U.S. Emergency Department Visits for Supraventricular Tachycardia, 1993–2003

Murman, David H.; McDonald, Alden J.; Pelletier, Andrea J.; Camargo, Carlos A.

doi:10.1111/j.1553-2712.2007.tb01836.x

Cited by 15 publications

(21 citation statements)

References 4 publications

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“…Paroxysmal supraventricular tachycardia occurs frequently and is a recurrent condition that accounts for many visits to EDs (1,2). In addition, palpitations are a common symptom leading patients to seek medical attention from their family physicians (3).…”

Section: Discussionmentioning

confidence: 99%

Paroxysmal Supraventricular Tachycardia in an Octogenarian

Lutwak

Dill

2012

The Journal of Emergency Medicine

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Section: Discussionmentioning

confidence: 99%

Paroxysmal Supraventricular Tachycardia in an Octogenarian

Lutwak

Dill

2012

The Journal of Emergency Medicine

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“…Paroxysmal supraventricular tachycardia (PSVT) is an episodic presentation with a sudden onset and termination, usually occurring secondary to AV nodal re-entrant tachycardia. Epidemiologically, this rhythm disturbance occurs equally among races, twice as frequently in women, and increases with age (1,2). Frequently, it is found in those who are fatigued, and there seems to be a correlation with large consumption of coffee and alcohol, and cigarette use.…”

Section: Introductionmentioning

confidence: 88%

“…Frequently, it is found in those who are fatigued, and there seems to be a correlation with large consumption of coffee and alcohol, and cigarette use. There are an estimated 89,000 new cases per year and 570,000 persons with PSVT in the United States (1,2). Approximately 0.05% of ED visits in the United States between 1993 and 2003 were related to SVT.…”

Section: Introductionmentioning

confidence: 99%

Chemical Cardioversion of Supraventricular Tachycardia with Calcium Gluconate

Flagge

Houry

Holton

2011

The Journal of Emergency Medicine

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“…1 Its prevalence and incidence have been reported as 2.25 ⁄ 1,000 persons, and 35 ⁄ 100,000 person-years, respectively. 2 The condition results from abnormal electrical impulse conduction between the atria and ventricles, within the atrioventricular (AV) node or extranodal tissue.…”

mentioning

confidence: 99%

Recent Caffeine Ingestion Reduces Adenosine Efficacy in the Treatment of Paroxysmal Supraventricular Tachycardia

Cabalag

Taylor

Knott

et al. 2010

Academic Emergency Medicine

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Objectives: Caffeine, an adenosine receptor blocker, should theoretically reduce adenosine efficacy in the treatment of paroxysmal supraventricular tachycardia (SVT). We aimed to determine the effect of recent caffeine ingestion on the likelihood of reversion of SVT with adenosine.Methods: This was a multicenter, case-control study of adult patients with SVT treated with adenosine between September 2007 and July 2008. The primary endpoint was reversion to sinus rhythm (SR) after a 6-mg adenosine bolus, as a function of recent (within 2, 4, 6, and 8 hours) caffeine ingestion. Caffeine ingestion data were collected using a self-administered questionnaire.Results: Of 68 patients enrolled, 52 (76.5%, 95% confidence interval [CI] = 64.4% to 85.6%) reverted after a 6-mg adenosine bolus. There were no significant differences in age, sex, or daily caffeine ingestion between patients who did and did not revert (p > 0.05). However, as a group, patients who did not revert had recently ingested significantly more caffeine (p < 0.05). If caffeine had been ingested less than 2 or 4 hours before the adenosine bolus, the odds of reversion to SR were significantly reduced (odds ratio [OR] = 0.18, 95% CI = 0.04 to 0.93; and OR = 0.14, 95% CI = 0.04 to 0.49, respectively). If caffeine had been ingested less than 6 or 8 hours before the adenosine, the odds of reversion were not reduced (OR = 0.31, 95% CI = 0.09 to 1.02; and OR = 0.31, 95% CI = 0.09 to 1.08, respectively).Conclusions: Ingestion of caffeine less than 4 hours before a 6-mg adenosine bolus significantly reduces its effectiveness in the treatment of SVT. An increased initial adenosine dose may be indicated for these patients.

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U.S. Emergency Department Visits for Supraventricular Tachycardia, 1993–2003

Cited by 15 publications

References 4 publications

Paroxysmal Supraventricular Tachycardia in an Octogenarian

Paroxysmal Supraventricular Tachycardia in an Octogenarian

Chemical Cardioversion of Supraventricular Tachycardia with Calcium Gluconate

Recent Caffeine Ingestion Reduces Adenosine Efficacy in the Treatment of Paroxysmal Supraventricular Tachycardia

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