Accessory pathway and atrioventricular node reentrant tachycardia in elderly patients: Clinical features, electrophysiologic characteristics and results of radiofrequency ablation
Objectives. This study was designed to evaluate the clinical features, electrophysiologic characteristics and results of radio-frequency ablation in elderly patients with accessory atrioventricular (AV) pathways or AV node reentrant tachycardia. Background. Radiofrequency ablation in elderly patient...
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| Veröffentlicht in: | Journal of the American College of Cardiology 1994-03, Vol.23 (3), p.702-708 |
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| container_title | Journal of the American College of Cardiology |
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| creator | Chen, Shih-Ann Chiang, Chern-En Yang, Chin-Juey Cheng, Chen-Chuan Wu, Tsu-Juey Wang, Shih-Pu Chiang, Benjamin N. Chang, Mau-Song |
| description | Objectives. This study was designed to evaluate the clinical features, electrophysiologic characteristics and results of radio-frequency ablation in elderly patients with accessory atrioventricular (AV) pathways or AV node reentrant tachycardia. Background. Radiofrequency ablation in elderly patients with paroxysmal supraventricular tachycardia has not been well described, and comparative study between elderly and younger patients is limited.
Methods. Electrophysiologic studies and radiofrequency ablation were performed in 92 elderly patients (45 with an accessory pathway, 47 with AV node reentrant tachycardia).
Results. The elderly patients had poorer electrophysiologic properties in accessory pathways and dual AV node pathways than those of younger patients. The success rate of radiofrequency ablation was similar in elderly and younger patients. However, elderly patients had more complications (14%) in left-sided accessory pathways.
Conclusions. Radiofrequency ablation in elderly patients with supraventricular tachycardia was effective. However, it must be performed cautiously in those patients with left-sided accessory pathways. |
| doi_str_mv | 10.1016/0735-1097(94)90757-9 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_76375398</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>0735109794907579</els_id><sourcerecordid>76375398</sourcerecordid><originalsourceid>FETCH-LOGICAL-c420t-c7d4bda4f86aa32e9a55c9c1f13a3e0b559de00a23a82b5b969b5759ddaeded03</originalsourceid><addsrcrecordid>eNp9kc-KFDEQxhtR1nH1DRRyEFGwNZl0pjt7EJbBf7DgRc-hulLtRDKdMUmv9HP5gqZnhjl6Kqj61VfF91XVc8HfCS4273krVS24bl_r5o3mrWpr_aBaCaW6WirdPqxWF-Rx9SSlX5zzTSf0VXXVCSGVUqvq7y0ipRTizA6Qd39gZjBaBjm6cE9jKTh5iGwMllikpQNjZhlwNyNE64C5kZG3FP1RwhUk3bCtd6ND8GwgyFOk9LZAhDmGw25OLvjw0yHDHUTATNGl7DAdTxd28jmxMLAI1oUh0u-JRiyP9b7oh_Fp9WgAn-jZuV5XPz59_L79Ut99-_x1e3tXY7PmucbWNr2FZug2AHJNGpRCjWIQEiTxXiltiXNYS-jWver1RveqLU0LZMlyeV29OukeYigvpGz2LiF5DyOFKZl2I1sldVfA5gRiDClFGswhuj3E2QhulqzMEoRZgjC6McesjC5rL876U78ne1k6h1PmL89zSMXKoTiPLl2wcllpuWAfThgVL-4dRZOwpIBkXSyOGxvc___4B3jGt3M</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>76375398</pqid></control><display><type>article</type><title>Accessory pathway and atrioventricular node reentrant tachycardia in elderly patients: Clinical features, electrophysiologic characteristics and results of radiofrequency ablation</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><source>EZB Electronic Journals Library</source><creator>Chen, Shih-Ann ; Chiang, Chern-En ; Yang, Chin-Juey ; Cheng, Chen-Chuan ; Wu, Tsu-Juey ; Wang, Shih-Pu ; Chiang, Benjamin N. ; Chang, Mau-Song</creator><creatorcontrib>Chen, Shih-Ann ; Chiang, Chern-En ; Yang, Chin-Juey ; Cheng, Chen-Chuan ; Wu, Tsu-Juey ; Wang, Shih-Pu ; Chiang, Benjamin N. ; Chang, Mau-Song</creatorcontrib><description>Objectives. This study was designed to evaluate the clinical features, electrophysiologic characteristics and results of radio-frequency ablation in elderly patients with accessory atrioventricular (AV) pathways or AV node reentrant tachycardia. Background. Radiofrequency ablation in elderly patients with paroxysmal supraventricular tachycardia has not been well described, and comparative study between elderly and younger patients is limited.
