{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:32:01Z","timestamp":1786386721066,"version":"build-2736575974"},"reference-count":11,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pacing Clinical Electrophis"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Paroxysmal supraventricular tachycardia (PSVT) is a common cause of palpitations, with atrioventricular nodal re\u2010entrant tachycardia (AVNRT) accounting for up to 60% of cases. In approximately 5% of patients, tachycardia is non\u2010inducible during electrophysiology (EP) study, despite the presence of dual AV nodal physiology (DAVNP). The optimal management of patients with DAVNP and non\u2010inducible tachycardia, whether to perform empiric ablation or not to ablate remains uncertain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare recurrence rates, mechanism of recurrence and timing of recurrence between patients who underwent empiric slow pathway ablation versus those who did not.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We retrospectively reviewed EP studies from 2010 to 2024. Patients with documented adenosine responsive PSVT, DAVNP but non\u2010inducible tachycardia were included; those with accessory pathways or structural heart disease were excluded. Among 1, 890 patients, 76 met inclusion criteria: Group I (\n                      <jats:italic>n<\/jats:italic>\n                      = 20) underwent empiric ablation, and Group II (\n                      <jats:italic>n<\/jats:italic>\n                      = 56) did not.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age was 50.2 \u00b1 16 years, and 62% were female. During a mean follow\u2010up of 3.8 years, recurrence rates were similar (15%\u00a0vs. 26.7%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.28)., but no patients in empiric ablation group had AVNRT whereas 53% of non\u2010ablation patients had AVNRT. All the early recurrences were due to AVNRT while the late recurrences were predominantly due to non AVNRT arrhythmias. Time to recurrence was longer in the ablation group (54\u00a0vs. 9.8 months). There were no AV blocks after empiric ablation\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In patients with DAVNP and non\u2010inducible tachycardia, overall recurrence rates are similar regardless of empiric ablation, however it is efficacious is preventing early arrhythmia recurrence and true AVNRT recurrences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pace.70207","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T16:49:02Z","timestamp":1773420542000},"page":"1153-1158","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Empiric Slow Pathway Ablation vs. no Ablation in Patients With Non\u2010Inducible Supraventricular Tachycardia"],"prefix":"10.1111","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1040-5349","authenticated-orcid":false,"given":"Ramanathan","family":"Velayutham","sequence":"first","affiliation":[{"name":"Department of Cardiology Jawaharlal Institute of Postgraduate Medical Education and Research  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anish","family":"Bhargav","sequence":"additional","affiliation":[{"name":"Department of Cardiology Jawaharlal Institute of Postgraduate Medical Education and Research  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raja J.","family":"Selvaraj","sequence":"additional","affiliation":[{"name":"Department of Cardiology Jawaharlal Institute of Postgraduate Medical Education and Research  Puducherry India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.008759"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2005.02.509"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehz467"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0972-6292(16)30711-2"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.60.6.1369"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(96)00258-6"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euy146"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(98)00015-1"},{"issue":"1","key":"e_1_2_12_10_1","first-page":"32","article-title":"[Usefulness of Incremental Atrial Pacing for Evaluating the Effectiveness of the Ablation of the Slow Perinodal Pathway]","volume":"60","author":"Mart\u00ednez\u2010S\u00e1nchez J.","year":"2007","journal-title":"Revista Espanola De Cardiologia"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrthm.2024.01.023"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCEP.114.002498"}],"container-title":["Pacing and Clinical Electrophysiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70207","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/pace.70207","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/pace.70207","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:27:14Z","timestamp":1786386434000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/pace.70207"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,13]]},"references-count":11,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1111\/pace.70207"],"URL":"https:\/\/doi.org\/10.1111\/pace.70207","archive":["Portico"],"relation":{},"ISSN":["0147-8389","1540-8159"],"issn-type":[{"value":"0147-8389","type":"print"},{"value":"1540-8159","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,13]]},"assertion":[{"value":"2026-01-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-03-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}