Inappropriate sinus tachycardia – cardiac syndrome or anxiety related disorder?
Introduction: Inappropriate sinus tachycardia is generally defined as an elevated resting heart rate (>90–100 bpm) with an exaggerated response to physical or emotional stress and a clearly sinus mechanism which is not secondary to a diagnosed somatic disease. Anxiety, a significant risk factor...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Medical Communications Sp. z o.o.
2016-09-01
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| Series: | Psychiatria i Psychologia Kliniczna |
| Subjects: | |
| Online Access: | http://www.psychiatria.com.pl/index.php/wydawnictwa/2016-vol-16-no-3/inappropriate-sinus-tachycardia-cardiac-syndrome-or-anxiety-related-disorder?aid=592 |
| Summary: | Introduction: Inappropriate sinus tachycardia is generally defined as an elevated resting heart rate (>90–100 bpm) with an
exaggerated response to physical or emotional stress and a clearly sinus mechanism which is not secondary to a diagnosed
somatic disease. Anxiety, a significant risk factor for cardiovascular disease, is recently recognized as a crucial issue in younger and older adults, with a causal relation to other risk factors, such as depression, substance use, overweight, sleep
difficulties, or a sedentary life style. The aim of the study was to evaluate a possible relation between the level of anxiety,
control of emotions in patients with manifestation of inappropriate sinus tachycardia and diagnosis of this syndrome.
Material and methods: The study included 33 female patients with inappropriate sinus tachycardia (age range 31.8 ± 8.72)
and 33 women (28.7 ± 4.4) without any cardiac diseases. The diagnosis of inappropriate sinus tachycardia was given by
a cardiologist during hospitalisation of the patients in the 2nd Department of Cardiology and Department of Electrocardiology,
Medical University of Lodz, Lodz, Poland. For psychological assessment the State-Trait Anxiety Inventory and Courtauld
Emotional Control Scale both self-report, paper and pencil inventories were used. Results: A statistically significant
difference was found between the group of women with inappropriate sinus tachycardia and the group of healthy women
regarding the Anxiety-Trait. The results of the study have shown no other statistically significant differences between tested
groups. Conclusions: Inappropriate sinus tachycardia is related to increased anxiety. More clinical trials are needed to
confirm its psychogenic basis. |
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| ISSN: | 1644-6313 2451-0645 |