Güneydoğu Anadolu Bölgesindeki Atriyoventriküler Reentran Taşikardilerdeki Aksesuar Yolların Dağılımı

M Aydın

doi:10.18521/ktd.71726

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Year 2015, Volume: 7 Issue: 3, 162 - 166, 20.11.2015

M Aydın

https://doi.org/10.18521/ktd.71726

Abstract

Objective: We aimed to evaluate distribution of accessory pathway (AP) in atrioventricular reentrant tachycardia (AVRT) in southeast Anatolian region of Turkey. Methods: The study was a retrospective cross-sectional design. Consecutive patients who underwent catheter ablation of AVRT between June 2012 and July 2014 were included in the study. All patients were taken to the electrophysiology laboratory in the nonsedated state and underwent an initial diagnostic study using three diagnostic catheters. The one of them was placed in coronary sinus. In those patients, in whom the AP was identified, ablation therapy was carried out using radiofrequency energy. We decided distribution of AP on fluoroscopy. Fluoroscopic images are obtained in and the left anterior oblique orientation. Results: The study population consisted of 64 AVRT patients (63% female; mean age 34±14). Among AVRT 20(31%) patients had concealed AVRT, 44 (69%) patients had Wolf Parkinson White syndrome. Distribution of AP was 59% at the left free wall, 34% at the posteroseptum, 6% at the right free wall, and 3% at the anteroseptum. The locations of APs were compared. There was no any statistically significant among groups. Conclusion: Distribution of AP location was in accordance with literature. The other characteristic of AVRT were similar with the current data

Keywords

Wolf Parkinson White Syndrome, Accessory Pathway

References

Porter MJ, Morton JB, Denman R et al. Influence of age and gender on the mechanism of supraventricular tachycardia. Heart Rhythm 2004; 1(4): 393-6.
Flensted-Jensen E. Wolff-Parkinson-White syndrome: a long-term follow-up of 47 cases. Acta Med Scand 1969; 186: 65-74.
Dreifus LS, Haiat R, Watanabe Y et al. Ventricular fibrillation. A possible mechanism of sudden death in patients and Wolff-Parkinson-White syndrome. Circulation 1971; 43(4): 520-7.
Kusomoto F. Understanding Intracardiac EGMs and ECGs. Mayo Clinic. 2010;107-31
Becker AE, Anderson RH, Durrer D, et al. The anatomical substrates of wolffparkinson- white syndrome. A clinicopathologic correlation in seven patients. Circulation 1978; 57(5):870-9.
Peters NS, Rowland E, Bennett JG et al. The Wolff-Parkinson-White syndrome: the cellular substrate for conduction in the accessory atrioventricular pathway. Eur Heart J 1994; 15(7): 981-7.
Gallagher JJ, Pritchett EL, Sealy WC et al. The preexcitation syndromes. Prog Cardiovasc Dis 1978; 20(4): 285-327.
Prystowsky EN. Diagnosis and management of the preexcitation syndromes. Curr Probl Cardiol 1988; 13(4): 225-310.
Fitzsimmons PJ, McWhirter PD, Peterson DW et al. The natural history of Wolff-Parkinson-White syndrome in 228 military aviators: a long-term follow-up of 22 years. Am Heart J 2001; 142(3): 530-6.
Munger TM, Packer DL, Hammill SC, et al. A population study of the natural history of Wolff-Parkinson- White syndrome in Olmsted County, Minnesota, 1953-1989. Circulation 1993; 87(3): 866-73.
Niksch AL, Dubin AM. Risk stratification in the asymptomatic child with Wolff-Parkinson-White syndrome. Current Opin Cardiol 2006; 21(3): 205-7.
Timmermans C, Smeets JL, Rodriguez LM et al. Aborted sudden death in the Wolff-Parkinson-White syndrome. Am J Cardiol 1995; 76(7): 492-4.
Berkman NL, Lamb LE. The Wolff-Parkinson-White electrocardiogram. A follow- up study of five to twenty-eight years. N Engl J Med 1968; 278(9): 492-4.
Orinius E. Pre-excitation: studies on criteria, prognosis, and heredity. Acta Med Scand Suppl 1966; 465: 1- 55.
Deal BJ, Dick M, Beerman L et al. Cardiac arrest in young patients with Wolff-Parkinson-White syndrome. Pacing Clin Electrophysiol 1995; 18(Part II): 815.
Wellens HJ, Atie J, Penn OC et al. Diagnosis and treatment of patients with accessory pathways. Cardiol Clin 1990; 8(3): 503-21.
Jackman WM, Wang XZ, Friday KJ et al. Catheter ablation of accessory atrioventricular pathways (Wolff- Parkinson-White syndrome) by radiofrequency current. New Engl J Med 1991; 324(23): 1605-11.
Schluter M, Geiger M, Siebels J, et al. Catheter ablation using radiofrequency current to cure symptomatic patients with tachyarrhythmias related to an accessory atrioventricular pathway. Circulation 1991;84(4):1644-61.
Kuck KH, Schluter M, Geiger M et al. Radiofrequency current catheter ablation of accessory atrioventricular pathways. Lancet 1991; 337(8757): 1557-61.
Calkins H, Sousa J, el-Atassi R et al. Diagnosis and cure of the Wolff-Parkinson-White syndrome or paroxysmal supraventricular tachycardias during a single electrophysiologic test. N Engl J Med 1991; 324(23): 1612-8.