Incidence and prognostic significance of spontaneous and inducible antidromic tachycardia
Orthodromic atrioventricular reentrant tachycardia (ORT) is the most common arrhythmia at electrophysiological study (EPS) in patients with pre-excitation. The purpose of the study was to determine the clinical significance and the electrophysiological characteristics of patients with inducible anti...
Gespeichert in:
| Veröffentlicht in: | Europace (London, England) England), 2013-06, Vol.15 (6), p.871-876 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 876 |
|---|---|
| container_issue | 6 |
| container_start_page | 871 |
| container_title | Europace (London, England) |
| container_volume | 15 |
| creator | Brembilla-Perrot, Béatrice Pauriah, Maheshwar Sellal, Jean-Marc Zinzius, Pierre Yves Schwartz, Jérôme de Chillou, Christian Cismaru, Gabriel Beurrier, Daniel Voilliot, Damien Selton, Olivier Louis, Pierre Andronache, Marius Nosu, Radu de la Chaise, Arnaud Terrier |
| description | Orthodromic atrioventricular reentrant tachycardia (ORT) is the most common arrhythmia at electrophysiological study (EPS) in patients with pre-excitation. The purpose of the study was to determine the clinical significance and the electrophysiological characteristics of patients with inducible antidromic tachycardia (ADT).
Electrophysiological study was performed in 807 patients with a pre-excitation syndrome in control state and after isoproterenol. Antidromic tachycardia was induced in 63 patients (8%). Clinical and electrophysiological data were compared with those of 744 patients without ADT. Patients with and without ADT were similar in term of age (33 ± 18 vs. 34 ± 17), male gender (68 vs. 61%), clinical presentation with spontaneous atrioventricular reentrant tachycardia (AVRT) (35 vs. 42%), atrial fibrillation (AF) (3 vs. 3%), syncope (16 vs. 12%). In patients with induced ADT, asymptomatic patients were less frequent (24 vs. 37%; |
| doi_str_mv | 10.1093/europace/eus354 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_01718039v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1356390098</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-ae0c25b96922514ea9cb0def19889d3c3d7a85551e8c388504782e1ffa8cf6963</originalsourceid><addsrcrecordid>eNo9kDtPwzAUhS0EoqUws6GOMIT6ESf2WFVAK1VigYHJcvxojRI7xAlS_z0JaTvdq3u_c6RzALhH8BlBThama0ItlemXSGh6AaaIEpxgyPFlv0POE4own4CbGL8hhDnm9BpMMEEpQxhOwdfGK6eNV2YuvZ7XTdj5EFun5tHtvLNOyeEX7DzWwbfSm9DFf9R53SlXlIOwdboJVS9qpdoflGy0k7fgysoymrvjnIHP15eP1TrZvr9tVsttokiO20QaqDAteMYxpig1kqsCamMRZ4xroojOJaOUIsMUYYzCNGfYIGslUzbjGZmBp9F3L0tRN66SzUEE6cR6uRXDDaIcMUj4L-rZx5Htc_50JraiclGZshxzCURoRjiEnPXoYkRVE2JsjD17IyiG7sWpezF23ysejuZdURl95k9lkz_x04Mc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1356390098</pqid></control><display><type>article</type><title>Incidence and prognostic significance of spontaneous and inducible antidromic tachycardia</title><source>MEDLINE</source><source>Access via Oxford University Press (Open Access Collection)</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>Alma/SFX Local Collection</source><creator>Brembilla-Perrot, Béatrice ; Pauriah, Maheshwar ; Sellal, Jean-Marc ; Zinzius, Pierre Yves ; Schwartz, Jérôme ; de Chillou, Christian ; Cismaru, Gabriel ; Beurrier, Daniel ; Voilliot, Damien ; Selton, Olivier ; Louis, Pierre ; Andronache, Marius ; Nosu, Radu ; de la Chaise, Arnaud Terrier</creator><creatorcontrib>Brembilla-Perrot, Béatrice ; Pauriah, Maheshwar ; Sellal, Jean-Marc ; Zinzius, Pierre Yves ; Schwartz, Jérôme ; de Chillou, Christian ; Cismaru, Gabriel ; Beurrier, Daniel ; Voilliot, Damien ; Selton, Olivier ; Louis, Pierre ; Andronache, Marius ; Nosu, Radu ; de la Chaise, Arnaud Terrier</creatorcontrib><description><![CDATA[Orthodromic atrioventricular reentrant tachycardia (ORT) is the most common arrhythmia at electrophysiological study (EPS) in patients with pre-excitation. The purpose of the study was to determine the clinical significance and the electrophysiological characteristics of patients with inducible antidromic tachycardia (ADT).
