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.
authors.affiliation: Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan.
authors.forename: Jo-Nan
authors.initials: JN
authors.lastname: Liao
authors.forename: Yu-Feng
authors.initials: YF
authors.lastname: Hu
authors.forename: Tsu-Juey
authors.initials: TJ
authors.lastname: Wu
authors.forename: Ann-Ning
authors.initials: AN
authors.lastname: Fong
authors.forename: Wei-Shiang
authors.initials: WS
authors.lastname: Lin
authors.forename: Yenn-Jiang
authors.initials: YJ
authors.lastname: Lin
authors.forename: Shih-Lin
authors.initials: SL
authors.lastname: Chang
authors.forename: Li-Wei
authors.initials: LW
authors.lastname: Lo
authors.forename: Ta-Chuan
authors.initials: TC
authors.lastname: Tuan
authors.forename: Hung-Yu
authors.initials: HY
authors.lastname: Chang
authors.forename: Cheng-Hung
authors.initials: CH
authors.lastname: Li
authors.forename: Tze-Fan
authors.initials: TF
authors.lastname: Chao
authors.forename: Fa-Po
authors.initials: FP
authors.lastname: Chung
authors.forename: Dicky Armein
authors.initials: DA
authors.lastname: Hanafy
authors.forename: Wen-Yu
authors.initials: WY
authors.lastname: Lin
authors.forename: Jin-Long
authors.initials: JL
authors.lastname: Huang
authors.forename: Chin-Chou
authors.initials: CC
authors.lastname: Huang
authors.forename: Hsin-Bang
authors.initials: HB
authors.lastname: Leu
authors.forename: Pi-Chang
authors.initials: PC
authors.lastname: Lee
authors.forename: Chern-En
authors.initials: CE
authors.lastname: Chiang
authors.forename: Shih-Ann
authors.initials: SA
authors.lastname: Chen
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D054537:Atrioventricular Block / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D017115:Catheter Ablation / Q000009:adverse effects*; D002648:Child; D004562:Electrocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial; D011182:Postoperative Care / Q000379:methods*; D012189:Retrospective Studies; D013611:Tachycardia, Atrioventricular Nodal Reentry / Q000503:physiopathology / Q000601:surgery*; D013624:Taiwan / Q000453:epidemiology; D016896:Treatment Outcome; D055815:Young Adult