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Inappropriate sinus tachycardia

MedGen UID:
363485
•Concept ID:
C1881170
•
Disease or Syndrome
SNOMED CT: Inappropriate sinus tachycardia (425582007)
 
HPO: HP:0040182

Definition

Inappropriate sinus tachycardia is a nonparoxysmal tachyarrhythmia characterized by an increased resting heart rate (HR) and/or an exaggerated HR response to minimal exertion or a change in body posture. HR is constantly above the physiological range with no appropriate relation to metabolic or physiological demands. [from HPO]

Professional guidelines

PubMed

Inappropriate Sinus Tachycardia: Etiology, Pathophysiology, and Management: JACC Review Topic of the Week.
Ahmed A, Pothineni NVK, Charate R, Garg J, Elbey M, de Asmundis C, LaMeir M, Romeya A, Shivamurthy P, Olshansky B, Russo A, Gopinathannair R, Lakkireddy D
J Am Coll Cardiol 2022 Jun 21;79(24):2450-2462. doi: 10.1016/j.jacc.2022.04.019. PMID: 35710196
Treatment for Inappropriate Sinus Tachycardia.
Salazar Adum JP, Arora R
Am J Ther 2017 Sep/Oct;24(5):e574-e578. doi: 10.1097/MJT.0000000000000335. PMID: 26381365
2015 heart rhythm society expert consensus statement on the diagnosis and treatment of postural tachycardia syndrome, inappropriate sinus tachycardia, and vasovagal syncope.
Sheldon RS, Grubb BP 2nd, Olshansky B, Shen WK, Calkins H, Brignole M, Raj SR, Krahn AD, Morillo CA, Stewart JM, Sutton R, Sandroni P, Friday KJ, Hachul DT, Cohen MI, Lau DH, Mayuga KA, Moak JP, Sandhu RK, Kanjwal K
Heart Rhythm 2015 Jun;12(6):e41-63. Epub 2015 May 14 doi: 10.1016/j.hrthm.2015.03.029. PMID: 25980576Free PMC Article

Recent clinical studies

Etiology

Inappropriate Sinus Tachycardia: Etiology, Pathophysiology, and Management: JACC Review Topic of the Week.
Ahmed A, Pothineni NVK, Charate R, Garg J, Elbey M, de Asmundis C, LaMeir M, Romeya A, Shivamurthy P, Olshansky B, Russo A, Gopinathannair R, Lakkireddy D
J Am Coll Cardiol 2022 Jun 21;79(24):2450-2462. doi: 10.1016/j.jacc.2022.04.019. PMID: 35710196
Inappropriate sinus tachycardia.
Olshansky B, Sullivan RM
Europace 2019 Feb 1;21(2):194-207. doi: 10.1093/europace/euy128. PMID: 29931244
Challenges in Treatment of Inappropriate Sinus Tachycardia.
Ruzieh M, Moustafa A, Sabbagh E, Karim MM, Karim S
Curr Cardiol Rev 2018 Mar 14;14(1):42-44. doi: 10.2174/1573403X13666171129183826. PMID: 29189171Free PMC Article
Clinical presentation of inappropriate sinus tachycardia and differential diagnosis.
Peyrol M, Lévy S
J Interv Card Electrophysiol 2016 Jun;46(1):33-41. Epub 2015 Sep 2 doi: 10.1007/s10840-015-0051-z. PMID: 26329720
Epidemiology and definition of inappropriate sinus tachycardia.
Pellegrini CN, Scheinman MM
J Interv Card Electrophysiol 2016 Jun;46(1):29-32. Epub 2015 Aug 27 doi: 10.1007/s10840-015-0039-8. PMID: 26310298

Diagnosis

Sinus Tachycardia: a Multidisciplinary Expert Focused Review.
Mayuga KA, Fedorowski A, Ricci F, Gopinathannair R, Dukes JW, Gibbons C, Hanna P, Sorajja D, Chung M, Benditt D, Sheldon R, Ayache MB, AbouAssi H, Shivkumar K, Grubb BP, Hamdan MH, Stavrakis S, Singh T, Goldberger JJ, Muldowney JAS 3rd, Belham M, Kem DC, Akin C, Bruce BK, Zahka NE, Fu Q, Van Iterson EH, Raj SR, Fouad-Tarazi F, Goldstein DS, Stewart J, Olshansky B
Circ Arrhythm Electrophysiol 2022 Sep;15(9):e007960. Epub 2022 Sep 8 doi: 10.1161/CIRCEP.121.007960. PMID: 36074973Free PMC Article
Inappropriate Sinus Tachycardia: Etiology, Pathophysiology, and Management: JACC Review Topic of the Week.
Ahmed A, Pothineni NVK, Charate R, Garg J, Elbey M, de Asmundis C, LaMeir M, Romeya A, Shivamurthy P, Olshansky B, Russo A, Gopinathannair R, Lakkireddy D
J Am Coll Cardiol 2022 Jun 21;79(24):2450-2462. doi: 10.1016/j.jacc.2022.04.019. PMID: 35710196
Inappropriate sinus tachycardia: a review.
Ali M, Haji AQ, Kichloo A, Grubb BP, Kanjwal K
Rev Cardiovasc Med 2021 Dec 22;22(4):1331-1339. doi: 10.31083/j.rcm2204139. PMID: 34957774
Inappropriate sinus tachycardia.
Olshansky B, Sullivan RM
Europace 2019 Feb 1;21(2):194-207. doi: 10.1093/europace/euy128. PMID: 29931244
2015 heart rhythm society expert consensus statement on the diagnosis and treatment of postural tachycardia syndrome, inappropriate sinus tachycardia, and vasovagal syncope.
Sheldon RS, Grubb BP 2nd, Olshansky B, Shen WK, Calkins H, Brignole M, Raj SR, Krahn AD, Morillo CA, Stewart JM, Sutton R, Sandroni P, Friday KJ, Hachul DT, Cohen MI, Lau DH, Mayuga KA, Moak JP, Sandhu RK, Kanjwal K
Heart Rhythm 2015 Jun;12(6):e41-63. Epub 2015 May 14 doi: 10.1016/j.hrthm.2015.03.029. PMID: 25980576Free PMC Article