Electrophysiological study was performed in 807 patients with a pre-excitation syndrome in control state and after isoproterenol. Antidromic tachycardia was induced in 63 patients (8%). Clinical and electrophysiological data were compared with those of 744 patients without ADT. Patients with and without ADT were similar in term of age (33 ± 18 vs. 34 ± 17), male gender (68 vs. 61%), clinical presentation with spontaneous atrioventricular reentrant tachycardia (AVRT) (35 vs. 42%), atrial fibrillation (AF) (3 vs. 3%), syncope (16 vs. 12%). In patients with induced ADT, asymptomatic patients were less frequent (24 vs. 37%; <0.04), spontaneous ADT and spontaneous malignant form more frequent (8 vs. 0.5%; <0.001) (16 vs. 6%; <0.002). Left lateral accessory pathway (AP) location was more frequent (51 vs. 36%; P < 0.022), septal location less frequent (40 vs. 56%; P < 0.01). And 1/1 conduction through AP was more rapid. Orthodromic AVRT induction was as frequent (55.5 vs. 55%), but AF induction (41 vs. 24%; P < 0.002) and electrophysiological malignant form were more frequent (22 vs. 12%; P < 0.02). The follow-up was similar; four deaths and three spontaneous malignant forms occurred in patients without ADT. When population was divided based on age (<20/≥20 years), the older group was less likely to have criteria for malignant form.
Antidromic tachycardia induction is rare in pre-excitation syndrome and generally is associated with spontaneous or electrophysiological malignant form, but clinical outcome does not differ.]]></description><identifier>ISSN: 1099-5129</identifier><identifier>EISSN: 1532-2092</identifier><identifier>DOI: 10.1093/europace/eus354</identifier><identifier>PMID: 23148120</identifier><language>eng</language><publisher>England: Oxford University Press (OUP)</publisher><subject>Adolescent ; Adult ; Age Distribution ; Aged ; Aged, 80 and over ; Cardiac Pacing, Artificial - statistics & numerical data ; Child ; Child, Preschool ; Comorbidity ; Electrocardiography - statistics & numerical data ; Electrophysiologic Techniques, Cardiac - statistics & numerical data ; Female ; France - epidemiology ; Human health and pathology ; Humans ; Incidence ; Life Sciences ; Male ; Middle Aged ; Pre-Excitation Syndromes - diagnosis ; Pre-Excitation Syndromes - epidemiology ; Prognosis ; Reproducibility of Results ; Risk Assessment ; Sensitivity and Specificity ; Sexism ; Tachycardia, Atrioventricular Nodal Reentry - diagnosis ; Tachycardia, Atrioventricular Nodal Reentry - epidemiology ; Young Adult</subject><ispartof>Europace (London, England), 2013-06, Vol.15 (6), p.871-876</ispartof><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-ae0c25b96922514ea9cb0def19889d3c3d7a85551e8c388504782e1ffa8cf6963</citedby><cites>FETCH-LOGICAL-c372t-ae0c25b96922514ea9cb0def19889d3c3d7a85551e8c388504782e1ffa8cf6963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,781,785,886,27929,27930</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23148120$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.univ-lorraine.fr/hal-01718039$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Brembilla-Perrot, Béatrice</creatorcontrib><creatorcontrib>Pauriah, Maheshwar</creatorcontrib><creatorcontrib>Sellal, Jean-Marc</creatorcontrib><creatorcontrib>Zinzius, Pierre Yves</creatorcontrib><creatorcontrib>Schwartz, Jérôme</creatorcontrib><creatorcontrib>de Chillou, Christian</creatorcontrib><creatorcontrib>Cismaru, Gabriel</creatorcontrib><creatorcontrib>Beurrier, Daniel</creatorcontrib><creatorcontrib>Voilliot, Damien</creatorcontrib><creatorcontrib>Selton, Olivier</creatorcontrib><creatorcontrib>Louis, Pierre</creatorcontrib><creatorcontrib>Andronache, Marius</creatorcontrib><creatorcontrib>Nosu, Radu</creatorcontrib><creatorcontrib>de la Chaise, Arnaud Terrier</creatorcontrib><title>Incidence and prognostic significance of spontaneous and inducible antidromic tachycardia</title><title>Europace (London, England)</title><addtitle>Europace</addtitle><description><![CDATA[Orthodromic atrioventricular reentrant tachycardia (ORT) is the most common arrhythmia at electrophysiological study (EPS) in patients with pre-excitation. The purpose of the study was to determine the clinical significance and the electrophysiological characteristics of patients with inducible antidromic tachycardia (ADT).
