Electrophysiologic characteristics and results of radiofrequency catheter ablation in elderly patients with atrioventricular nodal reentrant tachycardia

Haghjoo, Majid; Arya, Arash; Heidari, Alireza; Fazelifar, Amir Farjam; Sadr‐Ameli, Mohammad Ali

doi:10.1016/j.jelectrocard.2006.05.002

Cited by 33 publications

(19 citation statements)

References 14 publications

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“…365 Other studies have reported similar risk and effectiveness of anticoagulation. 369 Therefore, on the basis of the available data, recommendations for antithrombotic therapy for patients with atrial flutter are similar to those for patients with AF. …”

Section: -364mentioning

confidence: 99%

“…365 Other studies have reported similar risk and effectiveness of anticoagulation. 369 Therefore, on the basis of available data, recommendations for antithrombotic therapy for patients with atrial flutter are similar to those for patients with AF. In patients in whom ablation is not being considered because of contraindications (such as underlying medical illness) or because of patient preference, a variety of antiarrhythmic drugs are available.…”

Section: 327mentioning

confidence: 99%

“…31,367 Whether atrial flutter carries a risk of stroke similar to that in patients with AF has been debated in the past but is now supported by limited evidence from mechanistic, observational, and prospective studies that include patients primarily with atrial flutter. [365][366][367][368][369] Several reports have suggested that the risk of stroke in patients with atrial flutter is mitigated by anticoagulation. Meta-analysis of 13 studies of patients undergoing cardioversion of atrial flutter reported short-term stroke risks ranging from 0% to 7%, and the thromboembolism rate in patients with sustained flutter in 4 studies averaged 3% annually.…”

Section: -457mentioning

confidence: 99%

“…365 Other studies have reported similar risk and effectiveness of anticoagulation. 369 ACHD patients with nonfibrillatory atrial tachyarrhythmias appear to be at high risk, as well. 367,459 Therefore, on the basis of available data, recommendations for antithrombotic therapy for ACHD patients who also have AT or atrial flutter are similar to those for patients with AF.…”

Section: -457mentioning

confidence: 99%

See 3 more Smart Citations

2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia

Page¹,

Joglar²,

Caldwell³

et al. 2016

Circulation

332

127

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Section: -364mentioning

confidence: 99%

Section: 327mentioning

confidence: 99%

Section: -457mentioning

confidence: 99%

Section: -457mentioning

confidence: 99%

See 2 more Smart Citations

2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia

Page¹,

Joglar²,

Caldwell³

et al. 2016

Circulation

332

127

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“…However, antiarrhythmic therapy is often complicated due to the serious adverse effects of these drugs in older patients (1). Therefore, radiofrequency (RF) catheter ablation is considered to be the first-line therapy for older patients with drug resistant AVNRT (2,3). 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).…”

Section: Introductionmentioning

confidence: 99%

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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Atrioventricular Nodal Reentrant Tachycardia: What Have We Learned from Radiofrequency Catheter Ablation?

Sung

Young

Lauer

2013

The Practice of Catheter Cryoablation for Cardiac Arrhythmias

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Electrophysiologic characteristics and results of radiofrequency catheter ablation in elderly patients with atrioventricular nodal reentrant tachycardia

Cited by 33 publications

References 14 publications

2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia

2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia

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

Atrioventricular Nodal Reentrant Tachycardia: What Have We Learned from Radiofrequency Catheter Ablation?

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