Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey

İSLAMOĞLU, Yahya; ÖZAYDOĞDU, Necdet; POLAT, Nihat; AKIL, Mehmet Ata; AYDIN, MESUT; Aktan, Adem; ACET, Halit; BILIK, MEHMET ZIHNI; YILDIZ, Abdulkadir; YÜKSEL, MURAT

Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey

Mesut AYDIN, (Dicle Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Diyarbakır Türkiye)

Nihat POLAT, (Dicle Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Diyarbakır Türkiye)

Murat YÜKSEL, (Dicle Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Diyarbakır Türkiye)

Abdulkadir YILDIZ, (Dicle Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Diyarbakır Türkiye)

Halit ACET, (Dicle Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Diyarbakır Türkiye)

Mehmet Zihni BİLİK, (Dicle Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Diyarbakır Türkiye)

Mehmet Ata AKIL, (Dicle Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Diyarbakır Türkiye)

Adem AKTAN, (Dicle Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Diyarbakır Türkiye)

Necdet ÖZAYDOĞDU, (Dicle Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Diyarbakır Türkiye)

Yahya İSLAMOĞLU (Dicle Üniversitesi Tıp Fakültesi, Kardiyoloji Anabilim Dalı, Diyarbakır Türkiye)

KONURALP TIP DERGİSİ

2 1

Yıl: 2015 Cilt: 7 Sayı: 3 Sayfa Aralığı: 162 - 166 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey

Öz:

Amaç: Güneydoğu Anadolu bölgesinde atriyoventriküler reentran taşikardilerdeki (AVRT) aksesuar yolları değerlendirmeyi amaçladık. Yöntem: Çalışma retrospektif kesitsel olarak yapıldı. Haziran 2012- Temmuz 2014 tarihleri arasında ardışık olarak AVRT nedeniyle ablasyon tedavisi yapılan hastaları çalışmaya dahil ettik. Bütün hastalar elektrofizyoloji laboratuvarına sedasyon yapılmadan alındı. 3 diyagnostik kateter kullanılarak elektrofizyolojik çalışma yapıldı. Koroner sinüse diyagnostik kateter yerleştirildi. Aksesuar yol tespit edildiğinde radyofrekans enerji kullanılarak tedavi yapıldı. Aksesuar yolların lokalizasyonu floroskopik olarak sol ön oblik pozisyonda belirlendi. Bulgular: Çalışmaya 64 AVRTli hasta dahil edildi (%63 kadın, yaş ortalaması 34±14). Atriyoventriküler reentran taşikardili hastaların 20 (%31)si gizli AVRT, 44 (%63)ü WPW sendromu olduğu saptandı. Aksesuar yolların bulunduğu yerlerin sol serbest duvar %59, posteroseptum %34, sağ serbest duvar %6 ve anteroseptum %3 olarak saptadık. Aksesuar yollar karşılaştırıldı. Gruplar arasında istatistiksel olarak herhangi bir fark yoktu. Sonuç: Aksesuar yolların bulunduğu bölgelerin dağılımı literatür ile benzer bulundu. Atriyoventriküler reentran taşikardiler arasında herhangi bir fark olmadığını belirlendi.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Güneydoğu Anadolu Bölgesindeki Atriyoventriküler Reentran Taşikardilerdeki Aksesuar Yolların Dağılımı

Öz:

