scholarly journals Our experience in the diagnosis and treatment of Postural orthostatic tachycardia syndrome, vasovagal syncope and inappropriate sinus tachycardia in children

2017 ◽  
Author(s):  
Sezen Ugan Atik
Keyword(s):  
Sinus Tachycardia ◽  
Vasovagal Syncope ◽  
Diagnosis And Treatment ◽  
Postural Orthostatic Tachycardia Syndrome ◽  
Inappropriate Sinus Tachycardia

scholarly journals Management of Postural Tachycardia Syndrome, Inappropriate Sinus Tachycardia and Vasovagal Syncope

2016 ◽  
Vol 5 (2) ◽  
pp. 122 ◽  
Author(s):  
Satish Raj ◽  
Robert Sheldon ◽  
◽  
Keyword(s):  
Sinus Tachycardia ◽  
Consensus Statement ◽  
Vasovagal Syncope ◽  
Heart Rhythm ◽  
Diagnosis And Treatment ◽  
Postural Tachycardia Syndrome ◽  
Significant Morbidity ◽  
Inappropriate Sinus Tachycardia ◽  
Postural Tachycardia ◽  
Clinical Syndromes

Postural tachycardia syndrome (POTS), inappropriate sinus tachycardia (IST) and vasovagal syncope (VVS) are relatively common clinical syndromes that are seen by physicians in several disciplines. They are often not well recognised and are poorly understood by physicians, are associated with significant morbidity and cause significant frustration for both patients and their physicians. The2015 Heart Rhythm Society Expert Consensus Statement on the Diagnosis and Treatment of Postural Tachycardia Syndrome, Inappropriate Sinus Tachycardia and Vasovagal Syncopeprovides physicians with an introduction to these disorders and initial recommendations on their investigation and treatment. Here we summarise the consensus statement to help physicians in the management of patients with these frequently distressing problems

NORMOCARDIA – CORRECT HEART RHYTHM

2020 ◽  
Vol 2 (55) ◽  
pp. 34-38
Author(s):  
Przemysław Mitkowski
Keyword(s):  
Sinus Tachycardia ◽  
Heart Rhythm ◽  
Postural Orthostatic Tachycardia Syndrome ◽  
Inappropriate Sinus Tachycardia ◽  
P Waves ◽  
Sinus Rate ◽  
Pr Interval ◽  
Esc Guidelines ◽  
The Difference ◽  
Rate Limit

Sinus rhythm is diagnosed based on 12-lead ecg recording. Diagnostic criteria are as follows: positive P waves in limb lead I and II and negative in aVR; PR interval of at least 120 ms; the difference of consecutive P-P interval should be less than 120 ms. A sinus rate limit is between 50-100/min. Numerous factors: physiologic, pathologic, medications, drugs and stimulants could increase sinus rate. Sinus tachycardia is also observed in inappropriate sinus tachycardia and postural orthostatic tachycardia syndrome. ESC guidelines related to latter two syndrome are summarized.

Sinus node-related tachycardias: physiological sinus tachycardia, inappropriate sinus tachycardia, sinus node reentrant tachycardia, and postural orthostatic tachycardia syndrome

ESC CardioMed ◽  
2018 ◽  
pp. 2066-2069
Author(s):  
Brian Olshansky
Keyword(s):  
Sinus Tachycardia ◽  
Clinical Presentation ◽  
Sinus Node ◽  
Postural Orthostatic Tachycardia Syndrome ◽  
Reentrant Tachycardia ◽  
Inappropriate Sinus Tachycardia ◽  
Different Types

This chapter describes the different types of sinus tachycardias and an approach to evaluate and treat these sinus tachycardias based on the clinical presentation and on recent guidelines and consensus documents.

scholarly journals Sinus node sparing novel hybrid approach for treatment of inappropriate sinus tachycardia/postural sinus tachycardia: multicenter experience

2021 ◽  
Author(s):  
Carlo de Asmundis ◽  
Gian-Battista Chierchia ◽  
Dhanunjaya Lakkireddy ◽  
Ahmed Romeya ◽  
Eric Okum ◽  
...  
Keyword(s):  
Complete Resolution ◽  
Sinus Tachycardia ◽  
Sinus Node ◽  
Postural Orthostatic Tachycardia Syndrome ◽  
Drug Resistant ◽  
3D Mapping ◽  
Inappropriate Sinus Tachycardia ◽  
Invasive Approach ◽  
Chronotropic Response

Abstract Background The ideal treatment of inappropriate sinus tachycardia (IST) and postural orthostatic tachycardia syndrome (POTS) still needs to be defined. Medical treatments yield suboptimal results. Endocardial catheter ablation of the sinus node (SN) may risk phrenic nerve damage and open-heart surgery may be accompanied by unjustified invasive risks. Methods We describe our first multicenter experience of 255 consecutive patients (235 females, 25.94 ± 3.84 years) having undergone a novel SN sparing hybrid thoracoscopic ablation for drug-resistant IST (n = 204, 80%) or POTS (n = 51, 20%). As previously described, the SN was identified with 3D mapping. Surgery was performed through three 5-mm ports from the right side. A minimally invasive approach with a bipolar radiofrequency clamp was used to ablate targeted areas while sparing the SN region. The targeted areas included isolation of the superior and the inferior caval veins, and a crista terminalis line was made. All lines were interconnected. Results Normal sinus rhythm (SR) was restored in all patients at the end of the procedure. All patients discontinued medication during the follow-up. After a blanking period of 6 months, all patients presented stable SR. At a mean of 4.07 ± 1.8 years, normal SN reduction and chronotropic response to exercise were present. In the 51 patients initially diagnosed with POTS, no syncope occurred. During follow-up, pericarditis was the most common complication (121 patients: 47%), with complete resolution in all cases. Pneumothorax was observed in 5 patients (1.9%), only 3 (1.1%) required surgical drainage. Five patients (1.9%) required a dual-chamber pacemaker due to sinus arrest > 5 s. Conclusions Preliminary results of this multicenter experience with a novel SN sparing hybrid ablation of IST/POTS, using surgical thoracoscopic video-assisted epicardial ablation combined with simultaneous endocardial 3D mapping may prove to be an efficient and safe therapeutic option in patients with symptomatic drug-resistant IST and POTS. Importantly, in our study, all patients had a complete resolution of the symptoms and restored normal SN activity.

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