Long-term outcome of patients with atrioventricular node reentrant tachycardia
Abstract
Background Little information is available on the natural history of patients with AVNRT. The purpose of this study was to compare the outcome of patients with Atrioventricular node reentrant tachycardia (AVNRT) who underwent ablation with those on antiarrhythmic therapy and those not receiving drugs.Methods 93 consecutive patients (mean age=33.5+/-18.1 years) with AVNRT referred to our institution from 1988 to 1993 were prospectively followed-up for a mean of 13.2+/-2.0 years (range=11.4-16.1 years).Results 18 patients underwent ablation (group 1), 24 received antiarrhythmic therapy (group 2), 38 received no drugs or remained on drug therapy for only few months (group 3), 3 died and 10 were lost to follow-up. The frequency of symptoms at the baseline was higher in group 1 than in groups 2 and 3 (7.8+/-3.7, 3.5+/-2.3, 2.3+/-1.9 episodes/month, respectively; p<0.02 in group 1 vs. group 3). At the end of the follow-up 18/18 (100%) of group 1, 14/23 (61%) of group 2 and 17/38 of group 3 (44.7%) reported being asymptomatic for the previous 3 years. Group 3 patients who became asymptomatic had a shorter duration of symptoms before enrolment (3.7+/-1.5 vs. 7.1+/-3.6 years, p<0.05) and a shorter mean length of the tachycardia episodes (3.8+/-2.4 vs. 42.6+/-17.8 min, p<0.02) than patients from the same group who remained symptomatic.Conclusions The main result of this study is that during a long-term follow-up a considerable number of untreated patients with AVNRT become asymptomatic. This finding should be considered for choosing treatment modality and for calculating healthcare costs of ablation vs. medical therapy.
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About half of patients with minimal symptoms and short-lived, infrequent tachycardia episodes may become asymptomatic within the next 13 years.
“Half of patients with minimal symptoms and short-lived, infrequent episodes of tachycardia may become asymptomatic within the next 13 years.225”
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OBSOLETE: Atrioventricular Node Reentrant Tachycardia
Baranchuk, A. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-801238-3.99780-0
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Atrioventricular Node Reentrant Tachycardia
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Paroxysmal supraventricular tachycardia: A tale of palpitations and neglect in an elderly woman
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- Authors
- D’Este, D., Zoppo, F., Bertaglia, E., Zerbo, F., Picciolo, A., Scarabeo, V., Pascotto, A., & Pascotto, P.
- Affiliations
- Ospedale di Mirano (IT)
- Venue
- International Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2007-02
- Volume
- 115
- Issue
- 3
- Pages
- 350-353
- ISSN
- 0167-5273 (ISSN-L)
- OpenAlex
- W1992293632
- Cited by
- 43
- References
- 20
- Citations by year
- 2025: 3 · 2024: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 3 · 2016: 5 · 2015: 8 · 2014: 3 · 2013: 2
- FWCI
- 0.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- International Journal of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Keywords
- atrioventricular nodal reentrant tachycardia, long-term outcomes, catheter ablation, antiarrhythmic therapy, natural history (disease), health care costs
- MeSH terms
- Adolescent, Adult, Age Factors, Analysis of Variance, Anti-Arrhythmia Agents, Female, Follow-Up Studies, Humans, Male, Middle Aged, Probability, Prospective Studies, Recurrence, Severity of Illness Index, Sex Factors, Tachycardia, Atrioventricular Nodal Reentry, Time Factors, Cohort Studies, Survival Rate, Treatment Outcome, Catheter Ablation, Echocardiography, Transesophageal, Risk Assessment
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