AVNRT historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Ramyar Ghandriz MD[2]

Overview

In the past, many cases of AVNRT were referred to as paroxysmal atrial tachycardia, or PAT, or PAT with block. With greater understanding of the underlying electrophysiologic mechanism of these arrhythmias, more specific terminology has now been adapted, and these older non-specific terms are now used to refer to supraventricular tachycardia in general rather than AVNRT in specific.

Historical perspective

  • Report of the first successful surgical ablation of an accessory pathway tracks back to 1958 by Cobb et al in 1968.[1]
  • First catheter-based ablation in a human being was done by Scheinman in 1981.[2]
  • Much of early knowledge of supraventicular tachycardia was derived from electrocardiogram , but the mechanism insight into these rhythm disturbances is due to Durrer et al[3], Coumel et al[4], Wellens[5],Scherlag et al[6], Josephson[7], and Jackman et al[8] hard work.
  • Schelrag and collegues developed reliable His bundle ECG recording in late 1960s.

References

  1. Cobb, Frederick R.; Blumenschein, Sarah D.; Sealy, Will C.; Boineau, John P.; Wagner, Galen S.; Wallace, Andrew G. (1968). "Successful Surgical Interruption of the Bundle of Kent in a Patient with Wolff-Parkinson-White Syndrome". Circulation. 38 (6): 1018–1029. doi:10.1161/01.CIR.38.6.1018. ISSN 0009-7322.
  2. Scheinman MM, Morady F, Hess DS, Gonzalez R (1982). "Catheter-induced ablation of the atrioventricular junction to control refractory supraventricular arrhythmias". JAMA. 248 (7): 851–5. PMID 7097946.
  3. Durrer, D.; Schoo, L.; Schuilenburg, R. M.; Wellens, H. J. J. (1967). "The Role of Premature Beats in the Initiation and the Termination of Supraventricular Tachycardia in the Wolff-Parkinson-White Syndrome". Circulation. 36 (5): 644–662. doi:10.1161/01.CIR.36.5.644. ISSN 0009-7322.
  4. Wellens, Hein J.J. (2004). "Cardiac arrhythmias: The quest for a cure". Journal of the American College of Cardiology. 44 (6): 1155–1163. doi:10.1016/j.jacc.2004.05.080. ISSN 0735-1097.
  5. Wellens, H J; Brugada, P; Stevenson, W G (1985). "Programmed electrical stimulation of the heart in patients with life-threatening ventricular arrhythmias: what is the significance of induced arrhythmias and what is the correct stimulation protocol?". Circulation. 72 (1): 1–7. doi:10.1161/01.CIR.72.1.1. ISSN 0009-7322.
  6. Scherlag, Benjamin J.; Lau, Sun H.; Helfant, Richard H.; Berkowitz, Walter D.; Stein, Emanuel; Damato, Anthony N. (1969). "Catheter Technique for Recording His Bundle Activity in Man". Circulation. 39 (1): 13–18. doi:10.1161/01.CIR.39.1.13. ISSN 0009-7322.
  7. Hussien, Khaled; Hammouda, Mohamed; Elakbawy, Hazem; Abdelaziz, Ahmed; Abdelaal, Ahmed; Shehata, Mohamed; AbdelKhalik, EL Shazly; Nagi, Hassan; Mokhtar, Sherif (2009). "Recurrent supraventricular tachycardias prevalence and pathophysiology after RF ablation: A 5-year registry". Journal of the Saudi Heart Association. 21 (4): 221–228. doi:10.1016/j.jsha.2009.10.005. ISSN 1016-7315.
  8. Jackman, Warren M.; Wang, Xunzhang; Friday, Karen J.; Roman, Carlos A.; Moulton, Kriech P.; Beckman, Karen J.; McClelland, James H.; Twidale, Nicholas; Hazlitt, H. Andrew; Prior, Michael I.; Margolis, P. David; Calame, James D.; Overholt, Edward D.; Lazzara, Ralph (1991). "Catheter Ablation of Accessory Atrioventricular Pathways (Wolff–Parkinson–White Syndrome) by Radiofrequency Current". New England Journal of Medicine. 324 (23): 1605–1611. doi:10.1056/NEJM199106063242301. ISSN 0028-4793.

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