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Titolo:
Targeting the slow pathway for atrioventricular nodal reentrant tachycardia: initial results and long-term follow-up in 379 consecutive patients
Autore:
Clague, JR; Dagres, N; Kottkamp, H; Breithardt, G; Borggrefe, M;
Indirizzi:
Univ Munster, Dept Cardiol & Angiol, D-4400 Munster, Germany Univ MunsterMunster Germany D-4400 ol & Angiol, D-4400 Munster, Germany
Titolo Testata:
EUROPEAN HEART JOURNAL
fascicolo: 1, volume: 22, anno: 2001,
pagine: 82 - 88
SICI:
0195-668X(200101)22:1<82:TTSPFA>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
RADIOFREQUENCY CATHETER ABLATION; ELECTROGRAM; ELIMINATION; CONDUCTION; ENERGY; JUNCTION;
Keywords:
atrioventricular nodal reentrant tachycardia; slow pathway; radiofrequency ablation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
21
Recensione:
Indirizzi per estratti:
Indirizzo: Clague, JR Royal Brompton Hosp, Dept Cardiol, London SW3 6NP, England Royal Brompton Hosp London England SW3 6NP n SW3 6NP, England
Citazione:
J.R. Clague et al., "Targeting the slow pathway for atrioventricular nodal reentrant tachycardia: initial results and long-term follow-up in 379 consecutive patients", EUR HEART J, 22(1), 2001, pp. 82-88

Abstract

Objectives This study is designed to examine immediate and short-term outcomes of patients who have undergone slow pathway ablation/modification for atrioventricular nodal reentrant tachycardia. Background Targeting the slow pathway has emerged as the superior form of treatment for atrioventricular nodal reentrant tachycardia. This technique has been found effective and is associated with a low complication rate. However, little is known of the long-term outcome of patients undergoing thisprocedure. Methods Over a 40-month period the slow pathway was targeted in 379 consecutive patients with proven atrioventricular nodal reentrant tachycardia. The case records of all patients were examined. Accurate follow-up data is available in 96% of patients a mean of 206 months after the procedure. Results The initial success rate was 97%. The incidence of complete heart block was 0.8% and the mean fluoroscopy duration was 27.3 min. The recurrence rate was 6.9%. Age, number of pulses and fluoroscopy time were positively associated with either initial failure or recurrence. A total of 11.3% ofpatients were still taking antiarryhthmic medication at follow-up. Conclusions Targeting the slow pathway is an effective form of treatment for atrioventricular nodal reentrant tachycardia. The technique has a high initial success rate, a low complication rate and a low recurrence rate at longterm follow-up. Slow pathway modification is associated with similar success rates and recurrence rates as slow pathway ablation and may confer theoretical long-term benefits. (Eur Heart J 2001; 22: 82-88, doi:10.1053/euhj.2000.2124) (C) 2001 The European Society of Cardiology.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 11/07/20 alle ore 03:58:42