Clinical usefulness of slow pathway ablation in patients with both paroxysmal atrioventricular nodal reentrant tachycardia and atrial fibrillation

This study shows that paroxysmal AF can complicate the clinical course of patients with AV nodal reentrant tachycardia, both in the presence and the absence of structural heart abnormalities. In patients without structural abnormalities slow pathway ablation is generally curative, eliminating both A...

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Published inThe American journal of cardiology Vol. 79; no. 10; pp. 1421 - 1423
Main Authors Delise, Pietro, Gianfranchi, Lorella, Paparella, Nelly, Brignole, Michele, Menozzi, Carlo, Themistoclakis, Sakis, Mantovan, Roberta, Bonso, Aldo, Corò, Leonardo, Vaglio, Alessandro, Ragazzo, Monica, Alboni, Paolo, Raviele, Antonio
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 15.05.1997
Elsevier
Elsevier Limited
Subjects
Adult
Aged
Atrial Fibrillation - complications
Atrial Fibrillation - surgery
Atrioventricular Node - physiopathology
Biological and medical sciences
Cardiac arrhythmia
Cardiac dysrhythmias
Cardiology. Vascular system
Catheter Ablation - methods
Female
Heart
Humans
Male
Medical sciences
Middle Aged
Tachycardia, Paroxysmal - complications
Tachycardia, Paroxysmal - physiopathology
Tachycardia, Paroxysmal - surgery
Tachycardia, Supraventricular - complications
Tachycardia, Supraventricular - physiopathology
Tachycardia, Supraventricular - surgery
Human
Relapse
Prognosis
Arrhythmia
Reentry
Atrial fibrillation
Instrumentation therapy
Cardiovascular disease
Paroxysmal junctional tachycardia
Ablation
Excitability disorder
Treatment
Follow up study
Heart disease
Accessory bundle
Atrioventricular node
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Summary:This study shows that paroxysmal AF can complicate the clinical course of patients with AV nodal reentrant tachycardia, both in the presence and the absence of structural heart abnormalities. In patients without structural abnormalities slow pathway ablation is generally curative, eliminating both AV nodal reentrant tachycardia and AF. Conversely, in patients with structural heart abnormalities, AF alone can recur despite slow pathway ablation. Palpitations are less likely to be completely eliminated by ablation in the latter cases than in the former.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0002-9149
1879-1913
DOI:10.1016/S0002-9149(97)00157-4