Atrio-ventricular conduction following radiofrequency ablation for atrio-ventricular node reentry tachycardia in children

被引:4
作者
Kantoch, Michal J. [1 ]
Atallah, Joseph [1 ]
Soni, Reeni N. [2 ]
机构
[1] Univ Alberta, WMC Hlth Sci Ctr 4C2, Stollery Childrens Hosp, Edmonton, AB T6G 2B7, Canada
[2] Univ Manitoba, Variety Childrens Heart Ctr, Winnipeg, MB, Canada
来源
EUROPACE | 2010年 / 12卷 / 07期
关键词
Atrio-ventricular reentry tachycardia; Radiofrequency ablation; Atrio-ventricular node; PR interval; Atrio-ventricular block; Children; PEDIATRIC CARDIAC ABLATION; SLOW PATHWAY ABLATION; SUPERIOR VENA-CAVA; CATHETER ABLATION; SUPRAVENTRICULAR TACHYCARDIA; RECURRENCE; BLOCK; LESIONS;
D O I
10.1093/europace/euq097
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The study was designed to assess atrio-ventricular (AV) conduction with non-invasive methods at least 1 year after radiofrequency ablation (RFA) of the slow pathway for AV node reentry tachycardia. Medical records of all patients who underwent RFA before their 18th birthday were reviewed. Patients were brought back for clinical evaluation, an electrocardiogram, an exercise stress test, and ambulatory Holter monitoring. Radiofrequency ablation of the slow pathway above the ostium of the coronary sinus was done in 106 children. No procedure resulted in high degree AV block. Follow-up evaluation was possible in 67 patients (63% of the total cohort) who were brought back to the clinic 1-13.7 years, mean 4.7 +/- 3.0 years after the procedure. Dizzy spells were reported by 36% of examined patients and 2 patients reported syncope. PR intervals were normal in all but two patients when compared with published normal values. One patient presented with persistent, post-procedural first-degree AV block and another developed new onset, symptomatic second degree AV block 2 years after the procedure and required pacemaker implantation. Non-invasive testing showed normal PR intervals in a cohort of patients who underwent RFA of the slow pathway in childhood or adolescence. Late AV block occurred in one child. Clinical evaluation more than a year after the procedure is warranted in symptomatic patients.
引用
收藏
页码:978 / 981
页数:4
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