Electrophysiological Characteristics and Catheter Ablation in Patients with Paroxysmal Supraventricular Tachycardia and Paroxysmal Atrial Fibrillation
Identifieur interne : 000C32 ( Main/Corpus ); précédent : 000C31; suivant : 000C33Electrophysiological Characteristics and Catheter Ablation in Patients with Paroxysmal Supraventricular Tachycardia and Paroxysmal Atrial Fibrillation
Auteurs : Shih-Lin Chang ; Ching-Tai Tai ; Yenn-Jiang Lin ; Li-Wei Lo ; Ta-Chuan Tuan ; Ameya R. Udyavar ; Hsuan-Ming Tsao ; Ming- Hsiung Hsieh ; Yu-Feng Hu ; Shuo-Ju Chiang ; Yi-Jen Chen ; Wanwarang Wongcharoen ; Kwo-Chang Ueng ; Shih-Ann ChenSource :
- Journal of Cardiovascular Electrophysiology [ 1045-3873 ] ; 2008-04.
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Abstract
Introduction: Paroxysmal supraventricular tachycardia (PSVT) is often associated with paroxysmal atrial fibrillation (AF). However, the relationship between PSVT and AF is still unclear. The aim of this study was to investigate the clinical and electrophysiological characteristics in patients with PSVT and AF, and to demonstrate the origin of the AF before the radiofrequency (RF) ablation of AF. Methods and Results: Four hundred and two consecutive patients with paroxysmal AF (338 had a pure PV foci and 64 had a non‐PV foci) that underwent RF ablation were included. Twenty‐one patients (10 females; mean age 47 ± 18 years) with both PSVT and AF were divided into two groups. Group 1 consisted of 14 patients with inducible atrioventricular nodal reentrant tachycardia (AVNRT) and AF. Group 2 consisted of seven patients with Wolff‐Parkinson‐White (WPW) syndrome and AF. Patients with non‐PV foci of AF had a higher incidence of AVNRT than those with PV foci (11% vs. 2%, P = 0.003). Patients with AF and atypical AVNRT had a higher incidence of AF ectopy from the superior vena cava (SVC) than those with AF and typical AVNRT (86% vs. 14%, P = 0.03). Group 1 patients had smaller left atrial (LA) diameter (36 ± 3 vs. 41 ± 3 mm, P = 0.004) and higher incidence of an SVC origin of AF (50% vs. 0%, P = 0.047) than did those in Group 2. Conclusion: The SVC AF has a close relationship with AVNRT. The effect of atrial vulnerability and remodeling may differ between AVNRT and WPW syndrome.
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DOI: 10.1111/j.1540-8167.2007.01065.x
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Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Chiang, Shuo U" sort="Chiang, Shuo U" uniqKey="Chiang S" first="Shuo-Ju" last="Chiang">Shuo-Ju Chiang</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Chen, Yi En" sort="Chen, Yi En" uniqKey="Chen Y" first="Yi-Jen" last="Chen">Yi-Jen Chen</name><affiliation><mods:affiliation>Division of Cardiovascular Medicine, Taipei Medical University, Wan‐Fang Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Wongcharoen, Wanwarang" sort="Wongcharoen, Wanwarang" uniqKey="Wongcharoen W" first="Wanwarang" last="Wongcharoen">Wanwarang Wongcharoen</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Ueng, Kwo Hang" sort="Ueng, Kwo Hang" uniqKey="Ueng K" first="Kwo-Chang" last="Ueng">Kwo-Chang Ueng</name><affiliation><mods:affiliation>Division of Cardiology, Chung Shan Medical University, Taichung, Taiwan</mods:affiliation></affiliation></author><author><name sortKey="Chen, Shih Nn" sort="Chen, Shih Nn" uniqKey="Chen S" first="Shih-Ann" last="Chen">Shih-Ann Chen</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:615F5DC5B715545A10F2BF5B11B358BF78E817BF</idno><date when="2008" year="2008">2008</date><idno type="doi">10.1111/j.1540-8167.2007.01065.x</idno><idno type="url">https://api.istex.fr/document/615F5DC5B715545A10F2BF5B11B358BF78E817BF/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000C32</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Electrophysiological Characteristics and Catheter Ablation in Patients with Paroxysmal Supraventricular Tachycardia and Paroxysmal Atrial Fibrillation</title><author><name sortKey="Chang, Shih In" sort="Chang, Shih In" uniqKey="Chang S" first="Shih-Lin" last="Chang">Shih-Lin Chang</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation><affiliation><mods:affiliation>Division