Atrioventricular Nodal Reentrant Tachycardia in Patients With Congenital Heart Disease Outcome After Catheter Ablation

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11130%2F17%3A10373972" target="_blank" >RIV/00216208:11130/17:10373972 - isvavai.cz</a>

Alternative codes found

RIV/00064203:_____/17:10373972

Result on the web

<a href="https://doi.org/10.1161/CIRCEP.116.004869" target="_blank" >https://doi.org/10.1161/CIRCEP.116.004869</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1161/CIRCEP.116.004869" target="_blank" >10.1161/CIRCEP.116.004869</a>

Result language

angličtina

Original language name

Atrioventricular Nodal Reentrant Tachycardia in Patients With Congenital Heart Disease Outcome After Catheter Ablation

Original language description

Background-The relationship of atrioventricular nodal reentrant tachycardia to congenital heart disease (CHD) and the outcome of catheter ablation in this population have not been studied adequately. Methods and Results-A multicenter retrospective study was performed on patients with CHD who had atrioventricular nodal reentrant tachycardia and were treated with catheter ablation. There were 109 patients (61 women), aged 22.11 +/- 3.4 years. The majority, 86 of 109 (79%), had CHD resulting in right heart pressure or volume overload. Patients were divided into 2 groups: group A (n=51) with complex CHD and group B (n=58) with simple CHD. There were no significant differences between groups in patients&apos; growth parameters, use of 3-dimensional imaging, and type of ablation (radiofrequency versus cryoablation). Procedure times (251 +/- 117 versus 174 +/- 94 minutes; P=0.0006) and fluoroscopy times (median 20.8 versus 16.6 minutes; P=0.037) were longer in group A versus group B. There were significant differences between groups in the acute success of ablation (82% versus 97%; P=0.04), risk of atrioventricular block (14 versus 0%; P=0.004), and need for chronic pacing (10% versus 0%; P=0.008). There was no permanent atrioventricular block in patients who underwent cryoablation. After 3.2 +/- 2.7 years of follow-up, long-term success was 86% in group A and 100% in group B (P=0.004). Conclusions-Atrioventricular nodal reentrant tachycardia can complicate the course of patients with CHD. This study demonstrates that the outcome of catheter ablation is favorable in patients with simple CHD. Patients with complex CHD have increased risk of procedural failure and atrioventricular block.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

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OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

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Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2017

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Circulation: Arrhythmia and Electrophysiology

ISSN

1941-3149

e-ISSN

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Volume of the periodical

10

Issue of the periodical within the volume

7

Country of publishing house

US - UNITED STATES

Number of pages

9

Pages from-to

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UT code for WoS article

000405665100003

EID of the result in the Scopus database

2-s2.0-85024905434