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Journals / Türk Aritmi Pacemaker ve Elektrofizyoloji Dergisi / 2004 / Cilt: 2 - Sayı: 3

Our experience with radiofrequency catheter ablation of permanent junctional reciprocating tachycardia

Permanent junctional resiprokan taşikardi olgularında radyofrekans kateter ablasyon deneyimlerimiz

Sedat KÖSE
Basri AMASYALI
Ayhan KILIÇ
Kudret AYTEMİR
Hürkan KURŞAKLIOĞLU
Turgay ÇELİK
Atilla İYİSOY
U. Çağdaş YÜKSEL
Ersoy IŞIK
Pages
184–189
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this report, we present 13 cases diagnosed with PJRT during 1998-2004 and discuss the results of RF catheter ablation.

📌 3 Key Takeaways

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Objective & Hypothesis:Permanent Junctional Reciprocating Tachycardia (PJRT) is a rare form of atrioventricular reentrant tachycardias caused by an accessory pathway with retrograde decremental conduction.
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Key Findings & Data:Its typical EKG pattern is a narrow QRS complex tachycardia with negative P waves in leads II, III, aVF and V3-V6 and an RP interval greater than PR.
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Conclusion & Impact:In this report, we present 13 cases diagnosed with PJRT during 1998-2004 and discuss the results of RF catheter ablation.
🔬Design:Research Article
📍Scope:2004 Verileri
⚙️Variables:Taşikardi · supraventriküler · Kateter ablasyonu

Abstract

Permanent Junctional Reciprocating Tachycardia (PJRT) is a rare form of atrioventricular reentrant tachycardias caused by an accessory pathway with retrograde decremental conduction. Its typical EKG pattern is a narrow QRS complex tachycardia with negative P waves in leads II, III, aVF and V3-V6 and an RP interval greater than PR. PJRT is usually incessant and resistant to medical therapy, frequently leading to cardiomyopathy. In this report, we present 13 cases diagnosed with PJRT during 1998-2004 and discuss the results of RF catheter ablation.

Özet

Permanent Junctional Resiprokan Taşikardi (PJRT), atriyoventriküler reentran taşikardilerin oldukça nadir görülen bir formu olup, retrograd yönde dekremental ileti gösteren aksesuar yola bağlı olarak gelişmektedir. Tipik EKG bulgusu DII, DIII, aVF ve V3-6’da negatif P dalgalı dar QRS kompleksli taşikardidir. RP mesafesi PR mesafesinden daha uzundur. PJRT genellikle tıbbi tedaviye dirençli olup incessant karakter göstermekte ve taşikardiye bağlı kardiyomiyopati gelişimine neden olabilmektedir. Bu yazıda, 1998-2004 yılları arasında kliniğimizde PJRT tanısı alan ve radyofrekans kateter ablasyon ile tedavi edilen 13 olgu sunulmakta ve sonuçları tartışılmaktadır.

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Cite This Article

KÖSE, S., AMASYALI, B., KILIÇ, A., AYTEMİR, K., KURŞAKLIOĞLU, H., ÇELİK, T., İYİSOY, A., YÜKSEL, U. Ç., IŞIK, E. (2004). Our experience with radiofrequency catheter ablation of permanent junctional reciprocating tachycardia. Türk Aritmi Pacemaker ve Elektrofizyoloji Dergisi, Cilt: 2 - Sayı: 3, 184–189. https://ajindex.com/articles/395088

References (13)

  1. Gallagher JJ, Sealy WC. The permanent form of junctional reciprocating tachycardia: Further elucidation of the underlying mechanism. Eur J Cardiol 1978; 8: 413-30
  2. O'Neill BJ, Klein GJ, Guiraudon GM, et al. Results of operative therapy in the permanent form of junctional reciprocating tachycardia. Am J Cardiol 1989; 63: 1074-9
  3. Chein WW, Cohen TJ, Lee MA, et al. Electrophysiological findings and long-term follow-up of patients with the permanent form of junctional reciprocating tachycardia treated by catheter ablation. Circulation 1992; 85: 1329-36
  4. Josephson ME. Supraventricular tachycardias. In: Josephson ME, ed. Clinical Cardigac Electrophysiology. Techniques and Interpretations. Philadelphia: Lippincott Williams & Wilkins, 2002: 168-271
  5. Aguinaga L, Primo J, Anguera I, et al. Long-term follow-up in patients with the permanent form of junctional reciprocating tachycardia treated with radiofrequency ablation. Pacing Clin Electrophysiol 1998; 21: 2073-8
  6. Gaita F, Haissaguerre M, Giustetto C, et al. Catheter ablation of permanent form of junctional reciprocating tachycardia with radiofrequency current. J Am Coll Cardiol 1995; 25: 648-54
  7. Damiano JR, Tripp HF, Asano T, et al. Left ventricular dysfunction and dilatation resulting from chronic supraventricular tachycardia. J Thorac Cardiovasc Surg 1987; 94:135-143
  8. Coleman HN, Taylor RR, Pool PE, et al. Congestive heart failure following chronic tachycardia. Am Heart J 1971;81:790-8
  9. De Giovanni JV, Dindar A, Griffith MJ, et al.Recovery pattern of left ventricular dysfunction following radiofrequency ablation of incessant supraventricular tachycardia in infants and children. Heart 1998; 79: 588-92
  10. Cruz FE, Cheriex EC, Smeets JL, et al. Reversibility of tachycardia-induced cardiomyopathy after cure of incessant supraventricular tachycardia. J Am Coll Cardiol 1990;16: 739-44
  11. Shih HT, Miles WM, Klein LS, et al. Multiple accessory pathways in the form of junctional reciprocating tachycardia. Am J Cardiol 1994; 73: 361-7
  12. Okumura K, Henthorn RW, Epstein AE, Plumb VJ, Waldo AL. "Incessant" atrioventricular (AV) reciprocating tachycardia utilizing left lateral AV bypass pathway with a long retrograde conduction time. Pacing Clin Electrophysiol 1986; 9: 332-42
  13. Ticho BS, Saul JP, Hulse JE, De W, Lulu J, Walsh EP. Variable location of accessory pathways associated with the permanent form of junctional reciprocating tachycardia and confirmation with RF ablation. Am J Cardiol