of Cardiovascular Medicine, Suao Veterans Hospital, Suao</mods:affiliation></affiliation></author><author><name sortKey="Tai, Ching Ai" sort="Tai, Ching Ai" uniqKey="Tai C" first="Ching-Tai" last="Tai">Ching-Tai Tai</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Lin, Yenn Iang" sort="Lin, Yenn Iang" uniqKey="Lin Y" first="Yenn-Jiang" last="Lin">Yenn-Jiang Lin</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Lo, Li Ei" sort="Lo, Li Ei" uniqKey="Lo L" first="Li-Wei" last="Lo">Li-Wei Lo</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Tuan, Ta Huan" sort="Tuan, Ta Huan" uniqKey="Tuan T" first="Ta-Chuan" last="Tuan">Ta-Chuan Tuan</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Udyavar, Ameya R" sort="Udyavar, Ameya R" uniqKey="Udyavar A" first="Ameya R." last="Udyavar">Ameya R. Udyavar</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Tsao, Hsuan Ing" sort="Tsao, Hsuan Ing" uniqKey="Tsao H" first="Hsuan-Ming" last="Tsao">Hsuan-Ming Tsao</name><affiliation><mods:affiliation>Division of Cardiovascular Medicine, I‐Lan Hospital, Ilan</mods:affiliation></affiliation></author><author><name sortKey="Hsieh, Ming Hsiung" sort="Hsieh, Ming Hsiung" uniqKey="Hsieh M" first="Ming- Hsiung" last="Hsieh">Ming- Hsiung Hsieh</name><affiliation><mods:affiliation>Division of Cardiovascular Medicine, Taipei Medical University, Wan‐Fang Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Hu, Yu Eng" sort="Hu, Yu Eng" uniqKey="Hu Y" first="Yu-Feng" last="Hu">Yu-Feng Hu</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Chiang, Shuo U" sort="Chiang, Shuo U" uniqKey="Chiang S" first="Shuo-Ju" last="Chiang">Shuo-Ju Chiang</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Chen, Yi En" sort="Chen, Yi En" uniqKey="Chen Y" first="Yi-Jen" last="Chen">Yi-Jen Chen</name><affiliation><mods:affiliation>Division of Cardiovascular Medicine, Taipei Medical University, Wan‐Fang Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Wongcharoen, Wanwarang" sort="Wongcharoen, Wanwarang" uniqKey="Wongcharoen W" first="Wanwarang" last="Wongcharoen">Wanwarang Wongcharoen</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author><author><name sortKey="Ueng, Kwo Hang" sort="Ueng, Kwo Hang" uniqKey="Ueng K" first="Kwo-Chang" last="Ueng">Kwo-Chang Ueng</name><affiliation><mods:affiliation>Division of Cardiology, Chung Shan Medical University, Taichung, Taiwan</mods:affiliation></affiliation></author><author><name sortKey="Chen, Shih Nn" sort="Chen, Shih Nn" uniqKey="Chen S" first="Shih-Ann" last="Chen">Shih-Ann Chen</name><affiliation><mods:affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Cardiovascular Electrophysiology</title><idno type="ISSN">1045-3873</idno><idno type="eISSN">1540-8167</idno><imprint><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2008-04">2008-04</date><biblScope unit="volume">19</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="367">367</biblScope><biblScope unit="page" to="373">373</biblScope></imprint><idno type="ISSN">1045-3873</idno></series><idno type="istex">615F5DC5B715545A10F2BF5B11B358BF78E817BF</idno><idno type="DOI">10.1111/j.1540-8167.2007.01065.x</idno><idno type="ArticleID">JCE1065</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1045-3873</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Wolff‐Parkinson‐White syndrome</term><term>atrial fibrillation</term><term>atrioventricular nodal reentrant tachycardia</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Introduction: Paroxysmal supraventricular tachycardia (PSVT) is often associated with paroxysmal atrial fibrillation (AF). However, the relationship between PSVT and AF is still unclear. The aim of this study was to investigate the clinical and electrophysiological characteristics in patients with PSVT and AF, and to demonstrate the origin of the AF before the radiofrequency (RF) ablation of AF. Methods and Results: Four hundred and two consecutive patients with paroxysmal AF (338 had a pure PV foci and 64 had a non‐PV foci) that underwent RF ablation were included. Twenty‐one patients (10 females; mean age 47 ± 18 years) with both PSVT and AF were divided into two groups. Group 