Occurrence of Atrial Fibrillation in Patients With Paroxysmal Supraventricular Tachycardia Due to Atrioventricular Nodal Reentry

JODIE L. HURWITZ, LAWRENCE D. GERMAN, DOUGLAS L. PACKER, I. MARCUS WHARTON, ELIZABETH A. MCCARTHY, WILLIAM E. WILKINSON, ERIC N. PRYSTOWSKY, EDWARD L.C. PRITCHETT

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Abstract

The occurrence of atrial fibrillation in patients with paroxysmal supraventricular tachycardia (PSVT) has been well documented when PSVT is secondary to atrioventricular reentry, but not when PSVT is secondary to atrioventricular nodal reentry (AVNRT). Seventeen patients with AVNRT were followed using transtelephonic electrocardiogram monitoring to document symptomatic tachycardias. The median length of telephone monitor surveillance was 357 days. Fifteen of 17 patients transmitted electrocardiograms that showed PSVT. Three of 17 patients (18%) transmitted eJectrocardiograms that showed atrial fibrillation. A transition from PSVT into atrial fibrillation was not recorded, but all three did have PSVT recorded on other days of follow‐up. We report the occurrence of atrial fibrillation in patients with AVNRT and that its incidence is higher than expected for the general population.

Original languageEnglish (US)
Pages (from-to)705-710
Number of pages6
JournalPacing and Clinical Electrophysiology
Volume13
Issue number6
DOIs
StatePublished - Jun 1990

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Keywords

  • atrial fibrillation
  • paroxysmal supraventricular tachycardia
  • tachycardia

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

HURWITZ, JODIE. L., GERMAN, LAWRENCE. D., PACKER, DOUGLAS. L., WHARTON, I. MARCUS., MCCARTHY, ELIZABETH. A., WILKINSON, WILLIAM. E., PRYSTOWSKY, ERIC. N., & PRITCHETT, EDWARD. L. C. (1990). Occurrence of Atrial Fibrillation in Patients With Paroxysmal Supraventricular Tachycardia Due to Atrioventricular Nodal Reentry. Pacing and Clinical Electrophysiology, 13(6), 705-710. https://doi.org/10.1111/j.1540-8159.1990.tb02094.x