Atrioventricular nodal reentrant tachycardia with multiple discontinuities in the atrioventricular node conduction curve: Immediate success rates of radiofrequency ablation and long-term clinical follow-up results as compared to patients with single or no AH-jumps

Journal of Interventional Cardiac Electrophysiology

Volumn 10, Issue 3, 2004, Pages 249-254

  Kose, Sedat ^a   Amasyali, Basri ^a   Aytemir, Kudret ^b   Kilic, Ayhan ^a   Can, Ilknur ^a   Kursakltoglu, Hurkan ^a   Celik, Turgay ^a   Isik, Ersoy ^a  

^a GULHANE SCHOOL OF MEDICINE   (Turkey)

^b HACETTEPE UNIVERSITY   (Turkey)

Author keywords

Atrioventricular nodal reentrant tachycardia; Multiple AH jumps; Paroxysmal supraventricular tachycardia; Radiofrequency catheter ablation; Slow pathway ablation

Indexed keywords

ADULT; AGE; ARTICLE; ATRIOVENTRICULAR CONDUCTION; ATRIOVENTRICULAR NODAL REENTRANT TACHYCARDIA; CATHETER ABLATION; COMPARATIVE STUDY; CONTROLLED STUDY; DISEASE CLASSIFICATION; FEMALE; FOLLOW UP; HEART ATRIOVENTRICULAR NODE; HEART ELECTROPHYSIOLOGY; HUMAN; MAJOR CLINICAL STUDY; MALE; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; RECURRENT DISEASE; SUPRAVENTRICULAR TACHYCARDIA; TACHYCARDIA; TREATMENT OUTCOME;

ADOLESCENT; ADULT; AGE FACTORS; AGED; AGED, 80 AND OVER; ATRIOVENTRICULAR NODE; CATHETER ABLATION; CHILD; ELECTROPHYSIOLOGIC TECHNIQUES, CARDIAC; FEMALE; FOLLOW-UP STUDIES; HUMANS; MALE; MIDDLE AGED; REFRACTORY PERIOD, ELECTROPHYSIOLOGICAL; TACHYCARDIA, ATRIOVENTRICULAR NODAL REENTRY; TIME; TREATMENT OUTCOME;

EID: 3543082901     PISSN: 1383875X     EISSN: None     Source Type: Journal    
DOI: 10.1023/B:JICE.0000026920.40169.9f     Document Type: Article

References (25)

