{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T18:59:10Z","timestamp":1792436350379,"version":"4.5.0"},"reference-count":17,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T00:00:00Z","timestamp":1753920000000},"content-version":"unspecified","delay-in-days":30,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951125100826_as1\"><jats:title>Background:<\/jats:title><jats:p>The persistence of palpitations in some patients after supraventricular tachycardia ablation is a common challenge despite high procedural success rates. Establishing a correlation between symptoms and tachycardia is especially crucial for adolescent patients, who face challenges in perceiving and articulating their symptoms. This study aimed to evaluate the significance and efficacy of external event recorders in detecting symptom-arrhythmia correlation in paediatric patients experiencing palpitations following successful supraventricular tachycardia ablation.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125100826_as2\"><jats:title>Methods:<\/jats:title><jats:p>Among the 1682 patients who underwent successful supraventricular tachycardia ablation at our center between 2013 and 2023, the study included those who met the following criteria: 1) diagnosed with atrioventricular nodal reentrant tachycardia, concealed accessory pathway, or focal atrial tachycardia (excluding substrates identifiable on surface electrocardiogram such as Wolff-Parkinson-White and Mahaim type preexcitations), 2) without CHD, 3) aged over 10 years (as this age is considered sufficient for reliable symptom reporting), and 4) presenting with palpitations post-ablation, with no supraventricular tachycardia detected on electrocardiogram or 24-hour Holter monitoring. Patient data were retrospectively reviewed from medical records.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125100826_as3\"><jats:title>Results:<\/jats:title><jats:p>Among a total of 104 patients reporting palpitations (15%), event recording data of 73 patients were available. Supraventricular tachycardia was documented in eight cases, whereas sinus tachycardia was detected in nine patients. Symptom-arrhythmia correlation was achieved in 23% of patients, nearly half of whom had supraventricular tachycardia recurrence. Patients reporting palpitations with recurrent supraventricular tachycardia episodes were analysed according to diagnostic subgroups. The recurrence rate in patients with palpitations was higher in the focal atrial tachycardia group compared to the others (33%).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951125100826_as4\"><jats:title>Conclusion:<\/jats:title><jats:p>Despite successful ablation procedures, palpitations continue to pose a significant concern. To precisely explore the actual symptom-rhythm correlation, we advocate safe and effective utilisation of external event recorders in paediatric patients, particularly those with sporadic symptoms, as opposed to relying solely on electrocardiogram and Holter monitoring.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951125100826","type":"journal-article","created":{"date-parts":[[2025,7,31]],"date-time":"2025-07-31T02:07:14Z","timestamp":1753927634000},"page":"1370-1376","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":1,"title":["Utility of external event recorders in detecting symptom-arrhythmia correlation in children complaining palpitations after successful supraventricular tachycardia ablation"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6795-3824","authenticated-orcid":false,"given":"Bet\u00fcl","family":"\u00c7\u0131nar","sequence":"first","affiliation":[{"name":"University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6501-0416","authenticated-orcid":false,"given":"Hasan C.","family":"Kafal\u0131","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4600-8986","authenticated-orcid":false,"given":"G\u00fclhan T.","family":"\u015eahin","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8814-0435","authenticated-orcid":false,"given":"Yakup","family":"Erg\u00fcl","sequence":"additional","affiliation":[{"name":"University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Center"},{"name":"Consultant Pediatric Cardiologist and Electrophysiologist, Al Jalila Children\u2019s Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2025,7,31]]},"reference":[{"key":"S1047951125100826_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(92)90872-V"},{"key":"S1047951125100826_ref11","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1258\/1357633054461930","article-title":"Cardiac event recording yields more diagnoses than 24-hour Holter monitoring in patients with palpitations","volume":"11","author":"Scalvini","year":"2005","journal-title":"J Telemed Telecare"},{"key":"S1047951125100826_ref8","doi-asserted-by":"publisher","DOI":"10.1111\/pace.12018"},{"key":"S1047951125100826_ref5","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-020-02519-4"},{"key":"S1047951125100826_ref12","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-124-1_Part_1-199601010-00003"},{"key":"S1047951125100826_ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-021-02705-y"},{"key":"S1047951125100826_ref1","first-page":"113","article-title":"Cryoablation with an 8-mm tip catheter for typical AVNRT in children: a single center 5-year experience","volume":"62","author":"Kafal\u0131","year":"2021","journal-title":"J Interv Card Electr"},{"key":"S1047951125100826_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-6-68"},{"key":"S1047951125100826_ref9","first-page":"53","article-title":"New onset postural orthostatic tachycardia syndrome following ablation of AV node reentrant tachycardia","volume":"29","author":"Kanjwal","year":"2010","journal-title":"J Interv Card Electr"},{"key":"S1047951125100826_ref16","doi-asserted-by":"publisher","DOI":"10.1111\/anec.12339"},{"key":"S1047951125100826_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2014.11.071"},{"key":"S1047951125100826_ref15","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/j.rec.2018.04.007","article-title":"Diagnostic yield and economic assessment of a diagnostic protocol with systematic use of an external loop recorder for patients with palpitations","volume":"72","author":"Francisco-Pascual","year":"2019","journal-title":"Revista Espa\u00f1ola de Cardiolog\u00eda (English Edition)"},{"key":"S1047951125100826_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(96)00766-7"},{"key":"S1047951125100826_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjcpc.2022.12.004"},{"key":"S1047951125100826_ref6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1993.tb01034.x"},{"key":"S1047951125100826_ref2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1540-8167.2002.00336.x"},{"key":"S1047951125100826_ref3","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1046\/j.1460-9592.2002.00332.x","article-title":"Prospective assessment after pediatric cardiac ablation: design and implementation of the multicenter study","volume":"25","author":"Van Hare","year":"2002","journal-title":"Pacing Clin Electrophysiol"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951125100826","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,2]],"date-time":"2025-09-02T01:03:59Z","timestamp":1756775039000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951125100826\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":17,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2025,7]]}},"alternative-id":["S1047951125100826"],"URL":"https:\/\/doi.org\/10.1017\/s1047951125100826","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"\u00a9 The Author(s), 2025. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}