Inappropriate Sinus Tachycardia Diagnosed and Treated as Depression Successfully Treated by Radiofrequency Catheter Ablation
Akihiro Masumoto, Masao Takemoto, Takahiro Mito, Atsushi Tanaka, Yuki Kawano, Hiroshi Kumeda, Honsa Kang, Atsutoshi Matsuo, Satoru Hida, Teiji Okazaki, Kei-Ichiro Tayama, Kiyonobu Yoshitake, Kenichi Kosuga, Akihiro Masumoto, Masao Takemoto, Takahiro Mito, Atsushi Tanaka, Yuki Kawano, Hiroshi Kumeda, Honsa Kang, Atsutoshi Matsuo, Satoru Hida, Teiji Okazaki, Kei-Ichiro Tayama, Kiyonobu Yoshitake, Kenichi Kosuga
Abstract
We experienced a man in his 20s with inappropriate sinus tachycardia (IST) initially diagnosed and treated as depression who was steadily treated with radiofrequency catheter ablation (RFCA) using an EnSite™ system. The patient has remained well without any symptoms or medications, including antidepressants, for two years since the RFCA. To avoid missing IST and treating it as an emotional problem and/or mental illness such as depression, physicians - including cardiologists - should be aware of these conditions when examining patients with multiple and incapacitating complaints including palpitations and general fatigue and/or tachycardia, especially characterized by an elevated resting heart rate or a disproportionate increase in the heart rate with minimal exertion.
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References
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Source: PubMed