Electrophysiological study was performed in 807 patients with a pre-excitation syndrome in control state and after isoproterenol. Antidromic tachycardia was induced in 63 patients (8%). Clinical and electrophysiological data were compared with those of 744 patients without ADT. Patients with and without ADT were similar in term of age (33 ± 18 vs. 34 ± 17), male gender (68 vs. 61%), clinical presentation with spontaneous atrioventricular reentrant tachycardia (AVRT) (35 vs. 42%), atrial fibrillation (AF) (3 vs. 3%), syncope (16 vs. 12%). In patients with induced ADT, asymptomatic patients were less frequent (24 vs. 37%; <0.04), spontaneous ADT and spontaneous malignant form more frequent (8 vs. 0.5%; <0.001) (16 vs. 6%; <0.002). Left lateral accessory pathway (AP) location was more frequent (51 vs. 36%; P < 0.022), septal location less frequent (40 vs. 56%; P < 0.01). And 1/1 conduction through AP was more rapid. Orthodromic AVRT induction was as frequent (55.5 vs. 55%), but AF induction (41 vs. 24%; P < 0.002) and electrophysiological malignant form were more frequent (22 vs. 12%; P < 0.02). The follow-up was similar; four deaths and three spontaneous malignant forms occurred in patients without ADT. When population was divided based on age (<20/≥20 years), the older group was less likely to have criteria for malignant form.
Antidromic tachycardia induction is rare in pre-excitation syndrome and generally is associated with spontaneous or electrophysiological malignant form, but clinical outcome does not differ.]]></description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Distribution</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiac Pacing, Artificial - statistics & numerical data</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Comorbidity</subject><subject>Electrocardiography - statistics & numerical data</subject><subject>Electrophysiologic Techniques, Cardiac - statistics & numerical data</subject><subject>Female</subject><subject>France - epidemiology</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Pre-Excitation Syndromes - diagnosis</subject><subject>Pre-Excitation Syndromes - epidemiology</subject><subject>Prognosis</subject><subject>Reproducibility of Results</subject><subject>Risk Assessment</subject><subject>Sensitivity and Specificity</subject><subject>Sexism</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - diagnosis</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - epidemiology</subject><subject>Young Adult</subject><issn>1099-5129</issn><issn>1532-2092</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kDtPwzAUhS0EoqUws6GOMIT6ESf2WFVAK1VigYHJcvxojRI7xAlS_z0JaTvdq3u_c6RzALhH8BlBThama0ItlemXSGh6AaaIEpxgyPFlv0POE4own4CbGL8hhDnm9BpMMEEpQxhOwdfGK6eNV2YuvZ7XTdj5EFun5tHtvLNOyeEX7DzWwbfSm9DFf9R53SlXlIOwdboJVS9qpdoflGy0k7fgysoymrvjnIHP15eP1TrZvr9tVsttokiO20QaqDAteMYxpig1kqsCamMRZ4xroojOJaOUIsMUYYzCNGfYIGslUzbjGZmBp9F3L0tRN66SzUEE6cR6uRXDDaIcMUj4L-rZx5Htc_50JraiclGZshxzCURoRjiEnPXoYkRVE2JsjD17IyiG7sWpezF23ysejuZdURl95k9lkz_x04Mc</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Brembilla-Perrot, Béatrice</creator><creator>Pauriah, Maheshwar</creator><creator>Sellal, Jean-Marc</creator><creator>Zinzius, Pierre Yves</creator><creator>Schwartz, Jérôme</creator><creator>de Chillou, Christian</creator><creator>Cismaru, Gabriel</creator><creator>Beurrier, Daniel</creator><creator>Voilliot, Damien</creator><creator>Selton, Olivier</creator><creator>Louis, Pierre</creator><creator>Andronache, Marius</creator><creator>Nosu, Radu</creator><creator>de la Chaise, Arnaud