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AV nodal tachycardia

MedGen UID:
488947
•Concept ID:
C0857265
•
Disease or Syndrome
Synonym: Atrioventricular nodal tachycardia
 
HPO: HP:0011687

Definition

A type of supraventricular tachycardia that originates in the atrioventricular node. [from HPO]

Professional guidelines

PubMed

Flecainide acetate in the treatment of supraventricular tachycardias: value of programmed electrical stimulation for long-term prognosis.
van Wijk LM, Crijns HJ, van Gilst WH, Wesseling H, Lie KI
Am Heart J 1989 Feb;117(2):365-9. doi: 10.1016/0002-8703(89)90780-1. PMID: 2492738
Clinical usefulness of flecainide acetate in the treatment of paroxysmal supraventricular arrhythmias.
Camm AJ, Hellestrand KJ, Nathan AW, Bexton RS
Drugs 1985;29 Suppl 4:7-13. doi: 10.2165/00003495-198500294-00003. PMID: 4006783
Significance of transient entrainment in pacing treatment of tachyarrythmias.
Waldo AL, Henthorn RW, Epstein AE, Plumb VJ
Arch Mal Coeur Vaiss 1985 Oct;78 Spec No:23-8. PMID: 3938254

Recent clinical studies

Etiology

Delayed injury of autonomic nerve induced by radiofrequency catheter ablation.
Guo H, Wang P, Xing Y, Peng F, Jiang J, Yang B, You B, Qiu Y, Lee JD
J Electrocardiol 2007 Oct;40(4):355.e1-4. Epub 2007 Feb 8 doi: 10.1016/j.jelectrocard.2006.10.058. PMID: 17292382
Radiofrequency catheter ablation of tachycardia in children with and without congenital heart disease: indications and limitations.
Wu MH, Lin JL, Lai LP, Young ML, Lu CW, Chang YC, Wang JK, Lue HC
Int J Cardiol 2000 Feb 15;72(3):221-7. doi: 10.1016/s0167-5273(99)00183-7. PMID: 10716130
Inappropriate sinus tachycardia following radiofrequency ablation of AV nodal tachycardia: incidence and clinical significance.
Skeberis V, Simonis F, Tsakonas K, Celiker A, Andries E, Brugada P
Pacing Clin Electrophysiol 1994 May;17(5 Pt 1):924-7. doi: 10.1111/j.1540-8159.1994.tb01434.x. PMID: 7517527
Fulguration for AV nodal tachycardia: results in 42 patients with a mean follow-up of 23 months.
Haissaguerre M, Warin JF, D'Ivernois C, Le Métayer PH, Montserrat P
Pacing Clin Electrophysiol 1990 Dec;13(12 Pt 2):2000-7. doi: 10.1111/j.1540-8159.1990.tb06931.x. PMID: 1704582
Initiation of atrioventricular nodal reentrant tachycardia in patients with discontinuous anterograde atrioventricular nodal conduction curves with and without documented supraventricular tachycardia: observations on the role of a discontinuous retrograde conduction curve.
Brugada P, Heddle B, Green M, Wellens HJ
Am Heart J 1984 Apr;107(4):685-97. doi: 10.1016/0002-8703(84)90316-8. PMID: 6702563

Diagnosis

Delayed injury of autonomic nerve induced by radiofrequency catheter ablation.
Guo H, Wang P, Xing Y, Peng F, Jiang J, Yang B, You B, Qiu Y, Lee JD
J Electrocardiol 2007 Oct;40(4):355.e1-4. Epub 2007 Feb 8 doi: 10.1016/j.jelectrocard.2006.10.058. PMID: 17292382
Radiofrequency catheter ablation of tachycardia in children with and without congenital heart disease: indications and limitations.
Wu MH, Lin JL, Lai LP, Young ML, Lu CW, Chang YC, Wang JK, Lue HC
Int J Cardiol 2000 Feb 15;72(3):221-7. doi: 10.1016/s0167-5273(99)00183-7. PMID: 10716130
Late onset atrioventricular nodal tachycardia.
Pentinga ML, Meeder JG, Crijns HJ, de Muinck ED, Wiesfeld AC, Lie KI
Int J Cardiol 1993 Mar;38(3):293-8. doi: 10.1016/0167-5273(93)90247-e. PMID: 8463010
Effects of intravenous and oral disopyramide on paroxysmal atrioventricular nodal tachycardia.
Brugada P, Wellens HJ
Am J Cardiol 1984 Jan 1;53(1):88-92. doi: 10.1016/0002-9149(84)90689-1. PMID: 6362389
Initiation of ventricular tachycardia by supraventricular beats.
Belhassen B, Shapira I, Kauli N, Keren A, Laniado S
Cardiology 1982;69(4):203-13. doi: 10.1159/000173505. PMID: 7172169

