Cited by 127Cardiac Arrhythmias and TreatmentsAtrial Fibrillation Management and OutcomesCardiac electrophysiology and arrhythmias

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Focal Atrial Tachycardia: Reanalysis of the Clinical and Electrophysiologic Characteristics and Prediction of Successful Radiofrequency Ablation

CHEN, SHIH‐ANN, TAI, CHING‐TAI, CHIANG, CHERN‐EN, DING, YU‐AN, CHANG, MAU SONG·1998·Journal of Cardiovascular Electrophysiology

DOI 10.1111/j.1540-8167.1998.tb00924.x

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Abstract

INTRODUCTION: Reports about the clinical and electrophysiologic characteristics of focal atrial tachycardia vary widely. Furthermore, the impact of age, gender, associated cardiac diseases, mechanism, location of atrial tachycardia, and the prediction of results of radiofrequency catheter ablation was not clear. The purpose of this study was to further understand the clinical and electrophysiologic characteristics of focal atrial tachycardia and the prediction of results of radiofrequency ablation. METHODS AND RESULTS: We searched the literature published between January 1969 and July 1997 using the key word "atrial tachycardia" from the MEDLINE and National Library of Medicine systems. The items analyzed were age, sex, cardiac disease, mechanism, attack pattern, cycle length, location, number of atrial tachycardias, results of ablation, and recurrence after ablation. Multivariate analysis showed that age and paroxysmal type of tachycardia were independent predictors of nonautomatic mechanism; age and presence of other cardiac diseases were independent predictors of multiple atrial tachycardias, and age also was the independent predictor of right-sided atrial tachycardia. Atrial tachycardia located in the right atrium was the only significant predictor of successful radiofrequency catheter ablation. Other cardiac diseases and multiple atrial tachycardias were the significant predictors of recurrence after initial successful radiofrequency catheter ablation. CONCLUSION: Patient age is closely related to the clinical and electrophysiologic characteristics of atrial tachycardia based on our reanalysis, which found that patient age is an independent predictor of nonautomatic mechanism, right atrial location, existence of multiple atrial tachycardias, and recurrence of atrial tachycardia after initial successful ablation.

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Authors: CHEN, S., TAI, C., CHIANG, C., DING, Y., & CHANG, M. S.
Affiliations: Taipei Veterans General Hospital (TW)
Corresponding author: CHEN, SHIH‐ANN
ORCID: CHEN, SHIH‐ANN
CHIANG, CHERN‐EN
DING, YU‐AN
Venue: Journal of Cardiovascular Electrophysiology
Publisher: Wiley
Published: 1998-04
Volume: 9
Issue: 4
Pages: 355-365
ISSN: 1045-3873 (ISSN-L)
1540-8167
DOI: 10.1111/j.1540-8167.1998.tb00924.x
OpenAlex: W1822810529
Cited by: 127
References: 52
Citations by year: 2026: 1 · 2024: 5 · 2023: 1 · 2022: 1 · 2021: 4 · 2020: 4 · 2019: 6 · 2018: 1 · 2017: 2 · 2016: 5 · 2015: 1 · 2014: 3 · 2013: 3 · 2012: 7
FWCI: 3.79
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 3306 d)
Locations: Journal of Cardiovascular Electrophysiology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
Keywords: focal atrial tachycardia, radiofrequency catheter ablation, ablation outcome prediction, patient age, tachycardia recurrence, paroxysmal atrial tachycardia, heart disease, electrophysical properties
MeSH terms: Age Factors, Female, Heart Atria, Humans, Male, Prognosis, Sex Factors, Tachycardia, Supraventricular, Multivariate Analysis, MEDLINE, Catheter Ablation

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Focal Atrial Tachycardia: Reanalysis of the Clinical and Electrophysiologic Characteristics and Prediction of Successful Radiofrequency Ablation

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