1 consisted of 14 patients with inducible atrioventricular nodal reentrant tachycardia (AVNRT) and AF. Group 2 consisted of seven patients with Wolff‐Parkinson‐White (WPW) syndrome and AF. Patients with non‐PV foci of AF had a higher incidence of AVNRT than those with PV foci (11% vs. 2%, P = 0.003). Patients with AF and atypical AVNRT had a higher incidence of AF ectopy from the superior vena cava (SVC) than those with AF and typical AVNRT (86% vs. 14%, P = 0.03). Group 1 patients had smaller left atrial (LA) diameter (36 ± 3 vs. 41 ± 3 mm, P = 0.004) and higher incidence of an SVC origin of AF (50% vs. 0%, P = 0.047) than did those in Group 2. Conclusion: The SVC AF has a close relationship with AVNRT. The effect of atrial vulnerability and remodeling may differ between AVNRT and WPW syndrome.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>SHIH‐LIN CHANG M.D.</name><affiliations><json:string>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</json:string><json:string>Division of Cardiovascular Medicine, Suao Veterans Hospital, Suao</json:string></affiliations></json:item><json:item><name>CHING‐TAI TAI M.D.</name><affiliations><json:string>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</json:string></affiliations></json:item><json:item><name>YENN‐JIANG LIN M.D.</name><affiliations><json:string>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</json:string></affiliations></json:item><json:item><name>LI‐WEI LO M.D.</name><affiliations><json:string>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</json:string></affiliations></json:item><json:item><name>TA‐CHUAN TUAN M.D.</name><affiliations><json:string>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</json:string></affiliations></json:item><json:item><name>AMEYA R. UDYAVAR M.D.</name><affiliations><json:string>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</json:string></affiliations></json:item><json:item><name>HSUAN‐MING TSAO M.D.</name><affiliations><json:string>Division of Cardiovascular Medicine, I‐Lan Hospital, Ilan</json:string></affiliations></json:item><json:item><name>MING‐ HSIUNG HSIEH M.D.</name><affiliations><json:string>Division of Cardiovascular Medicine, Taipei Medical University, Wan‐Fang Hospital, Taipei</json:string></affiliations></json:item><json:item><name>YU‐FENG HU M.D.</name><affiliations><json:string>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</json:string></affiliations></json:item><json:item><name>SHUO‐JU CHIANG M.D.</name><affiliations><json:string>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</json:string></affiliations></json:item><json:item><name>YI‐JEN CHEN M.D., Ph.D</name><affiliations><json:string>Division of Cardiovascular Medicine, Taipei Medical University, Wan‐Fang Hospital, Taipei</json:string></affiliations></json:item><json:item><name>WANWARANG WONGCHAROEN M.D.</name><affiliations><json:string>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</json:string></affiliations></json:item><json:item><name>KWO‐CHANG UENG M.D., Ph.D</name><affiliations><json:string>Division of Cardiology, Chung Shan Medical University, Taichung, Taiwan</json:string></affiliations></json:item><json:item><name>SHIH‐ANN CHEN M.D.</name><affiliations><json:string>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>atrial fibrillation</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>atrioventricular nodal reentrant tachycardia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Wolff‐Parkinson‐White syndrome</value></json:item></subject><articleId><json:string>JCE1065</json:string></articleId><language><json:string>eng</json:string></language><abstract>Introduction: Paroxysmal supraventricular tachycardia (PSVT) is often associated with paroxysmal atrial fibrillation (AF). However, the relationship between PSVT and AF is still unclear. The aim of this study was to investigate the clinical and electrophysiological characteristics in patients with PSVT and AF, and to demonstrate the origin of the AF before the radiofrequency (RF) ablation of AF. Methods and Results: Four hundred and two consecutive patients with paroxysmal AF (338 had a pure PV foci and 64 had a non‐PV foci) that