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• W1980174211 abstract "The aim of this study was to compare the long-term procedural outcomes, the stability of atrioventricular conduction, and the new onset of atrial fibrillation (AF), after ablation of atrioventricular nodal reentrant tachycardia (AVNRT).Consecutive patients with AVNRT (n=109), who underwent slow-pathway ablation, were divided into two groups based on the median age of the studied patients: the younger group aged <55 years and the older group aged ≥55 years. During a mean follow-up period of 60.6 months, the rate of change in the PR interval from before ablation to follow-up was significantly greater in older patients compared with younger patients. However, there was no delayed-onset high-degree AV block during follow-up in either group. No patients in the younger group suffered from persistent AF, whereas persistent AF occurred in 5/54 (9.3%) older patients. Multivariate Cox analysis revealed that atrial vulnerability, with induction of AF during the electrophysiological study, was the only predictor of the development of AF (Hazard ratio: 13.9, 95% confidence interval: 1.62-119.2, p<0.01).Slow-pathway ablation of AVNRT is a reliable strategy even in older patients. However, physicians should consider regular long-term follow-up of older patients with atrial vulnerability, in order to assess the subsequent development of AF." @default.
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• W1980174211 date "2011-01-01" @default.
• W1980174211 modified "2023-10-01" @default.
• W1980174211 title "Difference of Clinical Course after Catheter Ablation of Atrioventricular Nodal Reentrant Tachycardia between Younger and Older Patients: Atrial Vulnerability Predicts New Onset of Atrial Fibrillation" @default.
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• W1980174211 doi "https://doi.org/10.2169/internalmedicine.50.5280" @default.
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