Therapy

Inappropriate sinus tachycardia.
Olshansky B, Sullivan RM
Europace 2019 Feb 1;21(2):194-207. doi: 10.1093/europace/euy128. PMID: 29931244
Inappropriate sinus tachycardia-symptom and heart rate reduction with ivabradine: A pooled analysis of prospective studies.
Mathew ST, Po SS, Thadani U
Heart Rhythm 2018 Feb;15(2):240-247. Epub 2017 Oct 7 doi: 10.1016/j.hrthm.2017.10.004. PMID: 29017929
Treatment for Inappropriate Sinus Tachycardia.
Salazar Adum JP, Arora R
Am J Ther 2017 Sep/Oct;24(5):e574-e578. doi: 10.1097/MJT.0000000000000335. PMID: 26381365
Treatment of inappropriate sinus tachycardia with ivabradine.
Annamaria M, Lupo PP, Foresti S, De Ambroggi G, de Ruvo E, Sciarra L, Cappato R, Calo L
J Interv Card Electrophysiol 2016 Jun;46(1):47-53. Epub 2015 Oct 14 doi: 10.1007/s10840-015-0066-5. PMID: 26467151
The sinus tachycardias.
Yusuf S, Camm AJ
Nat Clin Pract Cardiovasc Med 2005 Jan;2(1):44-52. doi: 10.1038/ncpcardio0068. PMID: 16265342

Prognosis

Arrhythmias in COVID-19.
Pandat S, Zhu Z, Fuentes-Rojas S, Schurmann P
Methodist Debakey Cardiovasc J 2021;17(5):73-82. Epub 2021 Dec 15 doi: 10.14797/mdcvj.1039. PMID: 34992725Free PMC Article
Inappropriate sinus tachycardia: focus on ivabradine.
Abed HS, Fulcher JR, Kilborn MJ, Keech AC
Intern Med J 2016 Aug;46(8):875-83. doi: 10.1111/imj.13093. PMID: 27059112
Catheter ablation of inappropriate sinus tachycardia.
Gianni C, Di Biase L, Mohanty S, Gökoğlan Y, Güneş MF, Horton R, Hranitzky PM, Burkhardt JD, Natale A
J Interv Card Electrophysiol 2016 Jun;46(1):63-9. Epub 2015 Aug 27 doi: 10.1007/s10840-015-0040-2. PMID: 26310299
Epidemiology and definition of inappropriate sinus tachycardia.
Pellegrini CN, Scheinman MM
J Interv Card Electrophysiol 2016 Jun;46(1):29-32. Epub 2015 Aug 27 doi: 10.1007/s10840-015-0039-8. PMID: 26310298
The sinus tachycardias.
Yusuf S, Camm AJ
Nat Clin Pract Cardiovasc Med 2005 Jan;2(1):44-52. doi: 10.1038/ncpcardio0068. PMID: 16265342

Clinical prediction guides

Inappropriate sinus tachycardia in post-COVID-19 syndrome.
Aranyó J, Bazan V, Lladós G, Dominguez MJ, Bisbal F, Massanella M, Sarrias A, Adeliño R, Riverola A, Paredes R, Clotet B, Bayés-Genís A, Mateu L, Villuendas R
Sci Rep 2022 Jan 7;12(1):298. doi: 10.1038/s41598-021-03831-6. PMID: 34996973Free PMC Article
Arrhythmias in COVID-19.
Pandat S, Zhu Z, Fuentes-Rojas S, Schurmann P
Methodist Debakey Cardiovasc J 2021;17(5):73-82. Epub 2021 Dec 15 doi: 10.14797/mdcvj.1039. PMID: 34992725Free PMC Article
Prevalence of inappropriate sinus tachycardia and the comparison of the heart rate variability characteristics with propensity score-matched controls.
Şimşek E, Ozbay B, Mutlu I, Gurses E, Kemal HS, Yagmur B, Can LH
Turk Kardiyol Dern Ars 2020 Mar;48(2):96-102. doi: 10.5543/tkda.2019.92735. PMID: 32147657
Cardiac automaticity: basic concepts and clinical observations.
Vetulli HM, Elizari MV, Naccarelli GV, Gonzalez MD
J Interv Card Electrophysiol 2018 Aug;52(3):263-270. Epub 2018 Aug 15 doi: 10.1007/s10840-018-0423-2. PMID: 30112616
Epidemiology and definition of inappropriate sinus tachycardia.
Pellegrini CN, Scheinman MM
J Interv Card Electrophysiol 2016 Jun;46(1):29-32. Epub 2015 Aug 27 doi: 10.1007/s10840-015-0039-8. PMID: 26310298

Recent systematic reviews

Ablation of Inappropriate Sinus Tachycardia: A Systematic Review of the Literature.
Rodríguez-Mañero M, Kreidieh B, Al Rifai M, Ibarra-Cortez S, Schurmann P, Álvarez PA, Fernández-López XA, García-Seara J, Martínez-Sande L, González-Juanatey JR, Valderrábano M
JACC Clin Electrophysiol 2017 Mar;3(3):253-265. Epub 2016 Dec 21 doi: 10.1016/j.jacep.2016.09.014. PMID: 29759520Free PMC Article

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