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New observations on atrial fibrillation before and after surgical treatment in patients with the Wolff-Parkinson-White syndrome.
- Source :
-
Journal of the American College of Cardiology [J Am Coll Cardiol] 1992 Apr; Vol. 19 (5), pp. 974-81. - Publication Year :
- 1992
-
Abstract
- The records of 342 patients who received surgical treatment for the Wolff-Parkinson-White syndrome between 1968 and 1986 were reviewed to evaluate the characteristics of atrial fibrillation. The patients were classified into two groups according to the presence (n = 166) or absence (n = 176) of documented episodes of atrial fibrillation preoperatively. The mean follow-up duration was 6 years (range 2 to 20). As compared with reports based on smaller patient groups and shorter follow-up, the study revealed several new findings. 1) During follow-up, nine patients in the atrial fibrillation group developed recurrent atrial fibrillation after a successful operation; five of these nine patients did not have associated heart disease. 2) All three patients with a history of atrial fibrillation and an accessory pathway conducting in the anterograde direction only had a successful surgical procedure and no postoperative atrial fibrillation. 3) The cycle length of atrioventricular (AV) reciprocating tachycardia was significantly shorter in the atrial fibrillation group (304 +/- 42 ms, mean +/- SD) than in the no-atrial fibrillation group (321 +/- 54 ms, p less than 0.005), and the cycle length of AV reciprocating tachycardia that degenerated into atrial fibrillation (289 +/- 26 ms) was shorter than that for the AV reciprocating tachycardia without subsequent atrial fibrillation (316 +/- 51 ms, p less than 0.005). 4) Sustained atrial fibrillation was induced in 30% of patients without a history of atrial fibrillation. 5) Atrial fibrillation occurred in four patients with an accessory pathway that conducted only in the retrograde direction.(ABSTRACT TRUNCATED AT 250 WORDS)
- Subjects :
- Adolescent
Adult
Atrial Fibrillation physiopathology
Atrioventricular Node physiopathology
Cardiac Pacing, Artificial
Female
Follow-Up Studies
Heart Conduction System physiopathology
Heart Conduction System surgery
Humans
Male
Middle Aged
Neural Conduction
Recurrence
Tachycardia, Atrioventricular Nodal Reentry complications
Tachycardia, Atrioventricular Nodal Reentry physiopathology
Tachycardia, Supraventricular complications
Tachycardia, Supraventricular physiopathology
Time Factors
Wolff-Parkinson-White Syndrome complications
Wolff-Parkinson-White Syndrome physiopathology
Atrial Fibrillation etiology
Postoperative Complications
Wolff-Parkinson-White Syndrome surgery
Subjects
Details
- Language :
- English
- ISSN :
- 0735-1097
- Volume :
- 19
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of the American College of Cardiology
- Publication Type :
- Academic Journal
- Accession number :
- 1552122
- Full Text :
- https://doi.org/10.1016/0735-1097(92)90281-q