Lone atrial fibrillation in the young-perhaps not so "lone"?

Scott R. Ceresnak, Leonardo Liberman, Eric S. Silver, Steven B. Fishberger, Gregory J. Gates, Lynn Nappo, Joseph Mahgerefteh, Robert H. Pass

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Objective: To determine if pediatric patients with a history of lone atrial fibrillation (AF) have other forms of supraventricular tachycardia (SVT) that may potentially trigger AF. Study design: A multicenter review of patients with lone AF who underwent electrophysiology (EP) study from 2006-2011 was performed. Inclusion criteria: age ≤21 years, normal ventricular function, structurally normal heart, history of AF, and EP study and/or ablation performed. Exclusion criteria: congenital heart disease or cardiomyopathy. Patient demographics, findings at EP study and follow-up data were recorded. Results: Eighteen patients met inclusion criteria. The mean age was 17.9 ± 2.2 years, weight was 82 ± 21 kg, body mass index was 27 ± 6, and 15 (83%) were males. Eleven (61%) were overweight or obese. Seven (39%) had inducible SVT during EP study: 5 atrioventricular nodal re-entry tachycardia (71%) and 2 concealed accessory pathways with inducible atrioventricular re-entry tachycardia (29%). All 7 patients with inducible SVT underwent radiofrequency ablation. There were no complications during EP study and/or ablation for all 18 patients. The mean follow-up was 1.7 ± 1.5 years and there were no recurrences in the 7 patients who underwent ablation. There were 2 recurrences of AF in patients with no other form of SVT during EP study. Conclusions: Inducible SVT was found in 39% of pediatric patients undergoing EP study for lone AF. EP study should be considered for pediatric patients presenting with lone AF.

Original languageEnglish (US)
Pages (from-to)827-831
Number of pages5
JournalJournal of Pediatrics
Volume162
Issue number4
DOIs
StatePublished - Apr 2013

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Atrial Fibrillation
Electrophysiology
Supraventricular Tachycardia
Pediatrics
Tachycardia
Accessory Atrioventricular Bundle
Recurrence
Ventricular Function
Cardiomyopathies
Heart Diseases
Body Mass Index
Demography
Weights and Measures

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Lone atrial fibrillation in the young-perhaps not so "lone"? / Ceresnak, Scott R.; Liberman, Leonardo; Silver, Eric S.; Fishberger, Steven B.; Gates, Gregory J.; Nappo, Lynn; Mahgerefteh, Joseph; Pass, Robert H.

In: Journal of Pediatrics, Vol. 162, No. 4, 04.2013, p. 827-831.

Research output: Contribution to journalArticle

Ceresnak SR, Liberman L, Silver ES, Fishberger SB, Gates GJ, Nappo L et al. Lone atrial fibrillation in the young-perhaps not so "lone"? Journal of Pediatrics. 2013 Apr;162(4):827-831. https://doi.org/10.1016/j.jpeds.2012.09.016
Ceresnak, Scott R. ; Liberman, Leonardo ; Silver, Eric S. ; Fishberger, Steven B. ; Gates, Gregory J. ; Nappo, Lynn ; Mahgerefteh, Joseph ; Pass, Robert H. / Lone atrial fibrillation in the young-perhaps not so "lone"?. In: Journal of Pediatrics. 2013 ; Vol. 162, No. 4. pp. 827-831.
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abstract = "Objective: To determine if pediatric patients with a history of lone atrial fibrillation (AF) have other forms of supraventricular tachycardia (SVT) that may potentially trigger AF. Study design: A multicenter review of patients with lone AF who underwent electrophysiology (EP) study from 2006-2011 was performed. Inclusion criteria: age ≤21 years, normal ventricular function, structurally normal heart, history of AF, and EP study and/or ablation performed. Exclusion criteria: congenital heart disease or cardiomyopathy. Patient demographics, findings at EP study and follow-up data were recorded. Results: Eighteen patients met inclusion criteria. The mean age was 17.9 ± 2.2 years, weight was 82 ± 21 kg, body mass index was 27 ± 6, and 15 (83{\%}) were males. Eleven (61{\%}) were overweight or obese. Seven (39{\%}) had inducible SVT during EP study: 5 atrioventricular nodal re-entry tachycardia (71{\%}) and 2 concealed accessory pathways with inducible atrioventricular re-entry tachycardia (29{\%}). All 7 patients with inducible SVT underwent radiofrequency ablation. There were no complications during EP study and/or ablation for all 18 patients. The mean follow-up was 1.7 ± 1.5 years and there were no recurrences in the 7 patients who underwent ablation. There were 2 recurrences of AF in patients with no other form of SVT during EP study. Conclusions: Inducible SVT was found in 39{\%} of pediatric patients undergoing EP study for lone AF. EP study should be considered for pediatric patients presenting with lone AF.",
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