{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,1,21]],"date-time":"2024-01-21T02:52:42Z","timestamp":1705805562429},"reference-count":19,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,3,20]],"date-time":"2014-03-20T00:00:00Z","timestamp":1395273600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2014,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Supraventricular tachycardia (SVT) in children can be successfully terminated using catheter ablation techniques; however, chronic, true success may be less. Sensed tachycardia (ST) is common following ablation and the differentiation from true arrhythmia recurrences can be challenging.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Records of all patients \u226418 years who underwent successful ablation for simple forms of SVT and followed\u2010up for at least a year between 2002 and 2012 were reviewed. Patients with congenital heart disease, atrial muscle tachycardia, and associated ventricular tachycardia were excluded. The diagnostic utility of commonly performed tests was assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 205 eligible subjects, 202 underwent successful ablation (98.5%), of who five were lost to follow\u2010up before 1 year. The early success rate (6 weeks postablation) and mid\u2010term success rate (1 year postablation) were high (97.5% and 87.4%, respectively) whereas the chronic success (5 years postablation) was only 75%. Although true arrhythmia recurrence was significantly higher in the young (mean 11.5 years vs 13.5 years, P\u00a0= 0.03) and males (P\u00a0= 0.02), the presence of diffuse, right\u2010sided fibers was the only independent predictor of true recurrence (odds ratio\u00a0= 2.7, P\u00a0= 0.03, 95% confidence interval 1.1, 6.8). Significant ST was reported by 111 patients (56%). The 30\u2010day ambulatory event monitor had the highest sensitivity (71%) when compared to exercise test (19%) and electrocardiogram (24%) in identifying true arrhythmia recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Acute and early success may not guarantee chronic ablation success. Postablation, symptomatic patients can be most effectively evaluated using ambulatory event monitoring; however, true recurrence may still be missed and requires closer monitoring.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pace.12373","type":"journal-article","created":{"date-parts":[[2014,3,20]],"date-time":"2014-03-20T05:48:35Z","timestamp":1395294515000},"page":"1009-1016","source":"Crossref","is-referenced-by-count":5,"title":["Testing Efficacy in Determination of Recurrent Supraventricular Tachycardia among Subjectively Symptomatic Children Following \u201cSuccessful\u201d Ablation"],"prefix":"10.1111","volume":"37","author":[{"given":"DEEPTI P.","family":"BHAT","sequence":"first","affiliation":[{"name":"Section of Pediatric Cardiology Carmen and Ann Adams Department of Pediatrics The Children's Hospital of Michigan Wayne State University School of Medicine  Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"WEI","family":"DU","sequence":"additional","affiliation":[{"name":"Section of Pediatric Cardiology Carmen and Ann Adams Department of Pediatrics The Children's Hospital of Michigan Wayne State University School of Medicine  Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PETER P.","family":"KARPAWICH","sequence":"additional","affiliation":[{"name":"Section of Pediatric Cardiology Carmen and Ann Adams Department of Pediatrics The Children's Hospital of Michigan Wayne State University School of Medicine  Detroit Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,3,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(92)90858-V"},{"key":"e_1_2_6_3_1","first-page":"380","volume-title":"Pediatric Arrhythmias: Electrophysiology and Pacing","author":"Ludimorsky A","year":"1990"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2009.12.014"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2009.11.004"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2012.03372.x"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1540-8167.2004.03645.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1159\/000006873"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.1993.tb01034.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00795642"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-0803.2007.00162.x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/eur159"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0828-282X(09)70503-3"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2011.11.030"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2004.03.064"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)01858-2"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1540-8159.2008.01182.x"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.764035"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1053\/eupc.2002.0236"},{"key":"e_1_2_6_20_1","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/S0022-5223(94)70220-9","article-title":"Surgical treatment of patients with Wolff\u2010Parkinson\u2010White syndrome and associated acquired valvular heart disease","volume":"108","author":"Misaki T","year":"1994","journal-title":"J Thorac Cardiovasc Surg"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpace.12373","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fpace.12373","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.12373","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T19:54:07Z","timestamp":1696190047000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.12373"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,20]]},"references-count":19,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2014,8]]}},"alternative-id":["10.1111\/pace.12373"],"URL":"https:\/\/doi.org\/10.1111\/pace.12373","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,3,20]]}}}