Permanent pacemaker implantation for late atrioventricular block in patients receiving catheter ablation for atrioventricular nodal reentrant tachycardia

Jo Nan Liao; Yu Feng Hu; Tsu Juey Wu; Ann Ning Fong; Wei Shiang Lin; Yenn Jiang Lin; Shih Lin Chang; Li Wei Lo; Ta Chuan Tuan; Hung Yu Chang; Cheng Hung Li; Tze Fan Chao; Fa Po Chung; Dicky Armein Hanafy; Wen Yu Lin; Jin Long Huang; Chin Chou Huang; Hsin Bang Leu; Pi Chang Lee; Chern En Chiang; Shih Ann Chen

doi:10.1016/j.amjcard.2012.11.003

Permanent pacemaker implantation for late atrioventricular block in patients receiving catheter ablation for atrioventricular nodal reentrant tachycardia

Jo Nan Liao, Yu Feng Hu, Tsu Juey Wu, Ann Ning Fong, Wei Shiang Lin, Yenn Jiang Lin, Shih Lin Chang, Li Wei Lo, Ta Chuan Tuan, Hung Yu Chang, Cheng Hung Li, Tze Fan Chao, Fa Po Chung, Dicky Armein Hanafy, Wen Yu Lin, Jin Long Huang, Chin Chou Huang, Hsin Bang Leu, Pi Chang Lee, Chern En ChiangShih Ann Chen^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

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Abstract

The present study investigated the incidence and predictors of permanent pacemaker (PPM) implantation for late atrioventricular block (AVB) in patients with atrioventricular nodal reentrant tachycardia (AVNRT) who received ablation. The data from 3,442 patients with AVNRT who received ablation were analyzed. Those who developed late AVB (>1 month after ablation) and received a PPM were identified. The incidence of PPM implantation in 1,148 matched patients with Wolff-Parkinson-White syndrome and in the whole population of Taiwan were compared. Of the patients with AVNRT receiving ablation (mean follow-up duration 128.3 ± 62.5 months), 15 (0.4%) received PPM implantation for late AVB (mean interval after catheter ablation 95.4 ± 55.0 months). Only age (odds ratio 1.05, p = 0.02) and transient AVB (odds ratio 8.55, p = 0.01) during the procedure were independently associated with PPM implantation for late AVB. The patients with AVNRT had a greater incidence of PPM implantation due to late AVB compared to the matched patients with Wolff-Parkinson-White syndrome. The annual incidence of PPM implantation for AVB was also greater in the patients with AVNRT than in the general population. In conclusion, the incidence of PPM implantation for late AVB in patients with AVNRT who received catheter ablation was low but still greater than that in patients with Wolff-Parkinson-White syndrome and the general population in Taiwan.

Original language	English
Pages (from-to)	569-573
Number of pages	5
Journal	American Journal of Cardiology
Volume	111
Issue number	4
DOIs	https://doi.org/10.1016/j.amjcard.2012.11.003
State	Published - 15 Feb 2013

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10.1016/j.amjcard.2012.11.003

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Liao, J. N., Hu, Y. F., Wu, T. J., Fong, A. N., Lin, W. S., Lin, Y. J., Chang, S. L., Lo, L. W., Tuan, T. C., Chang, H. Y., Li, C. H., Chao, T. F., Chung, F. P., Hanafy, D. A., Lin, W. Y., Huang, J. L., Huang, C. C., Leu, H. B., Lee, P. C., ... Chen, S. A. (2013). Permanent pacemaker implantation for late atrioventricular block in patients receiving catheter ablation for atrioventricular nodal reentrant tachycardia. American Journal of Cardiology, 111(4), 569-573. https://doi.org/10.1016/j.amjcard.2012.11.003

@article{aa75b6979f42458daa5d7f3ea0b1a0d7,

title = "Permanent pacemaker implantation for late atrioventricular block in patients receiving catheter ablation for atrioventricular nodal reentrant tachycardia",

abstract = "The present study investigated the incidence and predictors of permanent pacemaker (PPM) implantation for late atrioventricular block (AVB) in patients with atrioventricular nodal reentrant tachycardia (AVNRT) who received ablation. The data from 3,442 patients with AVNRT who received ablation were analyzed. Those who developed late AVB (>1 month after ablation) and received a PPM were identified. The incidence of PPM implantation in 1,148 matched patients with Wolff-Parkinson-White syndrome and in the whole population of Taiwan were compared. Of the patients with AVNRT receiving ablation (mean follow-up duration 128.3 ± 62.5 months), 15 (0.4%) received PPM implantation for late AVB (mean interval after catheter ablation 95.4 ± 55.0 months). Only age (odds ratio 1.05, p = 0.02) and transient AVB (odds ratio 8.55, p = 0.01) during the procedure were independently associated with PPM implantation for late AVB. The patients with AVNRT had a greater incidence of PPM implantation due to late AVB compared to the matched patients with Wolff-Parkinson-White syndrome. The annual incidence of PPM implantation for AVB was also greater in the patients with AVNRT than in the general population. In conclusion, the incidence of PPM implantation for late AVB in patients with AVNRT who received catheter ablation was low but still greater than that in patients with Wolff-Parkinson-White syndrome and the general population in Taiwan.",