Methods. Electrophysiologic studies and radiofrequency ablation were performed in 92 elderly patients (45 with an accessory pathway, 47 with AV node reentrant tachycardia).
Results. The elderly patients had poorer electrophysiologic properties in accessory pathways and dual AV node pathways than those of younger patients. The success rate of radiofrequency ablation was similar in elderly and younger patients. However, elderly patients had more complications (14%) in left-sided accessory pathways.
Conclusions. Radiofrequency ablation in elderly patients with supraventricular tachycardia was effective. However, it must be performed cautiously in those patients with left-sided accessory pathways.</description><identifier>ISSN: 0735-1097</identifier><identifier>EISSN: 1558-3597</identifier><identifier>DOI: 10.1016/0735-1097(94)90757-9</identifier><identifier>PMID: 8113555</identifier><identifier>CODEN: JACCDI</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Age Factors ; Aged ; Biological and medical sciences ; Cardiac Pacing, Artificial ; Catheter Ablation ; Diseases of the cardiovascular system ; Female ; Follow-Up Studies ; Heart Conduction System - physiopathology ; Humans ; Male ; Medical sciences ; Postoperative Complications - epidemiology ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Tachycardia, Atrioventricular Nodal Reentry - diagnosis ; Tachycardia, Atrioventricular Nodal Reentry - epidemiology ; Tachycardia, Atrioventricular Nodal Reentry - surgery ; Time Factors ; Wolff-Parkinson-White Syndrome - diagnosis ; Wolff-Parkinson-White Syndrome - epidemiology ; Wolff-Parkinson-White Syndrome - surgery</subject><ispartof>Journal of the American College of Cardiology, 1994-03, Vol.23 (3), p.702-708</ispartof><rights>1994</rights><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c420t-c7d4bda4f86aa32e9a55c9c1f13a3e0b559de00a23a82b5b969b5759ddaeded03</citedby><cites>FETCH-LOGICAL-c420t-c7d4bda4f86aa32e9a55c9c1f13a3e0b559de00a23a82b5b969b5759ddaeded03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/0735109794907579$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3985935$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8113555$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Shih-Ann</creatorcontrib><creatorcontrib>Chiang, Chern-En</creatorcontrib><creatorcontrib>Yang, Chin-Juey</creatorcontrib><creatorcontrib>Cheng, Chen-Chuan</creatorcontrib><creatorcontrib>Wu, Tsu-Juey</creatorcontrib><creatorcontrib>Wang, Shih-Pu</creatorcontrib><creatorcontrib>Chiang, Benjamin N.</creatorcontrib><creatorcontrib>Chang, Mau-Song</creatorcontrib><title>Accessory pathway and atrioventricular node reentrant tachycardia in elderly patients: Clinical features, electrophysiologic characteristics and results of radiofrequency ablation</title><title>Journal of the American College of Cardiology</title><addtitle>J Am Coll Cardiol</addtitle><description>Objectives. This study was designed to evaluate the clinical features, electrophysiologic characteristics and results of radio-frequency ablation in elderly patients with accessory atrioventricular (AV) pathways or AV node reentrant tachycardia. Background. Radiofrequency ablation in elderly patients with paroxysmal supraventricular tachycardia has not been well described, and comparative study between elderly and younger patients is limited.
