Inappropriate sinus tachycardia (IST) is an incompletely understood condition associating unexpectedly fast sinus rates and debilitating symptoms whose management by sinus node modification/ablation demonstrated limited long-term success. We report about a case of IST who underwent two RF procedures using high density mapping system, highlighting some possibly specific features and discussing p...

We describe the electrocardiographic changes during everyday activities recorded by ambulatory electrocardiographic monitoring in 67 patients with neurocirculatory asthenia. The findings were compared with the results of ambulatory monitoring in 33 healthy controls. We observed episodes of sinus tachycardia > 120/min unrelated to effort in 60 of the patients, 35 had frequent episodes of pronoun...

A 56-year-old male with a history of hypertension and coronary disease was admitted after complaining of mild shortness of breath and palpitations. He had undergone coronary bypass surgery 4 years prior to admission and had been followed regularly by his physicians. His resting heart rate at his last office visit B6 months before was 58/min and his hypertensive regimen, consisting of lisinopril...

RESULTS A total of 153 patients were included. Their mean age was 35.18 10.02 years, and 139 (90.8%) were female. All patients had failed to respond to maximum tolerated doses of pharmacological therapy (3.5 2.4 drugs). Mean baseline heart rates averaged 101.3 16.4 beats/min according to electrocardiography and 104.5 13.5 beats/min according to 24-h Holter monitoring. Two electrophysiological s...

BACKGROUND During a 2.9-year period, 11 patients developed polymorphous ventricular tachycardia 1-13 days after acute anterior (seven patients) or inferior (four patients) myocardial infarction. None of the 11 patients had sinus bradycardia (mean heart rate, 90 +/- 23 beats/min), but three had a sinus pause immediately before the onset of polymorphous ventricular tachycardia. In all 11 patients...

Ventricular tachycardia is a dangerous form of arrhythmia, and is usually a manifestation of serious heart disease, either acute ischaemia, severe heart failure, myocarditis, or sometimes drug intoxication , especially digitalis. Treatment is only rarely based on aetiology. The most effective therapy has been found to be electrical conversion (Lown et al. therefore it is often compulsory to rep...