author = "Liao, {Jo Nan} and Hu, {Yu Feng} and Wu, {Tsu Juey} and Fong, {Ann Ning} and Lin, {Wei Shiang} and Lin, {Yenn Jiang} and Chang, {Shih Lin} and Lo, {Li Wei} and Tuan, {Ta Chuan} and Chang, {Hung Yu} and Li, {Cheng Hung} and Chao, {Tze Fan} and Chung, {Fa Po} and Hanafy, {Dicky Armein} and Lin, {Wen Yu} and Huang, {Jin Long} and Huang, {Chin Chou} and Leu, {Hsin Bang} and Lee, {Pi Chang} and Chiang, {Chern En} and Chen, {Shih Ann}",

year = "2013",

month = feb,

day = "15",

doi = "10.1016/j.amjcard.2012.11.003",

language = "English",

volume = "111",

pages = "569--573",

journal = "American Journal of Cardiology",

issn = "0002-9149",

publisher = "Elsevier Inc.",

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Liao, JN, Hu, YF, Wu, TJ, Fong, AN, Lin, WS, Lin, YJ , Chang, SL , Lo, LW, Tuan, TC, Chang, HY, Li, CH, Chao, TF, Chung, FP, Hanafy, DA, Lin, WY, Huang, JL, Huang, CC, Leu, HB, Lee, PC, Chiang, CE & Chen, SA 2013, 'Permanent pacemaker implantation for late atrioventricular block in patients receiving catheter ablation for atrioventricular nodal reentrant tachycardia', American Journal of Cardiology, vol. 111, no. 4, pp. 569-573. https://doi.org/10.1016/j.amjcard.2012.11.003

TY - JOUR

T1 - Permanent pacemaker implantation for late atrioventricular block in patients receiving catheter ablation for atrioventricular nodal reentrant tachycardia

AU - Liao, Jo Nan

AU - Hu, Yu Feng

AU - Wu, Tsu Juey

AU - Fong, Ann Ning

AU - Lin, Wei Shiang

AU - Lin, Yenn Jiang

AU - Chang, Shih Lin

AU - Lo, Li Wei

AU - Tuan, Ta Chuan

AU - Chang, Hung Yu

AU - Li, Cheng Hung

AU - Chao, Tze Fan

AU - Chung, Fa Po

AU - Hanafy, Dicky Armein

AU - Lin, Wen Yu

AU - Huang, Jin Long

AU - Huang, Chin Chou

AU - Leu, Hsin Bang

AU - Lee, Pi Chang

AU - Chiang, Chern En

AU - Chen, Shih Ann

PY - 2013/2/15

Y1 - 2013/2/15

N2 - The present study investigated the incidence and predictors of permanent pacemaker (PPM) implantation for late atrioventricular block (AVB) in patients with atrioventricular nodal reentrant tachycardia (AVNRT) who received ablation. The data from 3,442 patients with AVNRT who received ablation were analyzed. Those who developed late AVB (>1 month after ablation) and received a PPM were identified. The incidence of PPM implantation in 1,148 matched patients with Wolff-Parkinson-White syndrome and in the whole population of Taiwan were compared. Of the patients with AVNRT receiving ablation (mean follow-up duration 128.3 ± 62.5 months), 15 (0.4%) received PPM implantation for late AVB (mean interval after catheter ablation 95.4 ± 55.0 months). Only age (odds ratio 1.05, p = 0.02) and transient AVB (odds ratio 8.55, p = 0.01) during the procedure were independently associated with PPM implantation for late AVB. The patients with AVNRT had a greater incidence of PPM implantation due to late AVB compared to the matched patients with Wolff-Parkinson-White syndrome. The annual incidence of PPM implantation for AVB was also greater in the patients with AVNRT than in the general population. In conclusion, the incidence of PPM implantation for late AVB in patients with AVNRT who received catheter ablation was low but still greater than that in patients with Wolff-Parkinson-White syndrome and the general population in Taiwan.

AB - The present study investigated the incidence and predictors of permanent pacemaker (PPM) implantation for late atrioventricular block (AVB) in patients with atrioventricular nodal reentrant tachycardia (AVNRT) who received ablation. The data from 3,442 patients with AVNRT who received ablation were analyzed. Those who developed late AVB (>1 month after ablation) and received a PPM were identified. The incidence of PPM implantation in 1,148 matched patients with Wolff-Parkinson-White syndrome and in the whole population of Taiwan were compared. Of the patients with AVNRT receiving ablation (mean follow-up duration 128.3 ± 62.5 months), 15 (0.4%) received PPM implantation for late AVB (mean interval after catheter ablation 95.4 ± 55.0 months). Only age (odds ratio 1.05, p = 0.02) and transient AVB (odds ratio 8.55, p = 0.01) during the procedure were independently associated with PPM implantation for late AVB. The patients with AVNRT had a greater incidence of PPM implantation due to late AVB compared to the matched patients with Wolff-Parkinson-White syndrome. The annual incidence of PPM implantation for AVB was also greater in the patients with AVNRT than in the general population. In conclusion, the incidence of PPM implantation for late AVB in patients with AVNRT who received catheter ablation was low but still greater than that in patients with Wolff-Parkinson-White syndrome and the general population in Taiwan.

UR - http://www.scopus.com/inward/record.url?scp=84873305316&partnerID=8YFLogxK

U2 - 10.1016/j.amjcard.2012.11.003

DO - 10.1016/j.amjcard.2012.11.003

M3 - Article

C2 - 23219174

AN - SCOPUS:84873305316

SN - 0002-9149

VL - 111

SP - 569

EP - 573

JO - American Journal of Cardiology

JF - American Journal of Cardiology

IS - 4

ER -

Permanent pacemaker implantation for late atrioventricular block in patients receiving catheter ablation for atrioventricular nodal reentrant tachycardia

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