A young female patient with recurrent paroxysms of inappropriate sinus tachycardia

Tachycardia is one of the most common presentations in medical practice. In most cases, it could be attributed to emotional problems, anemia, or thyroid disorders. A 16-year-old female visited primary care clinics with the complaints of palpitation for years and initially diagnosed as a case of anxi...

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Bibliographic Details
Published in:Journal of family medicine and primary care 2019-11, Vol.8 (11), p.3736-3738
Main Author: Amin, Hussein
Format: Article
Language:English
Subjects:
Anemia
Atrial fibrillation
Case Report
Electrocardiography
electrophysiological study
Fibrillation
inappropriate sinus tachycardia
Ivabradine
Medical practice
pre-excitation syndrome
Public relations
Supraventricular tachycardia
Tachycardia
Thyroid diseases
Wolff-Parkinson-White syndrome
Women's health
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Summary:Tachycardia is one of the most common presentations in medical practice. In most cases, it could be attributed to emotional problems, anemia, or thyroid disorders. A 16-year-old female visited primary care clinics with the complaints of palpitation for years and initially diagnosed as a case of anxiety or stress. Her condition worsened and became more symptomatic over the last few months for which investigations were done. A provisional diagnosis of pre-excitation syndrome, Lown-Ganong-Syndrome, was made. This was based on short PR interval in ECG and an attack of supraventricular tachycardia and another attack of brief atrial fibrillation in addition to the family history of her mother of having pre-excitation abnormality. She was sent to electrophysiological study where no concealed accessory pathway was confirmed, and the diagnosis of inappropriate sinus tachycardia was the final diagnosis and medical treatment was initiated.
ISSN:2249-4863
2278-7135
DOI:10.4103/jfmpc.jfmpc_793_19