Terrier</creator><general>Oxford University Press (OUP)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope></search><sort><creationdate>20130601</creationdate><title>Incidence and prognostic significance of spontaneous and inducible antidromic tachycardia</title><author>Brembilla-Perrot, Béatrice ; Pauriah, Maheshwar ; Sellal, Jean-Marc ; Zinzius, Pierre Yves ; Schwartz, Jérôme ; de Chillou, Christian ; Cismaru, Gabriel ; Beurrier, Daniel ; Voilliot, Damien ; Selton, Olivier ; Louis, Pierre ; Andronache, Marius ; Nosu, Radu ; de la Chaise, Arnaud Terrier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-ae0c25b96922514ea9cb0def19889d3c3d7a85551e8c388504782e1ffa8cf6963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Distribution</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiac Pacing, Artificial - statistics & numerical data</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Comorbidity</topic><topic>Electrocardiography - statistics & numerical data</topic><topic>Electrophysiologic Techniques, Cardiac - statistics & numerical data</topic><topic>Female</topic><topic>France - epidemiology</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>Incidence</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Pre-Excitation Syndromes - diagnosis</topic><topic>Pre-Excitation Syndromes - epidemiology</topic><topic>Prognosis</topic><topic>Reproducibility of Results</topic><topic>Risk Assessment</topic><topic>Sensitivity and Specificity</topic><topic>Sexism</topic><topic>Tachycardia, Atrioventricular Nodal Reentry - diagnosis</topic><topic>Tachycardia, Atrioventricular Nodal Reentry - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brembilla-Perrot, Béatrice</creatorcontrib><creatorcontrib>Pauriah, Maheshwar</creatorcontrib><creatorcontrib>Sellal, Jean-Marc</creatorcontrib><creatorcontrib>Zinzius, Pierre Yves</creatorcontrib><creatorcontrib>Schwartz, Jérôme</creatorcontrib><creatorcontrib>de Chillou, Christian</creatorcontrib><creatorcontrib>Cismaru, Gabriel</creatorcontrib><creatorcontrib>Beurrier, Daniel</creatorcontrib><creatorcontrib>Voilliot, Damien</creatorcontrib><creatorcontrib>Selton, Olivier</creatorcontrib><creatorcontrib>Louis, Pierre</creatorcontrib><creatorcontrib>Andronache, Marius</creatorcontrib><creatorcontrib>Nosu, Radu</creatorcontrib><creatorcontrib>de la Chaise, Arnaud Terrier</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Europace (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brembilla-Perrot, Béatrice</au><au>Pauriah, Maheshwar</au><au>Sellal, Jean-Marc</au><au>Zinzius, Pierre Yves</au><au>Schwartz, Jérôme</au><au>de Chillou, Christian</au><au>Cismaru, Gabriel</au><au>Beurrier, Daniel</au><au>Voilliot, Damien</au><au>Selton, Olivier</au><au>Louis, Pierre</au><au>Andronache, Marius</au><au>Nosu, Radu</au><au>de la Chaise, Arnaud Terrier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and prognostic significance of spontaneous and inducible antidromic tachycardia</atitle><jtitle>Europace (London, England)</jtitle><addtitle>Europace</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>15</volume><issue>6</issue><spage>871</spage><epage>876</epage><pages>871-876</pages><issn>1099-5129</issn><eissn>1532-2092</eissn><abstract><![CDATA[Orthodromic atrioventricular reentrant tachycardia (ORT) is the most common arrhythmia at electrophysiological study (EPS) in patients with pre-excitation. The purpose of the study was to determine the clinical significance and the electrophysiological characteristics of patients with inducible antidromic tachycardia (ADT).