underwent RF ablation were included. Twenty‐one patients (10 females; mean age 47 ± 18 years) with both PSVT and AF were divided into two groups. Group 1 consisted of 14 patients with inducible atrioventricular nodal reentrant tachycardia (AVNRT) and AF. Group 2 consisted of seven patients with Wolff‐Parkinson‐White (WPW) syndrome and AF. Patients with non‐PV foci of AF had a higher incidence of AVNRT than those with PV foci (11% vs. 2%, P = 0.003). Patients with AF and atypical AVNRT had a higher incidence of AF ectopy from the superior vena cava (SVC) than those with AF and typical AVNRT (86% vs. 14%, P = 0.03). Group 1 patients had smaller left atrial (LA) diameter (36 ± 3 vs. 41 ± 3 mm, P = 0.004) and higher incidence of an SVC origin of AF (50% vs. 0%, P = 0.047) than did those in Group 2. Conclusion: The SVC AF has a close relationship with AVNRT. The effect of atrial vulnerability and remodeling may differ between AVNRT and WPW syndrome.</abstract><qualityIndicators><score>8.331</score><pdfVersion>1.4</pdfVersion><pdfPageSize>594 x 784 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>3</keywordCount><abstractCharCount>1494</abstractCharCount><pdfWordCount>4831</pdfWordCount><pdfCharCount>30171</pdfCharCount><pdfPageCount>7</pdfPageCount><abstractWordCount>254</abstractWordCount></qualityIndicators><title>Electrophysiological Characteristics and Catheter Ablation in Patients with Paroxysmal Supraventricular Tachycardia and Paroxysmal Atrial 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Tachycardia and Paroxysmal Atrial Fibrillation</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><availability><p>WILEY</p></availability><date>2008</date></publicationStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Electrophysiological Characteristics and Catheter Ablation in Patients with Paroxysmal Supraventricular Tachycardia and Paroxysmal Atrial Fibrillation</title><author><persName><forename type="first">SHIH‐LIN</forename><surname>CHANG</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation><affiliation>Division of Cardiovascular Medicine, Suao Veterans Hospital, Suao</affiliation></author><author><persName><forename type="first">CHING‐TAI</forename><surname>TAI</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation></author><author><persName><forename type="first">YENN‐JIANG</forename><surname>LIN</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation></author><author><persName><forename type="first">LI‐WEI</forename><surname>LO</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation></author><author><persName><forename type="first">TA‐CHUAN</forename><surname>TUAN</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation></author><author><persName><forename type="first">AMEYA R.</forename><surname>UDYAVAR</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation></author><author><persName><forename type="first">HSUAN‐MING</forename><surname>TSAO</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Division of Cardiovascular Medicine, I‐Lan Hospital, Ilan</affiliation></author><author><persName><forename type="first">MING‐ HSIUNG</forename><surname>HSIEH</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Division of Cardiovascular Medicine, Taipei Medical University, Wan‐Fang Hospital, Taipei</affiliation></author><author><persName><forename type="first">YU‐FENG</forename><surname>HU</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation></author><author><persName><forename type="first">SHUO‐JU</forename><surname>CHIANG</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation></author><author><persName><forename type="first">YI‐JEN</forename><surname>CHEN</surname></persName><roleName type="degree">M.D., Ph.D</roleName><affiliation>Division of Cardiovascular Medicine, Taipei Medical University, Wan‐Fang Hospital, Taipei</affiliation></author><author><persName><forename type="first">WANWARANG</forename><surname>WONGCHAROEN</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation></author><author><persName><forename type="first">KWO‐CHANG</forename><surname>UENG</surname></persName><roleName type="degree">M.D., Ph.D</roleName><affiliation>Division of Cardiology, Chung Shan Medical University, Taichung, Taiwan</affiliation></author><author><persName><forename type="first">SHIH‐ANN</forename><surname>CHEN</surname></persName><roleName type="degree">M.D.