A Case of Paroxysmal Supraventricular Tachycardia Clinical and Electrocardiographic Appraisal
Abstract
Paroxysmal supraventricular tachycardia refers to a clinical syndrome characterized by rapid regular tachycardia with abrupt onset and termination which originates from or conducts through the atria or atrio-ventricular node. (1) We report 40- year- old male patient who underwent mitral valve replacement for rheumatic heart disease severe mitral stenosis with St Jude’s Valve who presented with recurrent palpitations. Systematic clinical and electrocardiographic analysis aids in precise non- invasive diagnosis prior to detailed electrophysiological studies.
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Diagnosis and Management of Paroxysmal Supraventricular Tachycardia, Gary Peng, MD, PhD; Paul C. Zei, MD, PhD, JAMA, February 20, 2024; Vol.331(7):601-610
Braunwald’s Heart Disease A Textbook of Cardiovascular Medicine Twelfth Edition, 2022 Elsevier inc.;65: 1245-1271
Marriott’s practical Electrocardiography, Galen S. Wagner ninth edition, 1994, B.I. Waverly Pvt Ltd; 16: 294-307
Differentiation of Anterior Tricuspid Annular Atrial Tachycardia from Slow-Fast AV Node Re-entry: The Confounding Effect of First-Degree AV Nodal Block, Seth J.Lessner, MD, Steven M. Markowitz, James IP, MD, Chris Liu, MD, Jim Cheung, MD, George Thomas, MD and Bruce B. Lerman, MD; The Journal of Innovations in Cardiac Rhythm Management, 3(2012), 796-802.
The disorders of cardiac rhythm, Leo Schamroth, Blackwell Scientific Publications; 1971; 12: 45-48
Differential Diagnosis of Tachycardia with Narrow QRS Complex (shorter than 0.12 second). Frits W. Bar, MD, Pedro Brugada, MD, Willem R.M. Dassen, PhD, and Hein J.J. Wellens, MD; Am J Cardiol 1984; 555-56
A Primer of Medicine, M. H. Pappworth M.D., M.R.C.P , Second edition 1963, Butterworth & Co; 4:73-76
Differentiation of Paroxysmal Narrow QRS Complex Tachycardias using the 12-Lead Electrocardiogram, Steven J. Kalbfleish, MD, et al, Jacc Vol.21.No 1 January 1993:85-9
Repetitive Paroxysmal Tachycardia, John Parkinson and Cornelio Papp, British heart journal October 1947;241-249
The Unity of Paroxysmal Tachycardia and Auricular Flutter; William Evans, British Heart Journal October 1944; 221-237
Paroxysmal Tachycardia; Etiology and Prognosis of One Hundred Cases; Maurice Campbell and G. A. Elliott, British heart journal April 1939; 123-160
Differentiation of Narrow QRS complex Tachycardia Types Using the 12-lead Electrocardiogram, Izzet Erdinler, M.D., et al., A.N.E.2002;7(2):120-126
The Value of the Electrocardiogram in diagnosing site of origin and mechanism of supraventricular Tachycardia, J. Farre and H.J.J. Wellens, Chapter 9, What’s New in electrocardiography, 1981
The value of the ECG in the diagnosis of Supraventricular Tachycardias. H.J.J. Wellens; European Heart Journal (1996) 17(Supplement C), 10-20
Differential Diagnosis of Supraventricular Tachycardia. Mark E. Josephson, MD and Hein J.J. Wellens, MD, Cardiology clinics- Vol 8, No 3, August 1990
ECG Diagnosis of Paroxysmal Supraventricular Tachycardias in Patients without Preexcitation. Esteban Gonzalez-Torrecilla, M.D., Ph.D., Angel Arenal, M.D., Felipe Atienza, M.D., Ph.D., Tomas Datino, M.D., Ph.D., Leonardo F. Atea, M.D.,David Calvo, M.D., Marta Pachon,M.D.,Ph.D., Leonardo F.Atea, M.D., and Francisco Fernandez-Aviles, M.D., Ph.D.; Ann Noninvasive Electrocardiol 2011;16(1):85-95
Supraventricular tachycardia ECG diagnosis and anatomy. O. A. Obel and A. J. Camm, European Heart Journal (1997) 18 (supplement C), C2-C11
Bedside Cardiac Diagnosis Henry J. L. Marriott, J.B. Lippincott Company 1993; chapter 40:270
Use of P Wave Configuration During Atrial Tachycardia to Predict the Site of Origin; Chris W. Tang et al; JACC Vol. 26, No, 5 November 1, 1995: 1315-214
Carotid Sinus massage for diagnosis in narrow QRS tachycardia, I.R. Henkens. K. Zeppenfeld A. D. Hauer; Neth Heart J (2015)23:453-454
The Carotid Sinus Clinical value of its Stimulation by Bernard Lown, M.D., and Samuel A. Levine, M.D., Ahajournals.org, November 20,2024
Wenckebach during Supraventricular Tachycardia, Duy Thai Nguyen, MD, Melvin Scheinman, MD, Jeffrey Olgin, MD and Nitish Badhwar, MBBS; Circulation: Arrhythmia and Electrophysiology Volume 3, Issue 6: 671-673
Atrial tachycardia with Wenckebach atrioventricular conduction mechanism: what is the origin of the beat following the pause? Vincenzo Carbone, M.D, et al., Heart rhythm, Vol 13, No 1, January 2016; 321-323
The Electrocardiographic Footprints of Wenckebach block, Harry G Mond MD, PhD, FRACP, FACC, FCSANZ; et al Heart, Lung and circulation; Vol26, Issue 12, P1252-1266; Dec 2017
Clinical Approach to Atrial Tachycardia and Atrial flutter from an Understanding of the Mechanisms. Electrophysiology based on Anatomy; Francisco Garcia-Cosio et al, Rev Esp Cardiol, 2012;65(4):363-375