Electrophysiological study was performed in 807 patients with a pre-excitation syndrome in control state and after isoproterenol. Antidromic tachycardia was induced in 63 patients (8%). Clinical and electrophysiological data were compared with those of 744 patients without ADT. Patients with and without ADT were similar in term of age (33 ± 18 vs. 34 ± 17), male gender (68 vs. 61%), clinical presentation with spontaneous atrioventricular reentrant tachycardia (AVRT) (35 vs. 42%), atrial fibrillation (AF) (3 vs. 3%), syncope (16 vs. 12%). In patients with induced ADT, asymptomatic patients were less frequent (24 vs. 37%; <0.04), spontaneous ADT and spontaneous malignant form more frequent (8 vs. 0.5%; <0.001) (16 vs. 6%; <0.002). Left lateral accessory pathway (AP) location was more frequent (51 vs. 36%; P < 0.022), septal location less frequent (40 vs. 56%; P < 0.01). And 1/1 conduction through AP was more rapid. Orthodromic AVRT induction was as frequent (55.5 vs. 55%), but AF induction (41 vs. 24%; P < 0.002) and electrophysiological malignant form were more frequent (22 vs. 12%; P < 0.02). The follow-up was similar; four deaths and three spontaneous malignant forms occurred in patients without ADT. When population was divided based on age (<20/≥20 years), the older group was less likely to have criteria for malignant form.
Antidromic tachycardia induction is rare in pre-excitation syndrome and generally is associated with spontaneous or electrophysiological malignant form, but clinical outcome does not differ.]]></abstract><cop>England</cop><pub>Oxford University Press (OUP)</pub><pmid>23148120</pmid><doi>10.1093/europace/eus354</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1099-5129 |
| ispartof | Europace (London, England), 2013-06, Vol.15 (6), p.871-876 |
| issn | 1099-5129 1532-2092 |
| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_01718039v1 |
| source | MEDLINE; Access via Oxford University Press (Open Access Collection); EZB-FREE-00999 freely available EZB journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Adolescent Adult Age Distribution Aged Aged, 80 and over Cardiac Pacing, Artificial - statistics & numerical data Child Child, Preschool Comorbidity Electrocardiography - statistics & numerical data Electrophysiologic Techniques, Cardiac - statistics & numerical data Female France - epidemiology Human health and pathology Humans Incidence Life Sciences Male Middle Aged Pre-Excitation Syndromes - diagnosis Pre-Excitation Syndromes - epidemiology Prognosis Reproducibility of Results Risk Assessment Sensitivity and Specificity Sexism Tachycardia, Atrioventricular Nodal Reentry - diagnosis Tachycardia, Atrioventricular Nodal Reentry - epidemiology Young Adult |
| title | Incidence and prognostic significance of spontaneous and inducible antidromic tachycardia |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-11T13%3A59%3A13IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_hal_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Incidence%20and%20prognostic%20significance%20of%20spontaneous%20and%20inducible%20antidromic%20tachycardia&rft.jtitle=Europace%20(London,%20England)&rft.au=Brembilla-Perrot,%20B%C3%A9atrice&rft.date=2013-06-01&rft.volume=15&rft.issue=6&rft.spage=871&rft.epage=876&rft.pages=871-876&rft.issn=1099-5129&rft.eissn=1532-2092&rft_id=info:doi/10.1093/europace/eus354&rft_dat=%3Cproquest_hal_p%3E1356390098%3C/proquest_hal_p%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1356390098&rft_id=info:pmid/23148120&rfr_iscdi=true |