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Sinus Tachycardia : a Multidisciplinary Expert Focused Review

Mayuga, Kenneth A ; Fedorowski, Artur LU orcid ; Ricci, Fabrizio LU ; Gopinathannair, Rakesh ; Dukes, Jonathan Walter ; Gibbons, Christopher ; Hanna, Peter ; Sorajja, Dan ; Chung, Mina and Benditt, David , et al. (2022) In Circulation: Arrhythmia and Electrophysiology 15(9).
Abstract

Sinus tachycardia (ST) is ubiquitous, but its presence outside of normal physiological triggers in otherwise healthy individuals remains a commonly encountered phenomenon in medical practice. In many cases, ST can be readily explained by a current medical condition that precipitates an increase in the sinus rate, but ST at rest without physiological triggers may also represent a spectrum of normal. In other cases, ST may not have an easily explainable cause but may represent serious underlying pathology and can be associated with intolerable symptoms. The classification of ST, consideration of possible etiologies, as well as the decisions of when and how to intervene can be difficult. ST can be classified as secondary to a specific,... (More)

Sinus tachycardia (ST) is ubiquitous, but its presence outside of normal physiological triggers in otherwise healthy individuals remains a commonly encountered phenomenon in medical practice. In many cases, ST can be readily explained by a current medical condition that precipitates an increase in the sinus rate, but ST at rest without physiological triggers may also represent a spectrum of normal. In other cases, ST may not have an easily explainable cause but may represent serious underlying pathology and can be associated with intolerable symptoms. The classification of ST, consideration of possible etiologies, as well as the decisions of when and how to intervene can be difficult. ST can be classified as secondary to a specific, usually treatable, medical condition (eg, pulmonary embolism, anemia, infection, or hyperthyroidism) or be related to several incompletely defined conditions (eg, inappropriate ST, postural tachycardia syndrome, mast cell disorder, or post-COVID syndrome). While cardiologists and cardiac electrophysiologists often evaluate patients with symptoms associated with persistent or paroxysmal ST, an optimal approach remains uncertain. Due to the many possible conditions associated with ST, and an overlap in medical specialists who see these patients, the inclusion of experts in different fields is essential for a more comprehensive understanding. This article is unique in that it was composed by international experts in Neurology, Psychology, Autonomic Medicine, Allergy and Immunology, Exercise Physiology, Pulmonology and Critical Care Medicine, Endocrinology, Cardiology, and Cardiac Electrophysiology in the hope that it will facilitate a more complete understanding and thereby result in the better care of patients with ST.

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publishing date
type
Contribution to journal
publication status
published
in
Circulation: Arrhythmia and Electrophysiology
volume
15
issue
9
publisher
Lippincott Williams & Wilkins
external identifiers
  • scopus:85138457562
  • pmid:36074973
ISSN
1941-3084
DOI
10.1161/CIRCEP.121.007960
language
English
LU publication?
no
id
e894a520-aa9e-4e10-9175-6ac4544f724e
date added to LUP
2022-09-09 22:33:56
date last changed
2024-04-14 17:19:04
@article{e894a520-aa9e-4e10-9175-6ac4544f724e,
  abstract     = {{<p>Sinus tachycardia (ST) is ubiquitous, but its presence outside of normal physiological triggers in otherwise healthy individuals remains a commonly encountered phenomenon in medical practice. In many cases, ST can be readily explained by a current medical condition that precipitates an increase in the sinus rate, but ST at rest without physiological triggers may also represent a spectrum of normal. In other cases, ST may not have an easily explainable cause but may represent serious underlying pathology and can be associated with intolerable symptoms. The classification of ST, consideration of possible etiologies, as well as the decisions of when and how to intervene can be difficult. ST can be classified as secondary to a specific, usually treatable, medical condition (eg, pulmonary embolism, anemia, infection, or hyperthyroidism) or be related to several incompletely defined conditions (eg, inappropriate ST, postural tachycardia syndrome, mast cell disorder, or post-COVID syndrome). While cardiologists and cardiac electrophysiologists often evaluate patients with symptoms associated with persistent or paroxysmal ST, an optimal approach remains uncertain. Due to the many possible conditions associated with ST, and an overlap in medical specialists who see these patients, the inclusion of experts in different fields is essential for a more comprehensive understanding. This article is unique in that it was composed by international experts in Neurology, Psychology, Autonomic Medicine, Allergy and Immunology, Exercise Physiology, Pulmonology and Critical Care Medicine, Endocrinology, Cardiology, and Cardiac Electrophysiology in the hope that it will facilitate a more complete understanding and thereby result in the better care of patients with ST.</p>}},
  author       = {{Mayuga, Kenneth A and Fedorowski, Artur and Ricci, Fabrizio and Gopinathannair, Rakesh and Dukes, Jonathan Walter and Gibbons, Christopher and Hanna, Peter and Sorajja, Dan and Chung, Mina and Benditt, David and Sheldon, Robert and Ayache, Mirna B and AbouAssi, Hiba and Shivkumar, Kalyanam and Grubb, Blair P and Hamdan, Mohamed H and Stavrakis, Stavros and Singh, Tamanna and Goldberger, Jeffrey J and Muldowney, James A S and Belham, Mark and Kem, David C and Akin, Cem and Bruce, Barbara K and Zahka, Nicole E and Fu, Qi and Iterson, Erik H Van and Raj, Satish R and Fouad-Tarazi, Fetnat and Goldstein, David S and Stewart, Julian and Olshansky, Brian}},
  issn         = {{1941-3084}},
  language     = {{eng}},
  month        = {{09}},
  number       = {{9}},
  publisher    = {{Lippincott Williams & Wilkins}},
  series       = {{Circulation: Arrhythmia and Electrophysiology}},
  title        = {{Sinus Tachycardia : a Multidisciplinary Expert Focused Review}},
  url          = {{http://dx.doi.org/10.1161/CIRCEP.121.007960}},
  doi          = {{10.1161/CIRCEP.121.007960}},
  volume       = {{15}},
  year         = {{2022}},
}