AVNRT history and symptoms: Difference between revisions
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{{AVNRT}} | {{AVNRT}} | ||
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==Overview== | ==Overview== | ||
==History and Symptoms== | |||
The following symptoms may be present: | The following symptoms may be present: | ||
*Sudden onset and sudden offset of rapid [[palpitations]] is common | *Sudden onset and sudden offset of rapid [[palpitations]] is common | ||
Revision as of 01:41, 16 April 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Ramyar Ghandriz MD[2]
Overview
History and Symptoms
The following symptoms may be present:
- Sudden onset and sudden offset of rapid palpitations is common
- Dizziness and rarely syncope, especially at the onset of the episode of tachycardia
- Neck "pounding" may occur as a result of the right atrium contracting against a closed atrioventricular valve and Cannon a waves[1][2] and the simultaneous occurrence of the atrial and ventricular contractions.
- Chest pain and angina if the patient has ischemic heart disease
- Dyspnea
- Polyuria can occur after the episode breaks. It has been hypothesized that this is due to the release of atrial natriuretic peptide
References
- ↑ 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.