1. Elvas L, Gursoy S, Brugada J, Andries E, Brugada P. Atrioventricular nodal reentrant tachycardia: A review. Can J Cardiol 1994;10:342-348.
2. Fenelon G, Elvas L, D'avila A, Tsakonas K, Malacky T, Manios E, Geelen P, Declerck L, Ramchurn H, De Vusser P, et al. Radiofrequency ablation of atrioventricular node reentrant tachycardia: Experience in 302 patients. Acta Cardiol 1995;50:397-410.
3. Haissaguerre M, Gaita F, Fischer B, Commenges D, Montserrat P, d'Ivernois C, Lemetayer P, Warin JF. Elimination of atrioventricular nodal reentrant tachycardia us ing discrete slow potentials to guide application of radiofrequency energy. Circulation 1992;85:2162-2175.
4. Swiryn S, Bauernfeind RA, Palileo EA, Strasberg B, Duffy CE, Rosen KM. Electrophysiologic study demonstrating triple antegrade AV nodal pathways in patients with spontaneous and/or induced supraventricular tachycardia. Am Heart J 1982;103:168-176.
5. Kuck KH, Kuch B, Bleifeld W. Multiple anterograde and retrograde AV nodal pathways: Demonstration by multiple discontinuities in the AV nodal conduction curves and echo time intervals. Pacing Clin Electrophysiol 1984;7:656-662.
6. Heinroth KM, Kattenbeck K, Stabenow I, Trappe HJ, Weismuller P. Multiple AV nodal pathways in patients with AV nodal reentrant tachycardia-more common than expected? Europace 2002;4:375-382.
7. Kuo CT, Luqman N, Lin KH, Cheng NJ, Hsu TS, Lee YS. Atrioventricular nodal reentry tachycardia with multiple AH jumps: Electrophysiological characteristics and radiofrequency ablation. Pacing Clin Electrophysiol 2003;26:1849-1855.
8. Tai CT, Chen SA, Chiang CE, Lee SH, Chiou CW, Veng KC, Wen ZC, Chen YJ, Chang MS. Multiple anterograde atrioventricular node pathways in patients with atrioventricular node reentrant tachycardia. J Am Coll Cardiol 1996;28:725-731.
9. Leitch J, Klein GJ, Yee R, Murdock C. Invasive electrophysiologic evaluation of patients with supraventricular tachycardia. Cardiol Clin 1990;8:465-477.
10. Silka MJ, Kron J, Halperin BD, McAnulty JH. Mechanisms of AV node reentrant tachycardia in young patients with and without dual AV node physiology. Pacing Clin Electrophysiol 1994;17(11 Pt 2):2129-2133.
11. Blaufox AD, Rhodes JF, Fishberger SB. Age related changes in dual AV nodal physiology. Pacing Clin Electrophysiol 2000;23(4 Pt 1):477-480.
12. Baker JH 2nd, Plumb VJ, Epstein AE, Kay GN. Predictors of recurrent atrioventricular nodal reentry after selective slow pathway ablation. Am J Cardiol 1994;73:765-769.
13. Manolis AS, Wang PJ, Estes NA 3rd. Radiofrequency ablation of slow pathway in patients with atrioventricular nodal reentrant tachycardia: Do arrhythmia recurrences correlate with persistent slow pathway conduction or site of successful ablation? Circulation 1994;90:2815-2819.
14. Fujii E, Kasai A, Omichi C, Matsuoka K, Teramura S, Uchida F, Nakano T. Electrophysiological determinants of persistent dual atrioventricular nodal pathway physiology after slow pathway ablation in atrioventricular nodal reentrant tachycardia. Pacing Clin Electrophysiol 2000;23(11 Pt 2):1916-1920.
15. Wu D. A-V nodal reentiy. Pacing Clin Electrophysiol 1983;6:1190-1200.
16. McGuire MA, Robotin M, Yip AS, Bourke JP, Johnson DC, Dewsnap BI, Grant P, Uther JB, Ross DL. Electrophysiologic and histologic effects of dissection of the connections between the atrium and posterior part of the atrioventricular node. J Am Coll Cardiol 1994;23:693-701.
17. Sheahan RG, Klein GJ, Yee R, Le Feuvre CA, Krahn AD. Atrioventricular node reentry with 'smooth' AV node function curves: A different arrhythmia substrate? Circulation 1996;93:969-972.
18. Tai CT, Chen SA, Chiang CE, Lee SH, Wen ZC, Chiou CW, Veng KC, Chen YJ, Yu WC, Huang JL, Chang MS. Complex electrophysiological characteristics in atrioventricular nodal reentrant tachycardia with continuous atrioventricular node function curves. Circulation 1997;95:2541-2547.
19. Anderson RH, Janse MJ, van Capelle FJ, Billette J, Becker AE, Durrer D. A combined morphological and electrophysiological study of the atrioventricular node of the rabbit heart. Circ Res 1974;35:909-922.
20. Wu J. Nondiscrete functional pathways and asymmetric transitional zone: A new concept for AV nodal electrophysiology. J Cardiovasc Electrophysiol 2001;12:487-488.
21. Wu J, Wu J, Olgin J, Miller JM, Zipes DP. Mechanisms underlying the reentrant circuit of atrioventricular nodal reentrant tachycardia in isolated canine atrioventricular nodal preparation using optical mapping. Circ Res 2001;88:1189-1195.
22. Spach MS, Josephson ME. Initiating reentry: The role of nonuniform anisotropy in small circuits. J Cardiovasc Electrophysiol 1994;5:182-209.
23. Sherf L, James TN, Woods WT. Function of the atrioventricular node considered on the basis of observed histology and fine structure. J Am Coll Cardiol 1985;5:770-780.
24. Yu WC, Chen SA, Chiang CE, Tai CT, Lee SH, Chiou CW, Ueng KC, Wen ZC, Chen YJ, Huang JL, Chang MS. Effects of isoproterenol in facilitating induction of slow-fast atrioventricular nodal reentrant tachycardia. Am J Cardiol 1996;78:1299-1302.
25. Stellbrink C, Diem B, Schauerte P, Brehmer K, Schuett H, Hanrath P. Differential effects of atropine and isoproterenol on inducibility of atrioventricular nodal reentrant tachycardia. J Interv Card Electrophysiol 2001;5:463-469.