</roleName><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation></author></analytic><monogr><title level="j">Journal of Cardiovascular Electrophysiology</title><idno type="pISSN">1045-3873</idno><idno type="eISSN">1540-8167</idno><idno type="DOI">10.1111/(ISSN)1540-8167</idno><imprint><publisher>Blackwell Publishing Inc</publisher><pubPlace>Malden, USA</pubPlace><date type="published" when="2008-04"></date><biblScope unit="volume">19</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="367">367</biblScope><biblScope unit="page" to="373">373</biblScope></imprint></monogr><idno type="istex">615F5DC5B715545A10F2BF5B11B358BF78E817BF</idno><idno type="DOI">10.1111/j.1540-8167.2007.01065.x</idno><idno type="ArticleID">JCE1065</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2008</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Introduction: Paroxysmal supraventricular tachycardia (PSVT) is often associated with paroxysmal atrial fibrillation (AF). However, the relationship between PSVT and AF is still unclear. The aim of this study was to investigate the clinical and electrophysiological characteristics in patients with PSVT and AF, and to demonstrate the origin of the AF before the radiofrequency (RF) ablation of AF. Methods and Results: Four hundred and two consecutive patients with paroxysmal AF (338 had a pure PV foci and 64 had a non‐PV foci) that underwent RF ablation were included. Twenty‐one patients (10 females; mean age 47 ± 18 years) with both PSVT and AF were divided into two groups. Group 1 consisted of 14 patients with inducible atrioventricular nodal reentrant tachycardia (AVNRT) and AF. Group 2 consisted of seven patients with Wolff‐Parkinson‐White (WPW) syndrome and AF. Patients with non‐PV foci of AF had a higher incidence of AVNRT than those with PV foci (11% vs. 2%, P = 0.003). Patients with AF and atypical AVNRT had a higher incidence of AF ectopy from the superior vena cava (SVC) than those with AF and typical AVNRT (86% vs. 14%, P = 0.03). Group 1 patients had smaller left atrial (LA) diameter (36 ± 3 vs. 41 ± 3 mm, P = 0.004) and higher incidence of an SVC origin of AF (50% vs. 0%, P = 0.047) than did those in Group 2. Conclusion: The SVC AF has a close relationship with AVNRT. The effect of atrial vulnerability and remodeling may differ between AVNRT and WPW syndrome.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>atrial fibrillation</term></item><item><term>atrioventricular nodal reentrant tachycardia</term></item><item><term>Wolff‐Parkinson‐White syndrome</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2008-04">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/615F5DC5B715545A10F2BF5B11B358BF78E817BF/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Inc</publisherName><publisherLoc>Malden, USA</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1540-8167</doi><issn type="print">1045-3873</issn><issn type="electronic">1540-8167</issn><idGroup><id type="product" value="JCE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY">Journal of Cardiovascular Electrophysiology</title></titleGroup></publicationMeta><publicationMeta level="part" position="04004"><doi origin="wiley">10.1111/jce.2008.19.issue-4</doi><numberingGroup><numbering type="journalVolume" number="19">19</numbering><numbering type="journalIssue" number="4">4</numbering></numberingGroup><coverDate startDate="2008-04">April 2008</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="7" status="forIssue"><doi origin="wiley">10.1111/j.1540-8167.2007.01065.x</doi><idGroup><id type="unit" value="JCE1065"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="tocHeading1">ORIGINAL ARTICLES</title><title type="tocHeading2"><i>Clinical</i></title></titleGroup><copyright>©2008 by Futura Publishing Company, Inc.