Objective: We aimed to evaluate distribution of accessory pathway (AP) in atrioventricular reentrant tachycardia (AVRT) in southeast Anatolian region of Turkey. Methods: The study was a retrospective cross-sectional design. Consecutive patients who underwent catheter ablation of AVRT between June 2012 and July 2014 were included in the study. All patients were taken to the electrophysiology laboratory in the nonsedated state and underwent an initial diagnostic study using three diagnostic catheters. The one of them was placed in coronary sinus. In those patients, in whom the AP was identified, ablation therapy was carried out using radiofrequency energy. We decided distribution of AP on fluoroscopy. Fluoroscopic images are obtained in and the left anterior oblique orientation. Results: The study population consisted of 64 AVRT patients (63% female; mean age 34±14). Among AVRT 20(31%) patients had concealed AVRT, 44 (69%) patients had Wolf Parkinson White syndrome. Distribution of AP was 59% at the left free wall, 34% at the posteroseptum, 6% at the right free wall, and 3% at the anteroseptum. The locations of APs were compared. There was no any statistically significant among groups. Conclusion: Distribution of AP location was in accordance with literature. The other characteristic of AVRT were similar with the current data.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Porter MJ, Morton JB, Denman R et al. Influence of age and gender on the mechanism of supraventricular tachycardia. Heart Rhythm 2004; 1(4): 393-6.
2. Flensted-Jensen E. Wolff-Parkinson-White syndrome: a long-term follow-up of 47 cases. Acta Med Scand 1969; 186: 65-74.
3. Dreifus LS, Haiat R, Watanabe Y et al. Ventricular fibrillation. A possible mechanism of sudden death in patients and Wolff-Parkinson-White syndrome. Circulation 1971; 43(4): 520-7.
4. Kusomoto F. Understanding Intracardiac EGMs and ECGs. Mayo Clinic. 2010;107-31
5. Becker AE, Anderson RH, Durrer D, et al. The anatomical substrates of wolffparkinson- white syndrome. A clinicopathologic correlation in seven patients. Circulation 1978; 57(5):870-9.
6. Peters NS, Rowland E, Bennett JG et al. The Wolff-Parkinson-White syndrome: the cellular substrate for conduction in the accessory atrioventricular pathway. Eur Heart J 1994; 15(7): 981-7.
7. Gallagher JJ, Pritchett EL, Sealy WC et al. The preexcitation syndromes. Prog Cardiovasc Dis 1978; 20(4): 285-327.
8. Prystowsky EN. Diagnosis and management of the preexcitation syndromes. Curr Probl Cardiol 1988; 13(4): 225-310.
9. Fitzsimmons PJ, McWhirter PD, Peterson DW et al. The natural history of Wolff-Parkinson-White syndrome in 228 military aviators: a long-term follow-up of 22 years. Am Heart J 2001; 142(3): 530-6.
10. Munger TM, Packer DL, Hammill SC, et al. A population study of the natural history of Wolff-ParkinsonWhite syndrome in Olmsted County, Minnesota, 1953-1989. Circulation 1993; 87(3): 866-73.
11. Niksch AL, Dubin AM. Risk stratification in the asymptomatic child with Wolff-Parkinson-White syndrome. Current Opin Cardiol 2006; 21(3): 205-7.
12. Timmermans C, Smeets JL, Rodriguez LM et al. Aborted sudden death in the Wolff-Parkinson-White syndrome. Am J Cardiol 1995; 76(7): 492-4.
13. Berkman NL, Lamb LE. The Wolff-Parkinson-White electrocardiogram. A follow- up study of five to twenty-eight years. N Engl J Med 1968; 278(9): 492-4.
14. Orinius E. Pre-excitation: studies on criteria, prognosis, and heredity. Acta Med Scand Suppl 1966; 465: 1- 55.
15. Deal BJ, Dick M, Beerman L et al. Cardiac arrest in young patients with Wolff-Parkinson-White syndrome. Pacing Clin Electrophysiol 1995; 18(Part II): 815.
16. Wellens HJ, Atie J, Penn OC et al. Diagnosis and treatment of patients with accessory pathways. Cardiol Clin 1990; 8(3): 503-21.
17. Jackman WM, Wang XZ, Friday KJ et al. Catheter ablation of accessory atrioventricular pathways (WolffParkinson-White syndrome) by radiofrequency current. New Engl J Med 1991; 324(23): 1605-11.
18. Schluter M, Geiger M, Siebels J, et al. Catheter ablation using radiofrequency current to cure symptomatic patients with tachyarrhythmias related to an accessory atrioventricular pathway. Circulation 1991;84(4):1644-61.
19. Kuck KH, Schluter M, Geiger M et al. Radiofrequency current catheter ablation of accessory atrioventricular pathways. Lancet 1991; 337(8757): 1557-61.
20. Calkins H, Sousa J, el-Atassi R et al. Diagnosis and cure of the Wolff-Parkinson-White syndrome or paroxysmal supraventricular tachycardias during a single electrophysiologic test. N Engl J Med 1991; 324(23): 1612-8.
21. Blomstrom-Lundqvist C, Scheinman MM, Aliot EM et al. ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmiasexecutive summary. A report of the American College of Cardiology/American Heart Association task force on practice guidelines and the European Society of Cardiology committee for practice guidelines (writing committee to develop guidelines for the management of patients with supraventricular arrhythmias) developed in collaboration with NASPEHeart Rhythm Society. J Am Coll Cardiol 2003; 42(8): 1493-531.

