Permanent form of junctional reciprocating tachycardia in adults: peculiar features and results of radiofrequency catheter ablation

Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology
Alexandre MeiltzRéseau Européen pour le Traitement des Arythmies Cardiaques

Abstract

PJRT occurs predominantly in infants and children and is limited to small series in adults. The aim of this study was to describe the clinical presentation, electrophysiological characteristics, feasibility and safety of radiofrequency ablation, and the long-term prognosis in a large group of adult patients with the permanent form of junctional reciprocating tachycardia (PJRT). Forty-nine adult patients (22 male and 27 female; mean age 43+/-16) with a diagnosis of PJRT confirmed at electrophysiological study were included. Eight patients (16%) presented with tachycardia-induced cardiomyopathy (TIC). Ventricular rate was 146+/-30 bpm. The arrhythmia was permanent or incessant in 23/49 cases (47%) and paroxysmal in 26/49 (53%). A significant correlation was found between symptom duration and tachycardia rate (r(2)=0.12, P=0.01). The accessory pathway (AP) was located in the right posteroseptal region in 37 cases (76%) and in atypical sites in 12 cases (24%). Patients with the incessant or permanent form of PJRT had longer duration of symptoms, more frequently TIC and a slower tachycardia rate. Radiofrequency catheter ablation was initially successful in 46 cases (94%) without any serious complication. Long-term success rate was 1...Continue Reading

References

Mar 1, 1986·The American Journal of Cardiology·D L PackerL D German
Mar 1, 1995·Journal of the American College of Cardiology·F GaitaJ F Warin
Jun 1, 1994·Journal of Cardiovascular Electrophysiology·M HaïssaguerreJ Clémenty
Feb 15, 1994·The American Journal of Cardiology·H T ShihD P Zipes
Feb 1, 1997·Journal of Cardiovascular Electrophysiology·G Critelli
Feb 11, 1999·Journal of the American College of Cardiology·P C DorostkarM Dick
Mar 28, 2002·Pacing and Clinical Electrophysiology : PACE·Pieter NoëNarayanswami Sreeram
Oct 23, 2002·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Benjamin PechtJames C Perry
Mar 20, 2004·Journal of Cardiovascular Electrophysiology·Fiorenzo GaitaRaffaele Calabro

❮ Previous
Next ❯

Citations

Sep 24, 2008·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Hussam AliRiccardo Cappato
May 15, 2008·Archives of Cardiovascular Diseases·F ExtramianaA Leenhardt
Apr 5, 2011·Current Opinion in Cardiology·Mahmoud HoumsseSteven Kalbfleisch
Jan 11, 2016·Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology·Moisés Rodríguez-MañeroJosé Ramón González-Juanatey
Feb 14, 2013·Primary Care·Ramil GoelMartina Mookadam
Sep 24, 2013·Annales de cardiologie et d'angéiologie·W Amara, F Monsel
Sep 6, 2008·Current Problems in Cardiology·Ken W LeeMelvin M Scheinman
Sep 3, 2011·Pacing and Clinical Electrophysiology : PACE·Raja SelvarajJayaraman Balachander
Apr 10, 2016·Internal Medicine Journal·H S AbedA C Keech
Sep 9, 2016·Herzschrittmachertherapie & Elektrophysiologie·Dirk Vollmann, Claudius Hansen
Nov 1, 2016·European Heart Journal. Acute Cardiovascular Care·Stéphane BouléNicolas Lamblin
Oct 28, 2016·Circulation. Arrhythmia and Electrophysiology·Allison C HillYaniv Bar-Cohen
Jul 12, 2019·Journal of Arrhythmia·Ranjit I Kylat, Ricardo A Samson
Feb 18, 2021·European Heart Journal. Acute Cardiovascular Care·Stéphane BouléNicolas Lamblin
Oct 1, 2016·JACC. Clinical Electrophysiology·Mitsuharu KawamuraNitish Badhwar
May 25, 2021·JAMA Internal Medicine·John M Cunningham, Ryan Borne
Sep 4, 2021·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Yalçın GökoğlanSedat Köse

❮ Previous
Next ❯

Related Concepts

Related Feeds

Anti-Arrhythmic Drug Therapies

Anti-arrhythmic drugs are used to prevent abnormal heart rhythms. These medications are used in conditions including, ventricular tachycardia, ventricular fibrillation and atrial fibrillation. Discover the latest research on anti-arrhythmic drug therapies here.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Cardiomyopathy

Cardiomyopathy is a disease of the heart muscle, that can lead to muscular or electrical dysfunction of the heart. It is often an irreversible disease that is associated with a poor prognosis. There are different causes and classifications of cardiomyopathies. Here are the latest discoveries pertaining to this disease.

Antiarrhythmic Agents: Mechanisms of Action

Understanding the mechanism of action of antiarrhythmic agents is essential in developing new medications as treatment of cardiac arrhythmias is currently limited by the reduced availability of safe and effective drugs. Discover the latest research on Antiarrhythmic Agents: Mechanism of Action here.