Methods. Electrophysiologic studies and radiofrequency ablation were performed in 92 elderly patients (45 with an accessory pathway, 47 with AV node reentrant tachycardia).
Results. The elderly patients had poorer electrophysiologic properties in accessory pathways and dual AV node pathways than those of younger patients. The success rate of radiofrequency ablation was similar in elderly and younger patients. However, elderly patients had more complications (14%) in left-sided accessory pathways.
Conclusions. Radiofrequency ablation in elderly patients with supraventricular tachycardia was effective. However, it must be performed cautiously in those patients with left-sided accessory pathways.</description><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Cardiac Pacing, Artificial</subject><subject>Catheter Ablation</subject><subject>Diseases of the cardiovascular system</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Heart Conduction System - physiopathology</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Postoperative Complications - epidemiology</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - diagnosis</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - epidemiology</subject><subject>Tachycardia, Atrioventricular Nodal Reentry - surgery</subject><subject>Time Factors</subject><subject>Wolff-Parkinson-White Syndrome - diagnosis</subject><subject>Wolff-Parkinson-White Syndrome - epidemiology</subject><subject>Wolff-Parkinson-White Syndrome - surgery</subject><issn>0735-1097</issn><issn>1558-3597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc-KFDEQxhtR1nH1DRRyEFGwNZl0pjt7EJbBf7DgRc-hulLtRDKdMUmv9HP5gqZnhjl6Kqj61VfF91XVc8HfCS4273krVS24bl_r5o3mrWpr_aBaCaW6WirdPqxWF-Rx9SSlX5zzTSf0VXXVCSGVUqvq7y0ipRTizA6Qd39gZjBaBjm6cE9jKTh5iGwMllikpQNjZhlwNyNE64C5kZG3FP1RwhUk3bCtd6ND8GwgyFOk9LZAhDmGw25OLvjw0yHDHUTATNGl7DAdTxd28jmxMLAI1oUh0u-JRiyP9b7oh_Fp9WgAn-jZuV5XPz59_L79Ut99-_x1e3tXY7PmucbWNr2FZug2AHJNGpRCjWIQEiTxXiltiXNYS-jWver1RveqLU0LZMlyeV29OukeYigvpGz2LiF5DyOFKZl2I1sldVfA5gRiDClFGswhuj3E2QhulqzMEoRZgjC6McesjC5rL876U78ne1k6h1PmL89zSMXKoTiPLl2wcllpuWAfThgVL-4dRZOwpIBkXSyOGxvc___4B3jGt3M</recordid><startdate>19940301</startdate><enddate>19940301</enddate><creator>Chen, Shih-Ann</creator><creator>Chiang, Chern-En</creator><creator>Yang, Chin-Juey</creator><creator>Cheng, Chen-Chuan</creator><creator>Wu, Tsu-Juey</creator><creator>Wang, Shih-Pu</creator><creator>Chiang, Benjamin N.</creator><creator>Chang, Mau-Song</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><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></search><sort><creationdate>19940301</creationdate><title>Accessory pathway and atrioventricular node reentrant tachycardia in elderly patients: Clinical features, electrophysiologic characteristics and results of radiofrequency ablation</title><author>Chen, Shih-Ann ; Chiang, Chern-En ; Yang, Chin-Juey ; Cheng, Chen-Chuan ; Wu, Tsu-Juey ; Wang, Shih-Pu ; Chiang, Benjamin N. ; Chang, Mau-Song</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c420t-c7d4bda4f86aa32e9a55c9c1f13a3e0b559de00a23a82b5b969b5759ddaeded03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Cardiac Pacing, Artificial</topic><topic>Catheter Ablation</topic><topic>Diseases of the cardiovascular system</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Heart Conduction System - physiopathology</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Postoperative Complications - epidemiology</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Tachycardia, Atrioventricular Nodal Reentry - diagnosis</topic><topic>Tachycardia, Atrioventricular Nodal Reentry - epidemiology</topic><topic>Tachycardia, Atrioventricular Nodal Reentry - surgery</topic><topic>Time Factors</topic><topic>Wolff-Parkinson-White Syndrome - diagnosis</topic><topic>Wolff-Parkinson-White Syndrome - epidemiology</topic><topic>Wolff-Parkinson-White Syndrome - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Shih-Ann</creatorcontrib><creatorcontrib>Chiang, Chern-En</creatorcontrib><creatorcontrib>Yang, Chin-Juey</creatorcontrib><creatorcontrib>Cheng, Chen-Chuan</creatorcontrib><creatorcontrib>Wu, Tsu-Juey</creatorcontrib><creatorcontrib>Wang, Shih-Pu</creatorcontrib><creatorcontrib>Chiang, Benjamin N.