Therapy

Delayed injury of autonomic nerve induced by radiofrequency catheter ablation.
Guo H, Wang P, Xing Y, Peng F, Jiang J, Yang B, You B, Qiu Y, Lee JD
J Electrocardiol 2007 Oct;40(4):355.e1-4. Epub 2007 Feb 8 doi: 10.1016/j.jelectrocard.2006.10.058. PMID: 17292382
Multiple atrioventricular nodal pathways in humans: electrophysiologic demonstration and characterization.
Lee KL, Chun HM, Liem LB, Lauer MR, Young C, Sung RJ
J Cardiovasc Electrophysiol 1998 Feb;9(2):129-40. doi: 10.1111/j.1540-8167.1998.tb00894.x. PMID: 9511887
Inappropriate sinus tachycardia following radiofrequency ablation of AV nodal tachycardia: incidence and clinical significance.
Skeberis V, Simonis F, Tsakonas K, Celiker A, Andries E, Brugada P
Pacing Clin Electrophysiol 1994 May;17(5 Pt 1):924-7. doi: 10.1111/j.1540-8159.1994.tb01434.x. PMID: 7517527
Effects of intravenous and oral disopyramide on paroxysmal atrioventricular nodal tachycardia.
Brugada P, Wellens HJ
Am J Cardiol 1984 Jan 1;53(1):88-92. doi: 10.1016/0002-9149(84)90689-1. PMID: 6362389
Initiation of ventricular tachycardia by supraventricular beats.
Belhassen B, Shapira I, Kauli N, Keren A, Laniado S
Cardiology 1982;69(4):203-13. doi: 10.1159/000173505. PMID: 7172169

Prognosis

Inappropriate sinus tachycardia following radiofrequency ablation of AV nodal tachycardia: incidence and clinical significance.
Skeberis V, Simonis F, Tsakonas K, Celiker A, Andries E, Brugada P
Pacing Clin Electrophysiol 1994 May;17(5 Pt 1):924-7. doi: 10.1111/j.1540-8159.1994.tb01434.x. PMID: 7517527
Fulguration for AV nodal tachycardia: results in 42 patients with a mean follow-up of 23 months.
Haissaguerre M, Warin JF, D'Ivernois C, Le Métayer PH, Montserrat P
Pacing Clin Electrophysiol 1990 Dec;13(12 Pt 2):2000-7. doi: 10.1111/j.1540-8159.1990.tb06931.x. PMID: 1704582
Clinical usefulness of flecainide acetate in the treatment of paroxysmal supraventricular arrhythmias.
Camm AJ, Hellestrand KJ, Nathan AW, Bexton RS
Drugs 1985;29 Suppl 4:7-13. doi: 10.2165/00003495-198500294-00003. PMID: 4006783
Effects of intravenous and oral disopyramide on paroxysmal atrioventricular nodal tachycardia.
Brugada P, Wellens HJ
Am J Cardiol 1984 Jan 1;53(1):88-92. doi: 10.1016/0002-9149(84)90689-1. PMID: 6362389
Simultaneous AV nodal reentrant and ventricular tachycardias.
Belhassen B, Pelleg A, Paredes A, Laniado S
Pacing Clin Electrophysiol 1984 May;7(3 Pt 1):325-31. doi: 10.1111/j.1540-8159.1984.tb04913.x. PMID: 6204282

Clinical prediction guides

Incessant nonreentrant atrioventricular nodal tachycardia due to multiple nodal pathways treated by radiofrequency ablation of the slow pathways.
Arena G, Bongiorni MG, Soldati E, Gherarducci G, Mariani M
J Cardiovasc Electrophysiol 1999 Dec;10(12):1636-42. doi: 10.1111/j.1540-8167.1999.tb00228.x. PMID: 10636194
Inappropriate sinus tachycardia following radiofrequency ablation of AV nodal tachycardia: incidence and clinical significance.
Skeberis V, Simonis F, Tsakonas K, Celiker A, Andries E, Brugada P
Pacing Clin Electrophysiol 1994 May;17(5 Pt 1):924-7. doi: 10.1111/j.1540-8159.1994.tb01434.x. PMID: 7517527
Electrophysiologic and clinical effects of flecainide for recurrent paroxysmal supraventricular tachycardia.
Hoff PI, Tronstad A, Oie B, Ohm OJ
Am J Cardiol 1988 Sep 15;62(9):585-9. doi: 10.1016/0002-9149(88)90660-1. PMID: 3137798
Clinical usefulness of flecainide acetate in the treatment of paroxysmal supraventricular arrhythmias.
Camm AJ, Hellestrand KJ, Nathan AW, Bexton RS
Drugs 1985;29 Suppl 4:7-13. doi: 10.2165/00003495-198500294-00003. PMID: 4006783
Effects of intravenous and oral disopyramide on paroxysmal atrioventricular nodal tachycardia.
Brugada P, Wellens HJ
Am J Cardiol 1984 Jan 1;53(1):88-92. doi: 10.1016/0002-9149(84)90689-1. PMID: 6362389

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