{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T06:32:45Z","timestamp":1792564365898,"version":"4.5.0"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"14","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2018,7,17]]},"abstract":"\n Background<\/jats:title>\n \n Contemporary data about symptomatic paroxysmal supraventricular tachycardia (\n PSVT<\/jats:styled-content>\n ) epidemiology are limited. We characterized prevalence and correlates of symptomatic\n PSVT<\/jats:styled-content>\n within a large healthcare delivery system and estimated national\n PSVT<\/jats:styled-content>\n burden.\n <\/jats:p>\n <\/jats:sec>\n \n Methods and Results<\/jats:title>\n \n We identified adults with an encounter for potential\n PSVT<\/jats:styled-content>\n between 2010 and 2015 in Kaiser Permanente Northern California, excluding those with prior known atrial fibrillation or atrial flutter. We adjudicated medical records,\n ECG<\/jats:styled-content>\n s, and other monitoring data to estimate positive predictive values for targeted\n International Classification of Diseases (ICD), 9th and 10th Revisions<\/jats:italic>\n codes in inpatient, emergency department, and outpatient settings. Combinations of diagnosis codes and settings were used to calculate\n PSVT<\/jats:styled-content>\n prevalence, and\n PSVT<\/jats:styled-content>\n correlates were identified using multivariable regression. We estimated national rates by applying prevalence estimates in Kaiser Permanente to 2010\n US<\/jats:styled-content>\n Census data. The highest positive predictive values included codes for \u201c\n PSVT<\/jats:styled-content>\n \u201d in the emergency department (82%), \u201cunspecified cardiac dysrhythmia\u201d in the emergency department (27%), \u201canomalous atrioventricular excitation\u201d as a primary inpatient diagnosis (33%), and \u201cunspecified paroxysmal tachycardia\u201d as a primary inpatient diagnosis (23%). Prevalence of symptomatic\n PSVT<\/jats:styled-content>\n was 140 per 100\u00a0000 (95% confidence interval, 100\u2013179) and was higher for individuals who were older, women, white or black, or who had valvular heart disease, heart failure, diabetes mellitus, lung disease, or prior bleeding. We estimate the national prevalence of symptomatic\n PSVT<\/jats:styled-content>\n to be 168 per 100\u00a0000 (95% confidence interval, 120\u2013215).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Selected diagnostic codes in inpatient and emergency department settings may be useful to identify symptomatic\n PSVT<\/jats:styled-content>\n episodes. We project that at least 0.168% of\n US<\/jats:styled-content>\n adults experience symptomatic\n PSVT<\/jats:styled-content>\n , and certain characteristics can identify people at higher risk.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.118.008759","type":"journal-article","created":{"date-parts":[[2018,7,7]],"date-time":"2018-07-07T09:15:12Z","timestamp":1530954912000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":34,"title":["Contemporary Burden and Correlates of Symptomatic Paroxysmal Supraventricular Tachycardia"],"prefix":"10.1161","volume":"7","author":[{"given":"Alan S.","family":"Go","sequence":"first","affiliation":[{"name":"Division of Research Kaiser Permanente Northern California Oakland CA"},{"name":"Departments of Epidemiology, Biostatistics and Medicine University of California, San Francisco CA"},{"name":"Department of Health Research and Policy Stanford University Stanford CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark A.","family":"Hlatky","sequence":"additional","affiliation":[{"name":"Division of Research Kaiser Permanente Northern California Oakland CA"},{"name":"Department of Health Research and Policy Stanford University Stanford CA"},{"name":"Department of Medicine (Cardiovascular Medicine) Stanford University Stanford CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor I.","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiac Electrophysiology Kaiser Permanente Santa Clara Medical Center Santa Clara CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongjie","family":"Fan","sequence":"additional","affiliation":[{"name":"Division of Research Kaiser Permanente Northern California Oakland CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisha A.","family":"Garcia","sequence":"additional","affiliation":[{"name":"Division of Research Kaiser Permanente Northern California Oakland CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue Hee","family":"Sung","sequence":"additional","affiliation":[{"name":"Division of Research Kaiser Permanente Northern California Oakland CA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew D.","family":"Solomon","sequence":"additional","affiliation":[{"name":"Division of Research Kaiser Permanente Northern California Oakland CA"},{"name":"Department of Cardiology Kaiser Permanente Oakland Medical Center Oakland CA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000311"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(97)00422-1"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.82.5.703"},{"key":"e_1_3_1_5_2","volume-title":"Characteristics of Adult Health Plan Members in the Northern California Region Membership, as Estimated From the 2011 Member Health Survey","author":"Gordon NP","year":"2013","unstructured":"Gordon NP. Characteristics of Adult Health Plan Members in the Northern California Region Membership, as Estimated From the 2011 Member Health Survey. Oakland, CA: Division of Research, Kaiser Permanente Medical Care Program; 2013."},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/12-031"},{"key":"e_1_3_1_7_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-9-200905050-00006"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.3844"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa041031"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0908610"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2012.10.022"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.1197\/j.aem.2007.01.013"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.118.008759","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T11:06:19Z","timestamp":1715598379000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.118.008759"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,17]]},"references-count":11,"journal-issue":{"issue":"14","published-print":{"date-parts":[[2018,7,17]]}},"alternative-id":["10.1161\/JAHA.118.008759"],"URL":"https:\/\/doi.org\/10.1161\/jaha.118.008759","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,17]]},"assertion":[{"value":"2018-04-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-05-28","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2018-07-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e008759"}}