Paroxysmal supraventricular tachycardia: A tale of palpitations and neglect in an elderly woman
Palpitations in the elderly are mostly of cardiac origin. Atrial fibrillation is the most common arrhythmia in the elderly, whereas paroxysmal supraventricular tachyarrhythmias are uncommon. Here, we describe the case of an elderly woman who presented with paroxysms of palpitations of 15-year durati...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of the Indian Academy of Geriatrics |
| Subjects: | |
| Online Access: | http://www.jiag.in//article.asp?issn=0974-3405;year=2023;volume=19;issue=2;spage=128;epage=130;aulast=Kumar |
| _version_ | 1797645652009680896 |
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| author | Amit Kumar Gaurav Sharma Indrajeet Singh Gambhir Umesh Kumar Pandey Sankha Shubhra Chakrabarti |
| author_facet | Amit Kumar Gaurav Sharma Indrajeet Singh Gambhir Umesh Kumar Pandey Sankha Shubhra Chakrabarti |
| author_sort | Amit Kumar |
| collection | DOAJ |
| description | Palpitations in the elderly are mostly of cardiac origin. Atrial fibrillation is the most common arrhythmia in the elderly, whereas paroxysmal supraventricular tachyarrhythmias are uncommon. Here, we describe the case of an elderly woman who presented with paroxysms of palpitations of 15-year duration and who had been undiagnosed till presenting to our geriatric service. The patient was diagnosed to have a slow–fast type (typical) atrioventricular nodal reentrant tachycardia which was successfully managed with ablation of the slow pathway. The long symptomatic period when the patient remained undiagnosed due to neglect is a notable feature of our case. The case also highlights the unified protocol for the management of narrow complex regular tachyarrhythmias and the definitive role of ablation even in elderly patients. |
| first_indexed | 2024-03-11T14:49:55Z |
| format | Article |
| id | doaj.art-8d0258af227c44f586ae10bba9748e15 |
| institution | Directory Open Access Journal |
| issn | 0974-3405 0974-2484 |
| language | English |
| last_indexed | 2024-03-11T14:49:55Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of the Indian Academy of Geriatrics |
| spelling | doaj.art-8d0258af227c44f586ae10bba9748e152023-10-30T10:03:30ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Geriatrics0974-34050974-24842023-01-0119212813010.4103/jiag.jiag_24_23Paroxysmal supraventricular tachycardia: A tale of palpitations and neglect in an elderly womanAmit KumarGaurav SharmaIndrajeet Singh GambhirUmesh Kumar PandeySankha Shubhra ChakrabartiPalpitations in the elderly are mostly of cardiac origin. Atrial fibrillation is the most common arrhythmia in the elderly, whereas paroxysmal supraventricular tachyarrhythmias are uncommon. Here, we describe the case of an elderly woman who presented with paroxysms of palpitations of 15-year duration and who had been undiagnosed till presenting to our geriatric service. The patient was diagnosed to have a slow–fast type (typical) atrioventricular nodal reentrant tachycardia which was successfully managed with ablation of the slow pathway. The long symptomatic period when the patient remained undiagnosed due to neglect is a notable feature of our case. The case also highlights the unified protocol for the management of narrow complex regular tachyarrhythmias and the definitive role of ablation even in elderly patients.http://www.jiag.in//article.asp?issn=0974-3405;year=2023;volume=19;issue=2;spage=128;epage=130;aulast=Kumarablationadenosineatrioventricular nodal reentrant tachycardianarrow complexslow-fast |
| spellingShingle | Amit Kumar Gaurav Sharma Indrajeet Singh Gambhir Umesh Kumar Pandey Sankha Shubhra Chakrabarti Paroxysmal supraventricular tachycardia: A tale of palpitations and neglect in an elderly woman Journal of the Indian Academy of Geriatrics ablation adenosine atrioventricular nodal reentrant tachycardia narrow complex slow-fast |
| title | Paroxysmal supraventricular tachycardia: A tale of palpitations and neglect in an elderly woman |
| title_full | Paroxysmal supraventricular tachycardia: A tale of palpitations and neglect in an elderly woman |
| title_fullStr | Paroxysmal supraventricular tachycardia: A tale of palpitations and neglect in an elderly woman |
| title_full_unstemmed | Paroxysmal supraventricular tachycardia: A tale of palpitations and neglect in an elderly woman |
| title_short | Paroxysmal supraventricular tachycardia: A tale of palpitations and neglect in an elderly woman |
| title_sort | paroxysmal supraventricular tachycardia a tale of palpitations and neglect in an elderly woman |
| topic | ablation adenosine atrioventricular nodal reentrant tachycardia narrow complex slow-fast |
| url | http://www.jiag.in//article.asp?issn=0974-3405;year=2023;volume=19;issue=2;spage=128;epage=130;aulast=Kumar |
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