AVNRT history and symptoms: Difference between revisions
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{{AVNRT}} | {{AVNRT}} | ||
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==Overview== | |||
Positive symptoms AVNRT include rapid [[Palpitation|palpitations]], [[dizziness]] and rarely [[syncope]].Chest pain and [[angina]] may be present if the patient has ischemic heart failure. | |||
==History and Symptoms== | |||
The following symptoms may be present: | |||
*Sudden onset and sudden offset of rapid [[palpitations]] is common<ref name="pmid29020730">{{cite journal| author=Harskamp RE, Thole OB, Moggré I| title=Palpitations: when you hear hoof beats don't forget to think zebras. | journal=Practitioner | year= 2017 | volume= 261 | issue= 1803 | pages= 23-5 | pmid=29020730 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=29020730 }}</ref> | |||
*[[Dizziness]] and rarely [[syncope]], especially at the onset of the episode of tachycardia<ref name="CrossonHanash2010">{{cite journal|last1=Crosson|first1=JaneE|last2=Hanash|first2=CarlaR|title=Emergency diagnosis and management of pediatric arrhythmias|journal=Journal of Emergencies, Trauma, and Shock|volume=3|issue=3|year=2010|pages=251|issn=0974-2700|doi=10.4103/0974-2700.66525}}</ref> | |||
*Neck "pounding" may occur as a result of the [[right atrium]] contracting against a closed atrioventricular valve and [[Cannon a waves]]<ref name="pmid18775049">{{cite journal | author = Laurent G, Leong-Poi H, Mangat I, Korley V, Pinter A, Hu X, So PP, Ramadeen A, Dorian P | title = Influence of ventriculoatrial timing on hemodynamics and symptoms during supraventricular tachycardia | journal = [[Journal of Cardiovascular Electrophysiology]] | volume = 20 | issue = 2 | pages = 176–81 | year = 2009 | month = February | pmid = 18775049 | doi = 10.1111/j.1540-8167.2008.01276.x | url = http://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=1045-3873&date=2009&volume=20&issue=2&spage=176 | issn = | accessdate = 2012-09-05}}</ref><ref>Gursoy S, Steurer G, Brugada J, et al. Brief report: the hemodynamic mechanism of pounding in the neck in atrioventricular nodal reentrant tachycardia. N Engl J Med. Sep 10 1992;327(11):772-4.</ref> and the simultaneous occurrence of the atrial and ventricular contractions. | |||
*[[Chest pain]] and [[angina]] if the patient has [[ischemic heart disease]]<ref name="HaasenritterStanze2012">{{cite journal|last1=Haasenritter|first1=Jörg|last2=Stanze|first2=Damaris|last3=Widera|first3=Grit|last4=Wilimzig|first4=Christian|last5=Abu Hani|first5=Maren|last6=Sönnichsen|first6=Andreas C|last7=Bösner|first7=Stefan|last8=Rochon|first8=Justine|last9=Donner-Banzhoff|first9=Norbert|title=Does the patient with chest pain have a coronary heart disease? Diagnostic value of single symptoms and signs – a meta-analysis|journal=Croatian Medical Journal|volume=53|issue=5|year=2012|pages=432–441|issn=0353-9504|doi=10.3325/cmj.2012.53.432}}</ref> | |||
*[[Dyspnea]]<ref name="pmid20642099">{{cite journal| author=Lelakowski J, Rydlewska A, Kuniewicz M| title=[Atrioventricular nodal reentrant tachycardia--arrhythmias mechanism, clinical feature and electrocardiographic recordings]. | journal=Pol Merkur Lekarski | year= 2010 | volume= 28 | issue= 168 | pages= 429-37 | pmid=20642099 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20642099 }}</ref> | |||
*[[Polyuria]] can occur after the episode breaks. It has been hypothesized that this is due to the release of [[atrial natriuretic peptide]]<ref name="AbeNagatomo1997">{{cite journal|last1=Abe|first1=Haruhiko|last2=Nagatomo|first2=Toshihisa|last3=Kobayashi|first3=Hideyuki|last4=Miura|first4=Yasushi|last5=Araki|first5=Masaru|last6=Kuroiwa|first6=Akio|last7=Nakashima|first7=Yasuhide|title=Neurohumoral and Hemodynamic Mechanisms of Diuresis During Atrioventricular Nodal Reentrant Tachycardia|journal=Pacing and Clinical Electrophysiology|volume=20|issue=11|year=1997|pages=2783–2788|issn=0147-8389|doi=10.1111/j.1540-8159.1997.tb05436.x}}</ref> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[CME Category::Cardiology]] | |||
[[Category:Cardiology]] | |||
[[Category:Electrophysiology]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Intensive care medicine]] |
Latest revision as of 13:44, 17 April 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Ramyar Ghandriz MD[2]
Overview
Positive symptoms AVNRT include rapid palpitations, dizziness and rarely syncope.Chest pain and angina may be present if the patient has ischemic heart failure.
