{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T06:07:11Z","timestamp":1784700431992,"version":"3.55.0"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:00:00Z","timestamp":1784678400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Study objective<\/jats:title>\n                    <jats:p>To investigate sex-specific differences in the clinical presentation of Supraventricular Tachycardia (SVT) in patients presenting to a tertiary care Emergency Department (ED) and to examine whether sex-related differences in management and follow-up are observed in our cohort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study of adults presenting with palpitations and diagnosed with SVT at a tertiary care ED in 2019. Diagnoses were confirmed by electrocardiogram review. The prima-ry outcome was sex-specific differences in symptom presentation. Secondary outcomes included differences in acute treatment, treatment success, follow-up recommendations and etiologic factors. Multivariable regression analyses adjusted for age, Charlson Comorbidity Index, and prior SVT treat-ment were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 375 screened patients, 278 were included (45.3% women; mean age 49.5 years (SD 19) of all pa-tients). Women had a significantly higher prevalence of hypokalaemia (11.1% vs 3.3%; adjusted odds ratio [OR] 3.7 (95% CI 1.3\u201310.9, p=0.018)) and reported more overall symptoms (adjusted difference 0.3, 95% CI 0.03 \u2013 0.56, p=0.027). Leading symptoms such as palpitations (OR 3.5 (95% CI 1.3\u20139.0, p=0.011)), nausea (OR 2.2 (95% CI 1.1\u20134.5, p=0.026)), and anxiety (OR 2.9 (95% CI 1.1\u20138.1, p=0.031)) were more frequent in women when presenting in the ED. Atrial fibrillation was the most common di-agnosis in both sexes without any significant sex-related difference in the frequency. Atrioventricular nodal reentry tachycardia was more frequent in women (12.7% vs. 5.9%, OR 2.4 (95% CI 1.01\u20135.8, p=0.047)), whereas atrial flutter was significantly less common in women (3.2% vs. 11.2%, OR 0.2 (95% CI 0.07\u20130.7, p=0.011)). No significant sex differences were observed in acute treatment, treat-ment success or follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Women with SVT present with a higher symptom burden and a distinct symptom profile. Clinicians should maintain a high index of suspicion and ensure electrocardiographic evaluation in all patients with compatible symptoms regardless of sex, but particularly in women presenting with palpitations, nausea, or anxiety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2026.1858764","type":"journal-article","created":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T05:55:57Z","timestamp":1784699757000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Recognizing supraventricular tachyarrhythmias in female patients: beyond palpitations to symptoms like anxiety, panic, and nausea"],"prefix":"10.3389","volume":"17","author":[{"given":"No\u00eblle","family":"Moser-van der Geest","sequence":"first","affiliation":[{"name":"Emergency Department, University Hospital Zurich","place":["Zurich, Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dagmar 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