</creatorcontrib><creatorcontrib>Chang, Mau-Song</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><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><jtitle>Journal of the American College of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Shih-Ann</au><au>Chiang, Chern-En</au><au>Yang, Chin-Juey</au><au>Cheng, Chen-Chuan</au><au>Wu, Tsu-Juey</au><au>Wang, Shih-Pu</au><au>Chiang, Benjamin N.</au><au>Chang, Mau-Song</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accessory pathway and atrioventricular node reentrant tachycardia in elderly patients: Clinical features, electrophysiologic characteristics and results of radiofrequency ablation</atitle><jtitle>Journal of the American College of Cardiology</jtitle><addtitle>J Am Coll Cardiol</addtitle><date>1994-03-01</date><risdate>1994</risdate><volume>23</volume><issue>3</issue><spage>702</spage><epage>708</epage><pages>702-708</pages><issn>0735-1097</issn><eissn>1558-3597</eissn><coden>JACCDI</coden><abstract>Objectives. This study was designed to evaluate the clinical features, electrophysiologic characteristics and results of radio-frequency ablation in elderly patients with accessory atrioventricular (AV) pathways or AV node reentrant tachycardia. Background. Radiofrequency ablation in elderly patients with paroxysmal supraventricular tachycardia has not been well described, and comparative study between elderly and younger patients is limited.
Methods. Electrophysiologic studies and radiofrequency ablation were performed in 92 elderly patients (45 with an accessory pathway, 47 with AV node reentrant tachycardia).
Results. The elderly patients had poorer electrophysiologic properties in accessory pathways and dual AV node pathways than those of younger patients. The success rate of radiofrequency ablation was similar in elderly and younger patients. However, elderly patients had more complications (14%) in left-sided accessory pathways.
Conclusions. Radiofrequency ablation in elderly patients with supraventricular tachycardia was effective. However, it must be performed cautiously in those patients with left-sided accessory pathways.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>8113555</pmid><doi>10.1016/0735-1097(94)90757-9</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of the American College of Cardiology, 1994-03, Vol.23 (3), p.702-708 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals; EZB Electronic Journals Library |
| subjects | Adult Age Factors Aged Biological and medical sciences Cardiac Pacing, Artificial Catheter Ablation Diseases of the cardiovascular system Female Follow-Up Studies Heart Conduction System - physiopathology Humans Male Medical sciences Postoperative Complications - epidemiology Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Tachycardia, Atrioventricular Nodal Reentry - diagnosis Tachycardia, Atrioventricular Nodal Reentry - epidemiology Tachycardia, Atrioventricular Nodal Reentry - surgery Time Factors Wolff-Parkinson-White Syndrome - diagnosis Wolff-Parkinson-White Syndrome - epidemiology Wolff-Parkinson-White Syndrome - surgery |
| title | Accessory pathway and atrioventricular node reentrant tachycardia in elderly patients: Clinical features, electrophysiologic characteristics and results of radiofrequency ablation |
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