</copyright><eventGroup><event type="firstOnline" date="2007-12-20"></event><event type="publishedOnlineFinalForm" date="2007-12-20"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.4 mode:FullText source:FullText result:FullText" date="2010-03-30"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-01-29"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-10-24"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="367">367</numbering><numbering type="pageLast" number="373">373</numbering></numberingGroup><correspondenceTo>Address for correspondence: Shih‐Ann Chen, M.D., Division of Cardiology, Veterans General Hospital‐Taipei, 201 Sec. 2, Shih‐Pai Road, Taipei, Taiwan. Fax: 886‐2‐2873‐5656; E‐mail: <email>epsachen@ms41.hinet.net</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:JCE.JCE1065.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="0"></count><count type="tableTotal" number="4"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="35"></count><count type="linksCrossRef" number="53"></count></countGroup><titleGroup><title type="main">Electrophysiological Characteristics and Catheter Ablation in Patients with Paroxysmal Supraventricular Tachycardia and Paroxysmal Atrial Fibrillation</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1 #a2"><personName><givenNames>SHIH‐LIN</givenNames><familyName>CHANG</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1"><personName><givenNames>CHING‐TAI</givenNames><familyName>TAI</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>YENN‐JIANG</givenNames><familyName>LIN</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr4" affiliationRef="#a1"><personName><givenNames>LI‐WEI</givenNames><familyName>LO</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr5" affiliationRef="#a1"><personName><givenNames>TA‐CHUAN</givenNames><familyName>TUAN</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr6" affiliationRef="#a1"><personName><givenNames>AMEYA R.</givenNames><familyName>UDYAVAR</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr7" affiliationRef="#a3"><personName><givenNames>HSUAN‐MING</givenNames><familyName>TSAO</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr8" affiliationRef="#a4"><personName><givenNames>MING‐ HSIUNG</givenNames><familyName>HSIEH</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr9" affiliationRef="#a1"><personName><givenNames>YU‐FENG</givenNames><familyName>HU</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr10" affiliationRef="#a1"><personName><givenNames>SHUO‐JU</givenNames><familyName>CHIANG</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr11" affiliationRef="#a4"><personName><givenNames>YI‐JEN</givenNames><familyName>CHEN</familyName><degrees>M.D., Ph.D</degrees></personName></creator><creator creatorRole="author" xml:id="cr12" affiliationRef="#a1"><personName><givenNames>WANWARANG</givenNames><familyName>WONGCHAROEN</familyName><degrees>M.D.</degrees></personName></creator><creator creatorRole="author" xml:id="cr13" affiliationRef="#a5"><personName><givenNames>KWO‐CHANG</givenNames><familyName>UENG</familyName><degrees>M.D., Ph.D</degrees></personName></creator><creator creatorRole="author" xml:id="cr14" affiliationRef="#a1"><personName><givenNames>SHIH‐ANN</givenNames><familyName>CHEN</familyName><degrees>M.D.</degrees></personName></creator></creators><affiliationGroup><affiliation xml:id="a1"><unparsedAffiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</unparsedAffiliation></affiliation><affiliation xml:id="a2"><unparsedAffiliation>Division of Cardiovascular Medicine, Suao Veterans Hospital, Suao</unparsedAffiliation></affiliation><affiliation xml:id="a3"><unparsedAffiliation>Division of Cardiovascular Medicine, I‐Lan Hospital, Ilan</unparsedAffiliation></affiliation><affiliation xml:id="a4"><unparsedAffiliation>Division of Cardiovascular Medicine, Taipei Medical University, Wan‐Fang Hospital, Taipei</unparsedAffiliation></affiliation><affiliation xml:id="a5"><unparsedAffiliation>Division of Cardiology, Chung Shan Medical University, Taichung, Taiwan</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1"><i>atrial fibrillation</i></keyword><keyword xml:id="k2"><i>atrioventricular nodal reentrant tachycardia</i></keyword><keyword xml:id="k3"><i>Wolff‐Parkinson‐White syndrome</i></keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><!-- AF and PSVT. 