APA	AYDIN M, POLAT N, YÜKSEL M, YILDIZ A, ACET H, BILIK M, AKIL M, Aktan A, ÖZAYDOĞDU N, İSLAMOĞLU Y (2015). Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey. , 162 - 166.
Chicago	AYDIN MESUT,POLAT Nihat,YÜKSEL MURAT,YILDIZ Abdulkadir,ACET Halit,BILIK MEHMET ZIHNI,AKIL Mehmet Ata,Aktan Adem,ÖZAYDOĞDU Necdet,İSLAMOĞLU Yahya Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey. (2015): 162 - 166.
MLA	AYDIN MESUT,POLAT Nihat,YÜKSEL MURAT,YILDIZ Abdulkadir,ACET Halit,BILIK MEHMET ZIHNI,AKIL Mehmet Ata,Aktan Adem,ÖZAYDOĞDU Necdet,İSLAMOĞLU Yahya Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey. , 2015, ss.162 - 166.
AMA	AYDIN M,POLAT N,YÜKSEL M,YILDIZ A,ACET H,BILIK M,AKIL M,Aktan A,ÖZAYDOĞDU N,İSLAMOĞLU Y Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey. . 2015; 162 - 166.
Vancouver	AYDIN M,POLAT N,YÜKSEL M,YILDIZ A,ACET H,BILIK M,AKIL M,Aktan A,ÖZAYDOĞDU N,İSLAMOĞLU Y Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey. . 2015; 162 - 166.
IEEE	AYDIN M,POLAT N,YÜKSEL M,YILDIZ A,ACET H,BILIK M,AKIL M,Aktan A,ÖZAYDOĞDU N,İSLAMOĞLU Y "Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey." , ss.162 - 166, 2015.
ISNAD	AYDIN, MESUT vd. "Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey". (2015), 162-166.

APA	AYDIN M, POLAT N, YÜKSEL M, YILDIZ A, ACET H, BILIK M, AKIL M, Aktan A, ÖZAYDOĞDU N, İSLAMOĞLU Y (2015). Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey. KONURALP TIP DERGİSİ, 7(3), 162 - 166.
Chicago	AYDIN MESUT,POLAT Nihat,YÜKSEL MURAT,YILDIZ Abdulkadir,ACET Halit,BILIK MEHMET ZIHNI,AKIL Mehmet Ata,Aktan Adem,ÖZAYDOĞDU Necdet,İSLAMOĞLU Yahya Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey. KONURALP TIP DERGİSİ 7, no.3 (2015): 162 - 166.
MLA	AYDIN MESUT,POLAT Nihat,YÜKSEL MURAT,YILDIZ Abdulkadir,ACET Halit,BILIK MEHMET ZIHNI,AKIL Mehmet Ata,Aktan Adem,ÖZAYDOĞDU Necdet,İSLAMOĞLU Yahya Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey. KONURALP TIP DERGİSİ, vol.7, no.3, 2015, ss.162 - 166.
AMA	AYDIN M,POLAT N,YÜKSEL M,YILDIZ A,ACET H,BILIK M,AKIL M,Aktan A,ÖZAYDOĞDU N,İSLAMOĞLU Y Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey. KONURALP TIP DERGİSİ. 2015; 7(3): 162 - 166.
Vancouver	AYDIN M,POLAT N,YÜKSEL M,YILDIZ A,ACET H,BILIK M,AKIL M,Aktan A,ÖZAYDOĞDU N,İSLAMOĞLU Y Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey. KONURALP TIP DERGİSİ. 2015; 7(3): 162 - 166.
IEEE	AYDIN M,POLAT N,YÜKSEL M,YILDIZ A,ACET H,BILIK M,AKIL M,Aktan A,ÖZAYDOĞDU N,İSLAMOĞLU Y "Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey." KONURALP TIP DERGİSİ, 7, ss.162 - 166, 2015.
ISNAD	AYDIN, MESUT vd. "Distribution of Accessory Pathways in Atrioventricular Reentrant Tachycardia in Southeast Anatolian Region of Turkey". KONURALP TIP DERGİSİ 7/3 (2015), 162-166.