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      What Have We Learned from the European Society of Cardiology 2019 Guidelines on Supraventricular Tachycardia


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          Supraventricular tachycardias (SVTs) are common arrhythmic conditions in clinical practice. Increased knowledge and experience on SVTs and some unclear situations in clinical practice led the European Society of Cardiology (ESC) team to write a new guideline. In this review, we touch upon the important points in the new ESC 2019 SVT guidelines and present changing approaches and suggestions. By providing a general review on SVTs, we also mention the basic mechanism, epidemiology, and clinical presentation of SVTs, approaching narrow and wide QRS tachycardias, SVTs in special patient groups, and treatment of SVTs.

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          Most cited references 51

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          2019 ESC Guidelines for the management of patients with supraventricular tachycardiaThe Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC)

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            ACC/AHA/ESC guidelines for the management of patients with supraventricular arrhythmias--executive summary. a report of the American college of cardiology/American heart association task force on practice guidelines and the European society of cardiology committee for practice guidelines (writing committee to develop guidelines for the management of patients with supraventricular arrhythmias) developed in collaboration with NASPE-Heart Rhythm Society.

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              Incidence and predictors of major complications from contemporary catheter ablation to treat cardiac arrhythmias.

              Updated understanding of the risks of catheter ablation is important because techniques have evolved for procedures treating non-life-threatening as well as potentially lethal arrhythmias. This prospective study sought to assess the incidence and predictors of major complications from contemporary catheter ablation procedures at a high-volume center. Over a 2-year period, 1,676 consecutive ablation procedures were prospectively evaluated for major complications throughout 30 days postprocedure. Predictors of major complications were determined in a multivariate analysis adjusted for demographics, clinical variables, ablation type, and procedural factors. Rates of major complications differed between procedure types, ranging from 0.8% for supraventricular tachycardia, 3.4% for idiopathic ventricular tachycardia (VT), 5.2% for atrial fibrillation (AF), and 6.0% for VT associated with structural heart disease (SHD). Ablation type (ablation for AF [odds ratio (OR) 5.53, 95% confidence interval (CI) 1.81 to 16.83], for VT with SHD [OR 8.61, 95% CI 2.37 to 31.31], or for idiopathic VT [OR 5.93, 95% CI 1.40 to 25.05] all referenced to supraventricular tachycardia ablation), and serum creatinine level >1.5 mg/dl (OR 2.48, 95% CI 1.07 to 5.76) were associated with increased adjusted risk of major complications, whereas age, gender, body mass index, international normalized ratio level, hypertension, coronary artery disease, diabetes, and prior cerebrovascular accident were not associated with increased risk. In a large cohort of contemporary catheter ablation, major complication rates ranged between 0.8% and 6.0% depending on the ablation procedure performed. Aside from ablation type, renal insufficiency was the only independent predictor of a major complication. Copyright © 2011 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.

                Author and article information

                S. Karger AG
                August 2020
                01 July 2020
                : 145
                : 8
                : 492-503
                aDepartment of Cardiology, Kulu State Hospital, Kulu, Turkey
                bDepartment of Cardiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey
                Author notes
                *Erdi Babayiğit, Department of Cardiology, Kulu State Hospital, Yeni District, Ahmet Baran Street, Kozanlı Road, Kulu/Konya (Turkey), erdibabayigit@gmail.com
                508264 Cardiology 2020;145:492–503
                © 2020 S. Karger AG, Basel

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                Page count
                Figures: 4, Pages: 12
                Electrophysiology and Arrhythmia: Review Article


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