<p> <i><b>Introduction:</b></i> Paroxysmal supraventricular tachycardia (PSVT) is often associated with paroxysmal atrial fibrillation (AF). However, the relationship between PSVT and AF is still unclear. The aim of this study was to investigate the clinical and electrophysiological characteristics in patients with PSVT and AF, and to demonstrate the origin of the AF before the radiofrequency (RF) ablation of AF.</p><p> <b><i>Methods and Results:</i></b> Four hundred and two consecutive patients with paroxysmal AF (338 had a pure PV foci and 64 had a non‐PV foci) that underwent RF ablation were included. Twenty‐one patients (10 females; mean age 47 ± 18 years) with both PSVT and AF were divided into two groups. Group 1 consisted of 14 patients with inducible atrioventricular nodal reentrant tachycardia (AVNRT) and AF. Group 2 consisted of seven patients with Wolff‐Parkinson‐White (WPW) syndrome and AF. Patients with non‐PV foci of AF had a higher incidence of AVNRT than those with PV foci (11% vs. 2%, P = 0.003). Patients with AF and atypical AVNRT had a higher incidence of AF ectopy from the superior vena cava (SVC) than those with AF and typical AVNRT (86% vs. 14%, P = 0.03). Group 1 patients had smaller left atrial (LA) diameter (36 ± 3 vs. 41 ± 3 mm, P = 0.004) and higher incidence of an SVC origin of AF (50% vs. 0%, P = 0.047) than did those in Group 2.</p><p> <b><i>Conclusion:</i></b> The SVC AF has a close relationship with AVNRT. The effect of atrial vulnerability and remodeling may differ between AVNRT and WPW syndrome.</p><!-- (J Cardiovasc Electrophysiol, Vol. 19, pp. 367–373, April 2008)
</abstractGroup></contentMeta><noteGroup><note xml:id="n-fnt-1" numbered="no"><p>Manuscript received 1 August 2007; Revised manuscript received 5 October 2007; Accepted for publication 26 October 2007.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Electrophysiological Characteristics and Catheter Ablation in Patients with Paroxysmal Supraventricular Tachycardia and Paroxysmal Atrial Fibrillation</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Electrophysiological Characteristics and Catheter Ablation in Patients with Paroxysmal Supraventricular Tachycardia and Paroxysmal Atrial Fibrillation</title></titleInfo><name type="personal"><namePart type="given">SHIH‐LIN</namePart><namePart type="family">CHANG</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation><affiliation>Division of Cardiovascular Medicine, Suao Veterans Hospital, Suao</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">CHING‐TAI</namePart><namePart type="family">TAI</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">YENN‐JIANG</namePart><namePart type="family">LIN</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">LI‐WEI</namePart><namePart type="family">LO</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">TA‐CHUAN</namePart><namePart type="family">TUAN</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">AMEYA R.</namePart><namePart type="family">UDYAVAR</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">HSUAN‐MING</namePart><namePart type="family">TSAO</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Division of Cardiovascular Medicine, I‐Lan Hospital, Ilan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">MING‐ HSIUNG</namePart><namePart type="family">HSIEH</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Division of Cardiovascular Medicine, Taipei Medical University, Wan‐Fang Hospital, Taipei</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">YU‐FENG</namePart><namePart type="family">HU</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">SHUO‐JU</namePart><namePart type="family">CHIANG</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">YI‐JEN</namePart><namePart type="family">CHEN</namePart><namePart type="termsOfAddress">M.D., Ph.D</namePart><affiliation>Division of