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November 1, 2005Pacing and Clinical Electrophysiology

The History of AV Nodal Reentry

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Key result

Catheter ablation of the slow pathway emerged as a more effective and safer treatment for AV nodal reentry compared to initial fast pathway ablation and surgical dissection.

Population

Patients with AV nodal reentry (AVNRT)

Design

Review

Authors

MSMelvin M. ScheinmanElectrophysiologyYYYanfei YangRutgers, The State University of New Jersey

Discussion

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Implication

Supports slow pathway ablation as AVNRT standard; leaves open need for updated randomized trials.

Structured PICO

P
Population
Patients with AV nodal reentry (AVNRT)
I
Intervention
Catheter ablation (historical evolution from surgical dissection and fast pathway ablation to slow pathway ablation)

This historical review highlights the evolution of the understanding and treatment of AV nodal reentry tachycardia, culminating in the current standard of slow pathway catheter ablation.

Cite This Study

Scheinman et al. (2005) conducted a review in AV nodal reentry (AVNRT). Catheter ablation was evaluated. Catheter ablation of the slow pathway emerged as a more effective and safer treatment for AV nodal reentry compared to initial fast pathway ablation and surgical dissection.

synapsesocial.com/papers/6a10d0de8102eb4b66ee77e2https://doi.org/10.1111/j.1540-8159.2005.50241.x
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cryothermal Ablation of the Slow Pathway for the Elimination of Atrioventricular Nodal Reentrant Tachycardia2000 · 210 citations
  2. 2Catheter-Induced Ablation of the Atrioventricular Junction to Control Refractory Supraventricular Arrhythmias1982 · 798 citations
  3. 3Use of the Esophageal Lead in the Diagnosis of Mechanisms of Reciprocating Supraventricular Tachycardia1980 · 121 citations
  4. 4Physiologic Evidence for a Dual A-V Transmission System1956 · 481 citations
  5. 5Anatomy of the A–V node of the dog1964 · 87 citations