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Extremely late recurrences (≥3 years) of atrioventricular nodal reentrant tachycardia: Electrophysiological characteristics of the index and repeat ablation procedures

التفاصيل البيبلوغرافية
العنوان: Extremely late recurrences (≥3 years) of atrioventricular nodal reentrant tachycardia: Electrophysiological characteristics of the index and repeat ablation procedures
المؤلفون: Tze Fan Chao, Chye Gen Chin, Ta Chuan Tuan, Chun Chao Chen, Chieh Mao Chuang, Ting Yung Chang, Wen Han Cheng, Yu Feng Hu, Yenn Jiang Lin, Jo Nan Liao, Shih Ann Chen, Fa Po Chung, Shih Lin Chang, Jennifer Jeanne B. Vicera, Li Wei Lo, Ming Hsiung Hsieh, Shin Huei Liu, Chin Yu Lin
المصدر: International journal of cardiology. 305
سنة النشر: 2019
مصطلحات موضوعية: Tachycardia, Adult, Male, medicine.medical_specialty, medicine.medical_treatment, Catheter ablation, 030204 cardiovascular system & hematology, 03 medical and health sciences, 0302 clinical medicine, Recurrence, medicine, Effective treatment, Humans, Tachycardia, Atrioventricular Nodal Reentry, In patient, 030212 general & internal medicine, Atrioventricular Block, Aged, business.industry, Mean age, Middle Aged, Ablation, Baseline characteristics, Catheter Ablation, Tachycardia, Ventricular, Radiology, medicine.symptom, Cardiology and Cardiovascular Medicine, business
الوصف: Catheter ablation is an effective treatment for atrioventricular nodal reentrant tachycardia (AVNRT). However, the characteristics of extremely late (3 years) recurrences of AVNRT after a successful initial ablation are not fully elucidated. We aimed to explore the electrophysiological characteristics of extremely late recurrences of AVNRT after a successful ablation.From 1991 to 2018, 3311 patients (mean age: 48.7 ± 17.4 years; men: 1328 [40.1%]) who underwent catheter ablation for AVNRT were investigated. Baseline characteristics of the patients, recurrence status, and detailed electrophysiological parameters of the index and repeat ablation procedures were obtained for analysis.After a mean follow-up period of 129.5 ± 58.0 months, 65 (2.0%) patients underwent repeat ablation for recurrences of AVNRT, of whom 17 (0.5%) presented with extremely late recurrences. The incidence of transient AV block was significantly higher in patients with extremely late recurrences (5.9%) than in those without recurrences (1.9%) but lower than that in patients with recurrences within3 years (12.5%, P .001). In addition, among patients with extremely late recurrences of AVNRT, the atrial-His bundle interval was significantly longer (99.1 ± 23.4 vs. 76.5 ± 13.1 ms, P .01) and the need for intravenous isoproterenol and/or atropine for the induction of AVNRT (88.2% vs. 47.1%, P = .03) was higher in the repeat ablation procedure than in the index ablation procedure.Recurrences of AVNRT can occur 3 years after a successful initial ablation. The electrophysiological features of the index and repeat ablation procedures differed between patients with extremely late recurrences of AVNRT and those with recurrences within3 years.
تدمد: 1874-1754
URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::920155adc93c9c1a08acf5d1234630d8
https://pubmed.ncbi.nlm.nih.gov/32059994
حقوق: CLOSED
رقم الأكسشن: edsair.doi.dedup.....920155adc93c9c1a08acf5d1234630d8
قاعدة البيانات: OpenAIRE
الوصف
تدمد:18741754