Cardiovascular Medicine, Taipei Medical University, Wan‐Fang Hospital, Taipei</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">WANWARANG</namePart><namePart type="family">WONGCHAROEN</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">KWO‐CHANG</namePart><namePart type="family">UENG</namePart><namePart type="termsOfAddress">M.D., Ph.D</namePart><affiliation>Division of Cardiology, Chung Shan Medical University, Taichung, Taiwan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">SHIH‐ANN</namePart><namePart type="family">CHEN</namePart><namePart type="termsOfAddress">M.D.</namePart><affiliation>Division of Cardiology and Cardiovascular Research Center, School of Medicine, National Yang‐Ming University, and Taipei Veterans General Hospital, Taipei</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Inc</publisher><place><placeTerm type="text">Malden, USA</placeTerm></place><dateIssued encoding="w3cdtf">2008-04</dateIssued><copyrightDate encoding="w3cdtf">2008</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">4</extent><extent unit="references">35</extent></physicalDescription><abstract lang="en">Introduction: Paroxysmal supraventricular tachycardia (PSVT) is often associated with paroxysmal atrial fibrillation (AF). However, the relationship between PSVT and AF is still unclear. The aim of this study was to investigate the clinical and electrophysiological characteristics in patients with PSVT and AF, and to demonstrate the origin of the AF before the radiofrequency (RF) ablation of AF. Methods and Results: Four hundred and two consecutive patients with paroxysmal AF (338 had a pure PV foci and 64 had a non‐PV foci) that underwent RF ablation were included. Twenty‐one patients (10 females; mean age 47 ± 18 years) with both PSVT and AF were divided into two groups. Group 1 consisted of 14 patients with inducible atrioventricular nodal reentrant tachycardia (AVNRT) and AF. Group 2 consisted of seven patients with Wolff‐Parkinson‐White (WPW) syndrome and AF. Patients with non‐PV foci of AF had a higher incidence of AVNRT than those with PV foci (11% vs. 2%, P = 0.003). Patients with AF and atypical AVNRT had a higher incidence of AF ectopy from the superior vena cava (SVC) than those with AF and typical AVNRT (86% vs. 14%, P = 0.03). Group 1 patients had smaller left atrial (LA) diameter (36 ± 3 vs. 41 ± 3 mm, P = 0.004) and higher incidence of an SVC origin of AF (50% vs. 0%, P = 0.047) than did those in Group 2. Conclusion: The SVC AF has a close relationship with AVNRT. The effect of atrial vulnerability and remodeling may differ between AVNRT and WPW syndrome.</abstract><subject lang="en"><genre>Keywords</genre><topic>atrial fibrillation</topic><topic>atrioventricular nodal reentrant tachycardia</topic><topic>Wolff‐Parkinson‐White syndrome</topic></subject><relatedItem type="host"><titleInfo><title>Journal of Cardiovascular Electrophysiology</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">1045-3873</identifier><identifier type="eISSN">1540-8167</identifier><identifier type="DOI">10.1111/(ISSN)1540-8167</identifier><identifier type="PublisherID">JCE</identifier><part><date>2008</date><detail type="volume"><caption>vol.</caption><number>19</number></detail><detail type="issue"><caption>no.</caption><number>4</number></detail><extent unit="pages"><start>367</start><end>373</end><total>7</total></extent></part></relatedItem><identifier type="istex">615F5DC5B715545A10F2BF5B11B358BF78E817BF</identifier><identifier type="DOI">10.1111/j.1540-8167.2007.01065.x</identifier><identifier type="ArticleID">JCE1065</identifier><accessCondition type="use and reproduction" contentType="copyright">©2008 by Futura Publishing Company, Inc.</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Inc</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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