Arrhythmias in Patients With Pulmonary Hypertension; A Narrative Review of the Current Literature
Incidence and prognostic relevance of supraventricular arrhythmias were evaluated in nine studies. These studies investigated patients with different forms of pulmonary hypertension. Supraventricular arrhythmias were more often found in patients with group two pulmonary hypertension. Common findings...
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| Format: | Article |
| Language: | English |
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Baqiyatallah University of Medical Sciences
2018-04-01
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| Series: | Hospital Practices and Research |
| Subjects: | |
| Online Access: | http://www.jhpr.ir/article_60534_2f70f67355c0e63f29a74848a915cad0.pdf |
| _version_ | 1819261709189120000 |
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| author | Dirk Bandorski Reinhard Hoeltgen |
| author_facet | Dirk Bandorski Reinhard Hoeltgen |
| author_sort | Dirk Bandorski |
| collection | DOAJ |
| description | Incidence and prognostic relevance of supraventricular arrhythmias were evaluated in nine studies. These studies investigated patients with different forms of pulmonary hypertension. Supraventricular arrhythmias were more often found in patients with group two pulmonary hypertension. Common findings in these patients were elevated right atrial pressure and diameters and reduced tricuspid annular plane systolic excursion (TAPSE). Elevations in other parameters like systolic pulmonary arterial pressure, mean pulmonary arterial pressure, and pulmonary vascular resistance (PVR) were inconsistent. Most of the patients with arrhythmias suffered symptoms and improved after sinus rhythm (SR) was restored. The prognostic relevance of non-sustained ventricular tachycardia was evaluated in only one study. Non-sustained ventricular tachycardia does not seem to be prognostically relevant. Extending Holter electrocardiogram (ECG) monitoring over 24 hours up to 72 hours raises the detection rate of arrhythmias. Ablation of arrhythmias, especially atrial flutter and atrioventricular node reentry tachycardia, is feasible and safe in these patients. |
| first_indexed | 2024-12-23T19:46:06Z |
| format | Article |
| id | doaj.art-407cce9a0d5a481f8a0026210492bcc4 |
| institution | Directory Open Access Journal |
| issn | 2476-390X 2476-3918 |
| language | English |
| last_indexed | 2024-12-23T19:46:06Z |
| publishDate | 2018-04-01 |
| publisher | Baqiyatallah University of Medical Sciences |
| record_format | Article |
| series | Hospital Practices and Research |
| spelling | doaj.art-407cce9a0d5a481f8a0026210492bcc42022-12-21T17:33:31ZengBaqiyatallah University of Medical SciencesHospital Practices and Research2476-390X2476-39182018-04-0132374310.15171/hpr.2018.0960534Arrhythmias in Patients With Pulmonary Hypertension; A Narrative Review of the Current LiteratureDirk Bandorski0Reinhard Hoeltgen1University of Giessen and Marburg Lung Center (UGMLC), member of the German Center for Lung Research (DZL), Klinikstrasse 33, 35392 Giessen, GermanyKlinikum Westmünsterland, St. Agnes-Hospital Bocholt Rhede, Medical Clinic 1 – Cardiology/Electrophysiology, Barloer Weg 125, 46397 Bocholt, GermanyIncidence and prognostic relevance of supraventricular arrhythmias were evaluated in nine studies. These studies investigated patients with different forms of pulmonary hypertension. Supraventricular arrhythmias were more often found in patients with group two pulmonary hypertension. Common findings in these patients were elevated right atrial pressure and diameters and reduced tricuspid annular plane systolic excursion (TAPSE). Elevations in other parameters like systolic pulmonary arterial pressure, mean pulmonary arterial pressure, and pulmonary vascular resistance (PVR) were inconsistent. Most of the patients with arrhythmias suffered symptoms and improved after sinus rhythm (SR) was restored. The prognostic relevance of non-sustained ventricular tachycardia was evaluated in only one study. Non-sustained ventricular tachycardia does not seem to be prognostically relevant. Extending Holter electrocardiogram (ECG) monitoring over 24 hours up to 72 hours raises the detection rate of arrhythmias. Ablation of arrhythmias, especially atrial flutter and atrioventricular node reentry tachycardia, is feasible and safe in these patients.http://www.jhpr.ir/article_60534_2f70f67355c0e63f29a74848a915cad0.pdfPulmonary HypertensionArrhythmiasAtrial FlutterAtrial FibrillationPrognostic Relevance |
| spellingShingle | Dirk Bandorski Reinhard Hoeltgen Arrhythmias in Patients With Pulmonary Hypertension; A Narrative Review of the Current Literature Hospital Practices and Research Pulmonary Hypertension Arrhythmias Atrial Flutter Atrial Fibrillation Prognostic Relevance |
| title | Arrhythmias in Patients With Pulmonary Hypertension; A Narrative Review of the Current Literature |
| title_full | Arrhythmias in Patients With Pulmonary Hypertension; A Narrative Review of the Current Literature |
| title_fullStr | Arrhythmias in Patients With Pulmonary Hypertension; A Narrative Review of the Current Literature |
| title_full_unstemmed | Arrhythmias in Patients With Pulmonary Hypertension; A Narrative Review of the Current Literature |
| title_short | Arrhythmias in Patients With Pulmonary Hypertension; A Narrative Review of the Current Literature |
| title_sort | arrhythmias in patients with pulmonary hypertension a narrative review of the current literature |
| topic | Pulmonary Hypertension Arrhythmias Atrial Flutter Atrial Fibrillation Prognostic Relevance |
| url | http://www.jhpr.ir/article_60534_2f70f67355c0e63f29a74848a915cad0.pdf |
| work_keys_str_mv | AT dirkbandorski arrhythmiasinpatientswithpulmonaryhypertensionanarrativereviewofthecurrentliterature AT reinhardhoeltgen arrhythmiasinpatientswithpulmonaryhypertensionanarrativereviewofthecurrentliterature |