Late clinical outcome after successful radiofrequency catheter ablation of accessory pathways

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Serval ID
serval:BIB_B9E876BD2323
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Late clinical outcome after successful radiofrequency catheter ablation of accessory pathways
Journal
European Heart Journal
Author(s)
Schlapfer  J., Fromer  M.
ISSN
0195-668X (Print)
Publication state
Published
Issued date
04/2001
Volume
22
Number
7
Pages
605-9
Notes
Journal Article --- Old month value: Apr
Abstract
AIMS: To evaluate the long-term clinical results of patients who underwent successful radiofrequency catheter ablation of a symptomatic drug-resistant accessory-pathway-mediated tachycardia. METHODS AND RESULTS: Clinical follow-up was done by direct contact with the patients and their physicians. One hundred and eighty consecutive patients (113 males, 67 females) were followed during a median period of 48.1 months. There were seven procedure related complications (4%). During the follow-up period, 79% of the patients remained asymptomatic; 14% complained of short bouts of palpitations due to isolated or short runs of atrial or ventricular premature beats; 7% had sustained palpitations due either to accessory pathway recurrence (4%) or supraventricular tachyarrhythmias not associated with an accessory pathway (3%). Symptoms due to accessory pathway recurrence appeared either in the first month following the ablation or at least later than 3 months when sustained supraventricular arrhythmias occurred related to another cause. CONCLUSIONS: Initially successful radiofrequency catheter ablation has a low, long-term recurrence rate (4%). Recurrence of accessory-pathway-mediated tachycardia is observed during the first month while later symptoms suggest supraventricular arrhythmias from another cause.
Keywords
Adult Arrhythmia/diagnosis/etiology Catheter Ablation/adverse effects/*methods Child Female Follow-Up Studies Humans Male Middle Aged Patient Satisfaction Recurrence Treatment Outcome Wolff-Parkinson-White Syndrome/physiopathology/*surgery
Pubmed
Web of science
Open Access
Yes
Create date
28/01/2008 9:54
Last modification date
25/09/2019 6:10
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