{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:26:12Z","timestamp":1753878372070,"version":"3.41.2"},"reference-count":9,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2017,6,8]],"date-time":"2017-06-08T00:00:00Z","timestamp":1496880000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Noninvasive Electrocardiol"],"published-print":{"date-parts":[[2018,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Supraventricular tachycardias (<jats:styled-content style=\"fixed-case\">SVT<\/jats:styled-content>) are a common arrhythmia therefore an accurate diagnosis is of clinical importance. Although an <jats:styled-content style=\"fixed-case\">ECG<\/jats:styled-content> performed during tachycardia greatly aids diagnosis, patient history and predisposing factors also improve diagnostic accuracy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This prospective study included 100 consecutive patients undergoing electrophysiological study for <jats:styled-content style=\"fixed-case\">SVT<\/jats:styled-content> with the aim to reassess their clinical characteristics and describe frequent predisposing factors, such as the \u201csign of lace\u2010tying\u201d that to our knowledge has not previously been reported. Each patient completed an extensive questionnaire (70 questions) during their hospital stay.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Our series comprised: 67% of patients with atrioventricular nodal reentrant tachycardia (<jats:styled-content style=\"fixed-case\">AVNRT<\/jats:styled-content>); 24% with an accessory pathway; and 9% presented atrial tachycardia. Half of the population were male and 29% of the cohort presented hypertension. Syncope during tachycardia appeared in 15% of patients, dizziness in 52% and thoracic pain in 59%. We encountered a predisposing risk factor for <jats:styled-content style=\"fixed-case\">SVT<\/jats:styled-content> in 53% of cases; with 32% exhibiting an anteflexion of the trunk termed the \u201csign of lace\u2010tying.\u201d Data also showed that younger patients tended to present <jats:styled-content style=\"fixed-case\">AVRT<\/jats:styled-content> and regular pounding in the neck appeared only in patients with <jats:styled-content style=\"fixed-case\">AVNRT<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Overall, our study has highlighted the importance of considering clinical signs and patient characteristics both before and during <jats:styled-content style=\"fixed-case\">SVT<\/jats:styled-content> for the precise diagnosis of paroxysmal <jats:styled-content style=\"fixed-case\">SVT<\/jats:styled-content>. Furthermore, 32% of patients presented the \u201csign of lace\u2010tying\u201d or body position change before <jats:styled-content style=\"fixed-case\">SVT<\/jats:styled-content>, implying a diagnosis of <jats:styled-content style=\"fixed-case\">SVT<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/anec.12471","type":"journal-article","created":{"date-parts":[[2017,6,8]],"date-time":"2017-06-08T06:02:44Z","timestamp":1496901764000},"source":"Crossref","is-referenced-by-count":0,"title":["New insights into the clinical signs of supraventricular tachycardia: The \u201csign of lace\u2010tying\u201d"],"prefix":"10.1111","volume":"23","author":[{"given":"Dominique","family":"Blommaert","sequence":"first","affiliation":[{"name":"Catholic University of Louvain CHU UCL Namur Cardiology Service  Yvoir Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3740-4490","authenticated-orcid":false,"given":"Fabien","family":"Dormal","sequence":"additional","affiliation":[{"name":"Catholic University of Louvain CHU UCL Namur Cardiology Service  Yvoir Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Deceuninck","sequence":"additional","affiliation":[{"name":"Catholic University of Louvain CHU UCL Namur Cardiology Service  Yvoir Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Xhaet","sequence":"additional","affiliation":[{"name":"Catholic University of Louvain CHU UCL Namur Cardiology Service  Yvoir Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Ballant","sequence":"additional","affiliation":[{"name":"Catholic University of Louvain CHU UCL Namur Cardiology Service  Yvoir Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luc","family":"De Roy","sequence":"additional","affiliation":[{"name":"Catholic University of Louvain CHU UCL Namur Cardiology Service  Yvoir Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,6,8]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1099-5129(03)00037-0"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(01)01607-1"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198105283042217"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.02.059"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199209103271105"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.12230"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2009.02476.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(96)00701-1"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199805073381907"}],"container-title":["Annals of Noninvasive Electrocardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fanec.12471","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.12471","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/anec.12471","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/anec.12471","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T19:40:35Z","timestamp":1694029235000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/anec.12471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6,8]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2018,1]]}},"alternative-id":["10.1111\/anec.12471"],"URL":"https:\/\/doi.org\/10.1111\/anec.12471","archive":["Portico"],"relation":{},"ISSN":["1082-720X","1542-474X"],"issn-type":[{"type":"print","value":"1082-720X"},{"type":"electronic","value":"1542-474X"}],"subject":[],"published":{"date-parts":[[2017,6,8]]},"article-number":"e12471"}}