Atrioventricular Nodal Reentrant Tachycardia with Paroxysmal Atrial Fibrillation: Clinical and Electrophysiological Features and Predictors of Atrial Fibrillation Recurrence Following Elimination of Atrioventricular Nodal Reentrant Tachycardia

Amasyalı, Basri; Köse, Sedat; Aytemir, Kudret; Kilic, Ayhan; Heper, Gülümser; Kurşaklıoğlu, Hürkan; İyisoy, Atila; Çelik, Turgay; Kaya, Ergün Barış; Işık, Ersoy

doi:10.1007/s10840-005-2225-6

Cited by 15 publications

(16 citation statements)

References 18 publications

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“…Previous reports described that patients who have both paroxysmal AF and AVNRT were older than those with AVNRT alone (6,8) and new onset AF occurred in 8-28% of patients during long-term follow-up after slow-pathway ablation of AVNRT (6,13). Consistent with previous reports, new onset AF was observed in 11 older patients (20%), while four younger patients (7.2%) developed paroxysmal AF (p<0.05).…”

Section: Risk Of Af During Long-term Follow-upsupporting

confidence: 86%

“…At the end of the ablation procedure, the inducibility of AVNRT was tested in all patients, with and without isoproterenol infusion. Atrial vulnerability was defined as the induction of AF, lasting at least 30 s, during the electrophysiological stimulation performed without isoproterenol infusion (6).…”

Section: Electrophysiological Study and Atrial Vulnerabilitymentioning

confidence: 99%

“…Although atrial vulnerability was assessed on the basis of a previous report (6), this aspect should be taken into consideration when interpreting the results of the present study. Second, all patients complaining of palpitation were evaluated by Holter monitoring, and palpitations were documented for all patients.…”

Section: Study Limitationsmentioning

confidence: 99%

“…On the other hand, advanced age has been suggested to be a risk factor for the induction of AV block during and after slow-pathway ablation (4,5). In addition, an association between AVNRT and atrial fibrillation (AF) has also been reported in several studies (6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Difference of Clinical Course after Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia between Younger and Older Patients: Atrial Vulnerability Predicts New Onset of Atrial Fibrillation

et al. 2011

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Background The aim of this study was to compare the long-term procedural outcomes, the stability of atrioventricular conduction, and the new onset of atrial fibrillation (AF), after ablation of atrioventricular nodal reentrant tachycardia (AVNRT). Methods and ResultsConsecutive patients with AVNRT (n=109), who underwent slow-pathway ablation, were divided into two groups based on the median age of the studied patients: the younger group aged <55 years and the older group aged !55 years. During a mean follow-up period of 60.6 months, the rate of change in the PR interval from before ablation to follow-up was significantly greater in older patients compared with younger patients. However, there was no delayed-onset high-degree AV block during follow-up in either group. No patients in the younger group suffered from persistent AF, whereas persistent AF occurred in 5/54 (9.3%) older patients. Multivariate Cox analysis revealed that atrial vulnerability, with induction of AF during the electrophysiological study, was the only predictor of the development of AF (Hazard ratio: 13.9, 95% confidence interval: 1.62-119.2, p<0.01). Conclusion Slow-pathway ablation of AVNRT is a reliable strategy even in older patients. However, physicians should consider regular long-term follow-up of older patients with atrial vulnerability, in order to assess the subsequent development of AF.

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Section: Risk Of Af During Long-term Follow-upsupporting

confidence: 86%

Section: Electrophysiological Study and Atrial Vulnerabilitymentioning

confidence: 99%

Section: Study Limitationsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Difference of Clinical Course after Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia between Younger and Older Patients: Atrial Vulnerability Predicts New Onset of Atrial Fibrillation

et al. 2011

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“…It has been documented that AVNRT is associated with paroxysmal AF 22 . A previous report showed a close relationship between SVC AF and AVNRT, namely that SVC triggers were observed in 50% of the patients with AVNRT and AF 23 .…”

Section: Discussionmentioning

confidence: 90%

Long‐Term Outcome of Catheter Ablation in Patients with Atrial Fibrillation Originating from the Superior Vena Cava

Chang

Lin

et al. 2012

Cardiovasc electrophysiol

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Among the patients with paroxysmal AF originating from the SVC, 73% remained free of AF for 5 years after a single catheter ablation procedure. Superior vena cava isolation without PV isolation is an acceptable therapeutic strategy in those patients with AF originating from the SVC only. The SVC diameter was an independent predictor of AF recurrence. (J Cardiovasc Electrophysiol, Vol. 23, pp. 955-961, September 2012).

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Clinical and electrophysiological characteristics of the patients with relatively slow atrioventricular nodal reentrant tachycardia

Evrengül

Alihanoğlu

Kılıç

et al. 2014

J Interv Card Electrophysiol

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Atrioventricular Nodal Reentrant Tachycardia with Paroxysmal Atrial Fibrillation: Clinical and Electrophysiological Features and Predictors of Atrial Fibrillation Recurrence Following Elimination of Atrioventricular Nodal Reentrant Tachycardia

Abstract: In patients with both AVNRT and paroxysmal AF, the recurrence rate of AF after elimination of AVNRT is 28%. Left atrial diameter greater than 40 mm and atrial vulnerability after elimination of AVNRT are independent predictors of AF recurrences in the long term.

Cited by 15 publications

References 18 publications

Difference of Clinical Course after Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia between Younger and Older Patients: Atrial Vulnerability Predicts New Onset of Atrial Fibrillation

Difference of Clinical Course after Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia between Younger and Older Patients: Atrial Vulnerability Predicts New Onset of Atrial Fibrillation

Long‐Term Outcome of Catheter Ablation in Patients with Atrial Fibrillation Originating from the Superior Vena Cava

Clinical and electrophysiological characteristics of the patients with relatively slow atrioventricular nodal reentrant tachycardia

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