| Autor: |
Gesa von Olshausen, MD, Nikola Drca, MD, PhD, Astrid Paul-Nordin, MD, PhD, Tara Bourke, MD, Hamid Bastani, MD, PhD, Serkan Saygi, MD, Emma Svennberg, MD, PhD, Finn Åkerström, MD, Ott Saluveer, MD, PhD, Mats Jensen-Urstad, MD, PhD, Frieder Braunschweig, MD, PhD |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
|
| Zdroj: |
Heart Rhythm O2, Vol 5, Iss 8, Pp 538-542 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2666-5018 |
| DOI: |
10.1016/j.hroo.2024.07.005 |
| Popis: |
Background: Atrioventricular nodal re-entrant tachycardia (AVNRT) is the most common paroxysmal supraventricular tachycardia. We sought to investigate the incidence of atrial fibrillation in patients with electrophysiologically confirmed/ablated AVNRT and its association with transient ischemic attack (TIA)/stroke as well as mortality during long-term follow-up. Methods: From the Karolinska Ablation Registry, 2855 consecutive patients with a first-time ablation for AVNRT between 2005 and 2018 were analyzed. Results: Patients were 52.1 ± 15.9 years old and 59.3% were women. During follow-up of up to 10 years (median 6.0 years; interquartile range 3.3 to 9.2 years), new onset or recurrence of atrial fibrillation occurred in 317 (11.1%) patients (incidence rate 19 cases per 1000 person-years). Excluding those with history of atrial fibrillation, new onset of atrial fibrillation occurred in 153 (6.1%) patients. In multivariable analysis, history of atrial fibrillation, arterial hypertension, history of TIA/stroke, and heart failure remained independently associated with new onset or recurrence of atrial fibrillation during follow-up. Death of any cause and TIA/stroke occurred in 141 (4.9%) patients and 107 (3.7%) patients, respectively. In multivariable analysis, occurrence of atrial fibrillation during follow-up remained independently associated with both outcomes. The prevalence of atrial fibrillation according to age at the end of follow-up was high among young patients ( |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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