. M., McClement, S., & Naimark, B. J. (2005) · PubMed · Cited by 21 · see citing works
Effects of uncertainty on perceived health status in patients with atrial fibrillation
Kang, Y. (2005) · Nursing in Critical Care · doi:10.1111/j.1362-1017.2005.00100.x · Cited by 12 · see citing works
Mechanisms and clinical manifestations of supraventricular tachycardias.
Wood, K. (1995) · PubMed · Cited by 8 · see citing works
Self-citationLessor, R. G. (2000) · Sociological Perspectives · doi:10.2307/41888821 · Cited by 7 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- [20]Corbin J, Strauss A. Unending Work. San Francisco, CA: Jossey Bass; 1988. [Google Scholar]
- [39]Dunbar SB, Warner C, Purcell JA. Symptoms experienced after internal cardioverter defibrillator discharges. Heart & Lung. 1993;22:494–501. [PubMed] [Google Scholar]
Cited by
Sorted by citations
Katritsis, D. G., Boriani, G., Cosio, F. G., Hindricks, G., Jaïs, P., Josephson, M. E., Keegan, R., Kim, Y.-H., Knight, B. P., Kuck, K.-H., et al. (2017) · Europace · doi:10.1093/europace/euw301 · Cited by 188 · see citing works
Self-citationLane, D. A., Aguinaga, L., Blomström-Lundqvist, C., Boriani, G., Dan, G.-A., Hills, M. T., Hylek, E. M., LaHaye, S. A., Lip, G. Y. H., Lobban, T., et al. (2015) · Europace · doi:10.1093/europace/euv233 · Cited by 142 · see citing works
Farkowski, M. M., Pytkowski, M., Maciag, A., Golicki, D., Wood, K. A., Kowalik, I., Kuteszko, R., & Szwed, H. (2014) · Europace · doi:10.1093/europace/euu130 · Cited by 45 · see citing works
Self-citationWood, K. A., Stewart, A. L., Drew, B. J., Scheinman, M. M., & Froëlicher, E. S. (2010) · Heart & Lung · doi:10.1016/j.hrtlng.2009.04.001 · Cited by 42 · see citing works
Wood, K. A., Stewart, A. L., Drew, B. J., Scheinman, M. M., & Frolicher, E. S. (2009) · Research in Nursing & Health · doi:10.1002/nur.20347 · Cited by 31 · see citing works
Self-citation
- Authors
- Wood, K. A., Wiener, C. L., & Kayser-Jones, J.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Wood, Kathryn A.
- Venue
- European Journal of Cardiovascular Nursing
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-12
- Volume
- 6
- Issue
- 4
- Pages
- 293-302
- ISSN
- 1474-5151 (ISSN-L)
- 1873-1953
- PMC
- PMC2267208
- OpenAlex
- W2147291227
- Cited by
- 60
- References
- 50
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 5 · 2019: 7 · 2018: 3 · 2017: 3 · 2016: 4 · 2015: 6 · 2014: 4 · 2013: 2 · 2012: 5
- FWCI
- 0.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- European Journal of Cardiovascular Nursing (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Nursing Research (T32NR007088)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- supraventricular tachycardia, patient experience, illness experience, gender bias in diagnosis, women with chronic illness, symptom concealment, self-management strategies, radiofrequency ablation, illness trajectory, self-esteem, patient-provider relationship, patient education
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Aged, Aged, 80 and over, Attitude of Health Personnel, Attitude to Health, Chronic Disease, Communication, Female, Humans, Interpersonal Relations, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, San Francisco, Self Care, Self Concept, Self Disclosure, Tachycardia, Supraventricular, Nursing Methodology Research, Causality, Uncertainty, Qualitative Research
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
