Influence of age on the electrophysiological mechanism of paroxysmal supraventricular tachycardias
Identifieur interne : 003E15 ( Main/Merge ); précédent : 003E14; suivant : 003E16Influence of age on the electrophysiological mechanism of paroxysmal supraventricular tachycardias
Auteurs : B. Brembilla-Perrot [France] ; Pierre Houriez [France] ; Daniel Beurrier [France] ; O. Claudon [France] ; G. Burger [France] ; A. C. Vancon [France] ; L. Mock [France]Source :
- International journal of cardiology [ 0167-5273 ] ; 2001.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
Abstract
The purpose of this study was to evaluate the influence of age on the mechanism of paroxysmal supraventricular tachycardia (PSVT). Previous studies have shown age and sex differences between certain arrhythmias and especially changes in electrophysiological characteristics of Wolff-Parkinson-White syndrome. Four hundred and eighty five patients aged 9-86 years, with PSVT and without Wolff-Parkinson-White syndrome in sinus rhythm were studied. The esophageal or intracardiac electrophysiological study used a standardized atrial pacing protocol. Paroxysmal junctional tachycardia was induced in 475 patients. The mechanism of tachycardia was not influenced by age and atrioventricular nodal reentrant tachycardia (AVNRT) was found as the main cause of PSVT in all ranges of age. Atrioventricular reentrant tachycardia (AVRT) using a concealed accessory pathway (AP) had a similar incidence from youth to elderly. The ratio male/female (M/F) and the inducibility of other arrhythmias (atrial flutter/fibrillation) (AF/AFI) were also found to be similar in all ranges of age. The age of the patients did not influence the mechanism of the tachycardia. Most of PVST were related to a AV nodal reentrant tachycardia Concealed accessory pathway was identified with a similar incidence in young and old patients.
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Brembilla-Perrot</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Cardiology, CHU of Brabois.</s1><s2>54500 Vandoeuvre Les Nancy</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Vandoeuvre Les Nancy</settlement></placeName></affiliation></author><author><name sortKey="Houriez, Pierre" sort="Houriez, Pierre" uniqKey="Houriez P" first="Pierre" last="Houriez">Pierre Houriez</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Cardiology, CHU of Brabois.</s1><s2>54500 Vandoeuvre Les Nancy</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Vandoeuvre Les Nancy</settlement></placeName></affiliation></author><author><name sortKey="Beurrier, Daniel" sort="Beurrier, Daniel" uniqKey="Beurrier D" first="Daniel" last="Beurrier">Daniel Beurrier</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Cardiology, CHU of Brabois.</s1><s2>54500 Vandoeuvre Les Nancy</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Vandoeuvre Les Nancy</settlement></placeName></affiliation></author><author><name sortKey="Claudon, O" sort="Claudon, O" uniqKey="Claudon O" first="O." last="Claudon">O. 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Brembilla-Perrot</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Cardiology, CHU of Brabois.</s1><s2>54500 Vandoeuvre Les Nancy</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Vandoeuvre Les Nancy</settlement></placeName></affiliation></author><author><name sortKey="Houriez, Pierre" sort="Houriez, Pierre" uniqKey="Houriez P" first="Pierre" last="Houriez">Pierre Houriez</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Cardiology, CHU of Brabois.</s1><s2>54500 Vandoeuvre Les Nancy</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Vandoeuvre Les Nancy</settlement></placeName></affiliation></author><author><name sortKey="Beurrier, Daniel" sort="Beurrier, Daniel" uniqKey="Beurrier D" first="Daniel" last="Beurrier">Daniel Beurrier</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Cardiology, CHU of Brabois.</s1><s2>54500 Vandoeuvre Les Nancy</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Vandoeuvre Les Nancy</settlement></placeName></affiliation></author><author><name sortKey="Claudon, O" sort="Claudon, O" uniqKey="Claudon O" first="O." last="Claudon">O. Claudon</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Cardiology, CHU of Brabois.</s1><s2>54500 Vandoeuvre Les Nancy</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Vandoeuvre Les Nancy</settlement></placeName></affiliation></author><author><name sortKey="Burger, G" sort="Burger, G" uniqKey="Burger G" first="G." last="Burger">G. Burger</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Cardiology, CHU of Brabois.