临床与实验心脏病学
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Associations Between Supra-Ventricular Tachycardias and Adrenal Insufficiency

Nadhem Abdallah*, Abdilahi Mohamoud, Meriam Abdallah, Mohammed Abdullah, Hisham Daher

Background: Adrenal Insufficiency (AI) has significant implications for cardiovascular health, influencing electrolyte balance, hemodynamics and atherosclerosis. Understanding its impact on arrhythmia disorders is crucial for improving patient outcomes.

Objectives: This mini review aims to explore the association between AI and cardiovascular complications, particularly in patients with Supra Ventricular Tachycardias (SVTs), to underscore the importance of recognizing AI as a high-risk factor for adverse cardiovascular events. Methods: PubMed and Google Scholar were searched using terms including "hypoadrenalism," "adrenal insufficiency," and various arrhythmia disorders. Criteria included English-language, peer-reviewed studies focusing on their association. Data extraction and quality assessment were conducted to synthesize findings for analysis and dissemination.

Discussion: The review found that AI is associated with increased in-hospital mortality, a higher need for intensive care, longer hospital stays and higher hospitalization costs in patients with SVTs. These outcomes are attributed to electrolyte imbalances, altered hemodynamics and accelerated atherosclerosis in AI patients.

Conclusions: AI significantly impacts cardiovascular health and is a predictor of adverse outcomes in patients with SVTs. Clinicians should be aware of this association to improve management strategies. Further research is needed to unravel the underlying mechanisms and enhance clinical outcomes for this high-risk population.