Lutwak Nancy, Dill Curt
VA New York Harbor Healthcare Center, New York, New York, USA.
J Emerg Med. 2012 Sep;43(3):457-60. doi: 10.1016/j.jemermed.2011.06.033. Epub 2011 Oct 7.
Paroxysmal supraventricular tachycardia is a common dysrhythmia that occurs at all ages. Its management is determined by presenting symptoms and previous history of the patient. Patients present with a continuum of symptoms ranging from palpitations to syncope. The incidence of supraventricular tachycardia increases with age.
To discuss the etiology, precipitating factors, and acute management of supraventricular tachycardia; and to discuss nodal reentry circuits and representative electrocardiographic findings.
We present the case of an 84-year-old man with gallstone pancreatitis, choledolcholithiasis, and cholecystitis complicated by paroxysmal supraventricular tachycardia. We review this dysrhythmia, emphasizing its significance in elderly patients.
Supraventricular tachycardia is a common dysrhythmia that can result in syncope or myocardial infarction. We present a case of an elderly man with new-onset atrioventricular (AV) nodal reentry tachycardia, possibly precipitated by overdrive of his autonomic nervous system due to pain and infection. As the percentage of the elderly in our population is growing rapidly and the incidence of AV nodal reentry tachycardia increases with age, emergency physicians should be familiar with this dysrhythmia-its etiology, precipitating factors, presentations, and treatment. It will present more frequently in the future.
阵发性室上性心动过速是一种常见的心律失常，可发生于各年龄段。其治疗方案取决于患者的症状表现和既往病史。患者的症状表现范围广泛，从心悸到晕厥。室上性心动过速的发病率随年龄增长而增加。
探讨室上性心动过速的病因、诱发因素及急性治疗方法；并讨论房室结折返环路及典型心电图表现。
我们报告一例84岁男性患者，患有胆石性胰腺炎、胆总管结石及胆囊炎，并伴有阵发性室上性心动过速。我们回顾这种心律失常，强调其在老年患者中的重要性。
室上性心动过速是一种常见的心律失常，可导致晕厥或心肌梗死。我们报告一例老年男性新发房室结折返性心动过速病例，可能是由于疼痛和感染导致自主神经系统超速驱动所致。随着我国老年人口比例迅速增长，且房室结折返性心动过速的发病率随年龄增长而增加，急诊医生应熟悉这种心律失常——其病因、诱发因素、表现及治疗方法。未来其发病率将更高。