</s1><s2>54500 Vandoeuvre Les Nancy</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Vandoeuvre Les Nancy</settlement></placeName></affiliation></author><author><name sortKey="Vancon, A C" sort="Vancon, A C" uniqKey="Vancon A" first="A. C." last="Vancon">A. C. Vancon</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Cardiology, CHU of Brabois.</s1><s2>54500 Vandoeuvre Les Nancy</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Vandoeuvre Les Nancy</settlement></placeName></affiliation></author><author><name sortKey="Mock, L" sort="Mock, L" uniqKey="Mock L" first="L." last="Mock">L. Mock</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Cardiology, CHU of Brabois.</s1><s2>54500 Vandoeuvre Les Nancy</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Grand Est</region><region type="old region" nuts="2">Lorraine (région)</region><settlement type="city">Vandoeuvre Les Nancy</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">International journal of cardiology</title><title level="j" type="abbreviated">Int. j. cardiol.</title><idno type="ISSN">0167-5273</idno><imprint><date when="2001">2001</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">International journal of cardiology</title><title level="j" type="abbreviated">Int. j. cardiol.</title><idno type="ISSN">0167-5273</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Age</term><term>Comparative study</term><term>Electrophysiology</term><term>Exploration</term><term>Human</term><term>Paroxysmal supraventricular tachycardia</term><term>Pathophysiology</term><term>Risk factor</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Tachycardie paroxystique supraventriculaire</term><term>Homme</term><term>Age</term><term>Electrophysiologie</term><term>Exploration</term><term>Physiopathologie</term><term>Etude comparative</term><term>Facteur risque</term><term>Voie conduction accessoire</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this study was to evaluate the influence of age on the mechanism of paroxysmal supraventricular tachycardia (PSVT). Previous studies have shown age and sex differences between certain arrhythmias and especially changes in electrophysiological characteristics of Wolff-Parkinson-White syndrome. Four hundred and eighty five patients aged 9-86 years, with PSVT and without Wolff-Parkinson-White syndrome in sinus rhythm were studied. The esophageal or intracardiac electrophysiological study used a standardized atrial pacing protocol. Paroxysmal junctional tachycardia was induced in 475 patients. The mechanism of tachycardia was not influenced by age and atrioventricular nodal reentrant tachycardia (AVNRT) was found as the main cause of PSVT in all ranges of age. Atrioventricular reentrant tachycardia (AVRT) using a concealed accessory pathway (AP) had a similar incidence from youth to elderly. The ratio male/female (M/F) and the inducibility of other arrhythmias (atrial flutter/fibrillation) (AF/AFI) were also found to be similar in all ranges of age. The age of the patients did not influence the mechanism of the tachycardia. Most of PVST were related to a AV nodal reentrant tachycardia Concealed accessory pathway was identified with a similar incidence in young and old patients.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Grand Est</li><li>Lorraine (région)</li></region><settlement><li>Vandoeuvre Les Nancy</li></settlement></list><tree><country name="France"><region name="Grand Est"><name sortKey="Brembilla Perrot, B" sort="Brembilla Perrot, B" uniqKey="Brembilla Perrot B" first="B." last="Brembilla-Perrot">B. Brembilla-Perrot</name></region><name sortKey="Beurrier, Daniel" sort="Beurrier, Daniel" uniqKey="Beurrier D" first="Daniel" last="Beurrier">Daniel Beurrier</name><name sortKey="Burger, G" sort="Burger, G" uniqKey="Burger G" first="G." last="Burger">G. Burger</name><name sortKey="Claudon, O" sort="Claudon, O" uniqKey="Claudon O" first="O." last="Claudon">O. Claudon</name><name sortKey="Houriez, Pierre" sort="Houriez, Pierre" uniqKey="Houriez P" first="Pierre" last="Houriez">Pierre Houriez</name><name sortKey="Mock, L" sort="Mock, L" uniqKey="Mock L" first="L." last="Mock">L. Mock</name><name sortKey="Vancon, A C" sort="Vancon, A C" uniqKey="Vancon A" first="A. C." last="Vancon">A. C. Vancon</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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