The impact of supraventricular tachycardias on driving ability in patients referred for radiofrequency catheter ablation
Open accessAbstract
AIM: The aim of the present study was to evaluate the occurrence of arrhythmia-related symptoms in patients with supraventricular tachycardia (SVT) referred for radiofrequency catheter ablation (RF ablation) with special focus on driving ability. METHODS AND RESULTS: Of the 301 patients referred for RF ablation between November 1998 and December 2000 due to SVT 226 were active drivers. The present study is an interview study with structured questions. Hemodynamic symptoms were frequently encountered during tachycardia. The symptoms occurred irrespective of driving. In the 226 active drivers, fatigue was reported in 77%, dizziness in 47%, breaking into a cold sweat in 52%, near-syncope in 50%, and syncope in 14%. Women experienced all symptoms more frequently than men: fatigue (P < 0.05), dizziness (P < 0.01), cold sweat (P < 0.05), near-syncope (P < 0.001), and syncope (P < 0.01). Fifty-seven percent of the patients had experienced tachycardia while driving, and 42% of those patients had to stop because of it. Twenty-four of all patients considered their tachycardia as an obstacle to driving. There was a significant correlation (P < 0.001) between having experienced near-syncope and considering the risk for tachycardia as an obstacle. CONCLUSIONS: SVT frequently occurs during driving and is often associated with hemodynamic symptoms including near-syncope and syncope. Women reported tachycardia-related hemodynamic symptoms more often than men. There is a correlation between having experienced near-syncope and considering tachycardia as an obstacle to driving. The risk for serious tachycardia-related symptoms should be considered, especially in occupational drivers.
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Consequently, patients with supraventricular tachycardia may restrict normal daily and leisure activities and may be unable to initiate or continue certain high-risk occupations or drive, all of which can adversely affect quality of life.
“Consequently, patients with SVT may restrict their normal daily and leisure activities (social events, sports, and sexual relationships), 16,419 and may be unable to initiate or continue certain 'high-risk' occupations (flying, competitive athletics etc.) 1,2,419 or drive, 422,423 all of which can adversely affect a patient's QoL.”
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 [422]
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 [422]
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- Authors
- WALFRIDSSON, U., & WALFRIDSSON, H.
- Affiliations
- Linköping University Hospital (SE)
- Corresponding author
- WALFRIDSSON, ULLA
- Venue
- Pacing and Clinical Electrophysiology
- Publisher
- Wiley
- Published
- 2005-02-25
- Volume
- 28
- Issue
- 3
- Pages
- 191-195
- ISSN
- 0147-8389 (ISSN-L)
- 1540-8159
- OpenAlex
- W2086000932
- Cited by
- 39
- References
- 13
- Citations by year
- 2025: 1 · 2023: 1 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 3 · 2015: 9 · 2014: 1 · 2013: 2 · 2012: 3
- FWCI
- 0.46
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Pacing and Clinical Electrophysiology (publishedVersion)
- PubMed (publishedVersion)
- 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 › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Keywords
- supraventricular tachycardia, driving ability, radiofrequency catheter ablation, syncope, presyncope, fatigue, dizziness, sex differences, professional drivers
- MeSH terms
- Adult, Automobile Driving, Female, Humans, Interviews as Topic, Male, Quality of Life, Syncope, Tachycardia, Supraventricular, Chi-Square Distribution, Catheter Ablation, Statistics, Nonparametric
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