Abstract:
:AV nodal tachycardia may present at any age, but onset in late adulthood is considered uncommon. To evaluate whether onset of AV nodal tachycardias at older age is related to organic heart disease (possibly setting the stage for re-entry due to degenerative structural changes) 32 consecutive patients with symptomatic AV nodal tachycardia were studied. The age at onset of attacks showed a bimodal pattern, with 2 peaks: one between 15 and 35 years (22 patients) and one around 55 years (10 patients). Significantly more older patients had an underlying heart disease (60% versus 14%, P < 0.01), with coronary artery disease in 4 and hypertensive heart disease in 3. Frequent supraventricular ectopic activity was seen during baseline 24-h ambulatory monitoring in all the older patients, versus in only half of the younger patients (P = 0.005). These results indicate that late onset AV nodal tachycardia (i.e. > age 45 years) is not infrequent (33%). The frequent supraventricular arrhythmias on one hand and age-related structural AV nodal changes, potentially enhanced by underlying heart disease on the other, both may contribute to the development of late onset re-entrant AV nodal tachycardia.
journal_name
Int J Cardioljournal_title
International journal of cardiologyauthors
Pentinga ML,Meeder JG,Crijns HJ,de Muinck ED,Wiesfeld AC,Lie KIdoi
10.1016/0167-5273(93)90247-esubject
Has Abstractpub_date
1993-03-01 00:00:00pages
293-8issue
3eissn
0167-5273issn
1874-1754pii
0167-5273(93)90247-Ejournal_volume
38pub_type
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
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journal_title:International journal of cardiology
pub_type: 杂志文章
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journal_title:International journal of cardiology
pub_type: 信件
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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更新日期:2007-02-14 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,随机对照试验
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更新日期:2006-04-28 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2007-08-09 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2016-08-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:1987-03-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
doi:10.1016/j.ijcard.2008.05.022
更新日期:2009-08-21 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2006-08-28 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2013-09-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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journal_title:International journal of cardiology
pub_type: 杂志文章,随机对照试验
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更新日期:2010-06-25 00:00:00
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更新日期:2014-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2017-08-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:1988-05-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2013-10-09 00:00:00
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journal_title:International journal of cardiology
pub_type: 传,历史文章
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更新日期:2015-03-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件,评审
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更新日期:2005-12-07 00:00:00
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journal_title:International journal of cardiology
pub_type: 杂志文章
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更新日期:2021-01-15 00:00:00
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pub_type: 杂志文章
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更新日期:1986-05-01 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2006-07-28 00:00:00
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journal_title:International journal of cardiology
pub_type: 信件
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更新日期:2006-03-22 00:00:00