Frequency of disabling symptoms in supraventricular tachycardia
Abstract
The purposes of this study were to describe: clinical symptoms in a sample of consecutive patients with supraventricular tachycardia (SVT); incidence of sudden death, syncope, and other disabling symptoms; whether these symptoms differ by tachycardia mechanism; and to identify predictor variables of syncope in patients with SVT. Data were collected from chart reviews of 167 consecutive patients with SVT admitted for radiofrequency ablation. Three patients (2%) had nonlethal cardiac arrest, and a total of 16% (26 of 183) received at least 1 external direct-current shock for arrhythmia management. Twenty percent of subjects (33 of 167) reported at least 1 episode of syncope which was preceded by palpitations. The most frequent symptoms were: palpitations (96%), dizziness (75%), and shortness of breath (47%). We found atrioventricular nodal reentrant tachycardia (AVNRT) in 64 patients, atrioventricular-reciprocating tachycardia (AVRT) in 59, atrial tachycardia in 22, and atrial flutter in 22. The symptom profiles of patients with AVNRT, AVRT, and atrial tachycardia were very similar, but differed significantly (p <0.05) from those reported in the atrial flutter group. Multivariate analysis showed that heart rate > or = 170 beats/min was the only independent risk factor for syncope. Chi-square analysis demonstrated that SVT patients with heart rate > or = 170 beats/min had significantly more dizziness and syncope. Thus, despite a low incidence of associated heart disease, and good left ventricular function, there was a high frequency of disabling, potentially life-threatening symptoms associated with episodes of SVT in this sample. SVT can have potentially lethal consequences, and is more disruptive than previously thought.
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Syncope may be present in up to 20% of patients presenting with a narrow QRS complex tachycardia.
“Syncope may be present in up to 20% of patients presenting with a narrow QRS complex tachycardia.16”
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 [16]
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 [16]
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 [16]
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- Authors
- Wood, K. A., Drew, B. J., & Scheinman, M. M.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Scheinman, Melvin M.
- Venue
- The American Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 1997-01
- Volume
- 79
- Issue
- 2
- Pages
- 145-149
- ISSN
- 0002-9149 (ISSN-L)
- OpenAlex
- W2019390985
- Cited by
- 104
- References
- 25
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 4 · 2023: 5 · 2022: 4 · 2021: 4 · 2020: 8 · 2019: 1 · 2018: 7 · 2017: 4 · 2016: 6 · 2015: 5 · 2014: 5 · 2013: 4 · 2012: 3
- FWCI
- 0.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Surgery › Cardiovascular Syncope and Autonomic Disorders
- Keywords
- supraventricular tachycardia, syncope, palpitations, atrioventricular nodal reentrant tachycardia, atrioventricular reciprocating tachycardia, atrial flutter, atrial tachycardia, heart rate, dizziness, sudden cardiac death, risk factors
- MeSH terms
- Adult, Arrhythmias, Cardiac, Atrial Flutter, Dizziness, Dyspnea, Electric Countershock, Female, Forecasting, Heart Arrest, Heart Diseases, Heart Rate, Humans, Male, Middle Aged, Retrospective Studies, Risk Factors, Syncope, Tachycardia, Tachycardia, Atrioventricular Nodal Reentry, Tachycardia, Paroxysmal, Tachycardia, Supraventricular, Incidence, Multivariate Analysis, Ventricular Function, Left, Death, Sudden, Cardiac, Catheter Ablation
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