History and Symptoms
The following symptoms may be present:
- Sudden onset and sudden offset of rapid palpitations is common[1]
- Dizziness and rarely syncope, especially at the onset of the episode of tachycardia[2]
- Neck "pounding" may occur as a result of the right atrium contracting against a closed atrioventricular valve and Cannon a waves[3][4] and the simultaneous occurrence of the atrial and ventricular contractions.
- Chest pain and angina if the patient has ischemic heart disease[5]
- Dyspnea[6]
- Polyuria can occur after the episode breaks. It has been hypothesized that this is due to the release of atrial natriuretic peptide[7]
References
- ↑ Harskamp RE, Thole OB, Moggré I (2017). "Palpitations: when you hear hoof beats don't forget to think zebras". Practitioner. 261 (1803): 23–5. PMID 29020730.
- ↑ Crosson, JaneE; Hanash, CarlaR (2010). "Emergency diagnosis and management of pediatric arrhythmias". Journal of Emergencies, Trauma, and Shock. 3 (3): 251. doi:10.4103/0974-2700.66525. ISSN 0974-2700.
- ↑ Laurent G, Leong-Poi H, Mangat I, Korley V, Pinter A, Hu X, So PP, Ramadeen A, Dorian P (2009). "Influence of ventriculoatrial timing on hemodynamics and symptoms during supraventricular tachycardia". Journal of Cardiovascular Electrophysiology. 20 (2): 176–81. doi:10.1111/j.1540-8167.2008.01276.x. PMID 18775049. Retrieved 2012-09-05. Unknown parameter
|month=
ignored (help) - ↑ Gursoy S, Steurer G, Brugada J, et al. Brief report: the hemodynamic mechanism of pounding in the neck in atrioventricular nodal reentrant tachycardia. N Engl J Med. Sep 10 1992;327(11):772-4.
- ↑ Haasenritter, Jörg; Stanze, Damaris; Widera, Grit; Wilimzig, Christian; Abu Hani, Maren; Sönnichsen, Andreas C; Bösner, Stefan; Rochon, Justine; Donner-Banzhoff, Norbert (2012). "Does the patient with chest pain have a coronary heart disease? Diagnostic value of single symptoms and signs – a meta-analysis". Croatian Medical Journal. 53 (5): 432–441. doi:10.3325/cmj.2012.53.432. ISSN 0353-9504.
- ↑ Lelakowski J, Rydlewska A, Kuniewicz M (2010). "[Atrioventricular nodal reentrant tachycardia--arrhythmias mechanism, clinical feature and electrocardiographic recordings]". Pol Merkur Lekarski. 28 (168): 429–37. PMID 20642099.
- ↑ Abe, Haruhiko; Nagatomo, Toshihisa; Kobayashi, Hideyuki; Miura, Yasushi; Araki, Masaru; Kuroiwa, Akio; Nakashima, Yasuhide (1997). "Neurohumoral and Hemodynamic Mechanisms of Diuresis During Atrioventricular Nodal Reentrant Tachycardia". Pacing and Clinical Electrophysiology. 20 (11): 2783–2788. doi:10.1111/j.1540-8159.1997.tb05436.x. ISSN 0147-8389.