Diagnostic Accuracy of Several Electrocardiographic Criteria for the Prediction of Atrioventricular Nodal Reentrant Tachycardia

Diagnostic Accuracy of Several Electrocardiographic Criteria for the Prediction of Atrioventricular Nodal Reentrant Tachycardia

Author Medeiros, Juliana Filgueiras Autor UNIFESP Google Scholar
Nardo-Botelho, Fabio Martins Autor UNIFESP Google Scholar
Felix-Bernardes, Lara Cristina Autor UNIFESP Google Scholar
Hollanda-Oliveira, Lucas Autor UNIFESP Google Scholar
de Oliveira-Alves, Lucas Bassolli Autor UNIFESP Google Scholar
Lucia-Coutinho, Enia Autor UNIFESP Google Scholar
Dietrich, Cristiano Autor UNIFESP Google Scholar
Caixeta, Adrian Autor UNIFESP Google Scholar
Almeida-de-Sousa, Jose Marconi Autor UNIFESP Google Scholar
Carlos-Carvalho, Antonio Autor UNIFESP Google Scholar
Cirenza, Claudio Autor UNIFESP Google Scholar
Vicenzo-de-Paola, Angelo Amato Autor UNIFESP Google Scholar
Abstract Background and Aims. Atrioventricular nodal reentrant tachycardia (AVNRT) is the most common form of paroxysmal supraventricular tachycardia (SVT) whose diagnosis can be strongly suspected based on the surface eletrocardiogram alone. The purpose of this study is to determine the diagnostic accuracy of several electrocardiographic (ECG) criteria for the prediction of AVNRT. Methods. Between November 2010 and January 2014, a total of 256 patients who underwent electrophysiological testing (EP) with regular, paroxysmal and narrow QRS complex tachycardia were prospectively enrolled. We classified the ECG recordings during tachycardia for the presence of the following criteria: a) classical ECG findings of pseudo S wave in inferior leads and/or pseudo r' wave in lead V1, b) notch in lead aVL, c) no retrograde P waves visible during tachycardia

d) pseudo r' wave in lead aVR, e) notch in lead D1, f) any deflection after 100 ms of the QRS complex during tachycardia. Results. On multivariate analysis, independent predictors of AVNRT diagnosis were female sex (OR 4.17

95% CI [2.11-8.24]

p < 0.001), age > 60 years (OR 3.53

95% CI [1.25-9.96]

p = 0.017) and the classical ECG criteria (OR 7.41

95% CI [3.62-15.17]

p < 0.001). Conclusions. Female, age > 60 years and the classical ECG criteria were the independent predictors of AVNRT diagnosis. Although several of the ECG criteria for AVNRT diagnosis showed acceptable sensitivities and specificities, they do not improve its accuracy. (C) 2016 IMSS. Published by Elsevier Inc.
Keywords Tachyarrhythmia
Tachycardia
Ablation
Atrioventricular nodal reentrant tachycardia
xmlui.dri2xhtml.METS-1.0.item-coverage New York
Language English
Date 2016
Published in Archives Of Medical Research. New York, v. 47, n. 5, p. 394-400, 2016.
ISSN 0188-4409 (Sherpa/Romeo, impact factor)
Publisher Elsevier Science Inc
Extent 394-400
Origin http://dx.doi.org/10.1016/j.arcmed.2016.09.003
Access rights Closed access
Type Article
Web of Science ID WOS:000386742900010
URI https://repositorio.unifesp.br/handle/11600/57572

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