AVNRT history and symptoms
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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.