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Etaee F, Elayi CS, Catanzarro J, Delisle B, Ogunbayo G, Di Biase L, Natale A, Darrat Y. Gender associated disparities in atrioventricular nodal reentrant tachycardia: A review article. J Cardiovasc Electrophysiol 2021; 32:1772-1777. [PMID: 33969588 DOI: 10.1111/jce.15078] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2021] [Revised: 04/24/2021] [Accepted: 05/01/2021] [Indexed: 12/21/2022]
Abstract
Atrioventricular nodal reentrant tachycardia (AVNRT) is the most common sustained supraventricular arrhythmias. An understanding of gender-related differences in AVNRT epidemiology, diagnosis, treatment, outcome, and complications can help guide a more effective diagnosis and treatment of the condition. The study aimed to perform a review of the available literature regarding all aspects of gender-related differences of AVNRT. We focused on all aspects of gender-related differences regarding AVNRT between men and women. A literature search was performed using Google Scholar, PubMed, Springer, Ovid, and Science Direct. Many investigations have demonstrated that the prevalence of AVNRT exhibited a twofold women-to-men predominance. The potential mechanism behind this difference due to sex hormones and autonomic tone. Despite being more common in women, there is a delay in offering and performing the first-line therapy (catheter ablation) compared to men. There were no significant gender-related discrepancies in patients who underwent ablation therapy for AVNRT, regarding the acute success rate of the procedure, long-term success rate, and recurrence of AVNRT. AVNRT is more common in women due to physiological factors such as sex hormones and autonomic tone. Catheter ablation is equally safe and efficacious in men and women; however, the time between the onset of symptoms and ablation is significantly prolonged in women. It is important for the medical community to be aware of this discrepancy and to strive to eliminate such disparities that are not related to patients' choices.
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Affiliation(s)
- Farshid Etaee
- Department of Internal Medicine, Texas Tech University Health Sciences Center, Amarillo, Texas, USA.,Department of Internal Medicine, Yale University, New Haven, Connecticut, USA
| | - Claude S Elayi
- Department of Cardiology, Saint Joseph Hospital CHI Commonspirit, Lexington, Kentucky, USA
| | - John Catanzarro
- Department of Cardiology, University of Florida - Jacksonville, Jacksonville, Florida, USA
| | - Brian Delisle
- Saha Cardiovascular Research Center, University of Kentucky College of Medicine, Lexington, Kentucky, USA
| | - Gbolahan Ogunbayo
- Gill Heart Institute, University of Kentucky, Lexington, Kentucky, USA
| | - Luigi Di Biase
- Department of Cardiology, Montefiore Medical Center, Bronx, New York, USA
| | - Andrea Natale
- Texas Cardiac Arrhythmia Institute, St. David's Medical Center, Austin, Texas, USA
| | - Yousef Darrat
- Department of Cardiology, Saint Joseph Hospital CHI Commonspirit, Lexington, Kentucky, USA
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Alasti M, Mirzaee S, Machado C, Healy S, Bittinger L, Adam D, Kotschet E, Krafchek J, Alison J. Junctional ectopic tachycardia (JET). J Arrhythm 2020; 36:837-844. [PMID: 33024461 PMCID: PMC7532275 DOI: 10.1002/joa3.12410] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Revised: 07/02/2020] [Accepted: 07/05/2020] [Indexed: 12/26/2022] Open
Abstract
Junctional ectopic tachycardia (JET) is a tachyarrhythmia arising from the atrioventricular node and His bundle area. Enhanced normal automaticity has been postulated as the mechanism of JET in the majority of patients. It is more common in children and can be seen as congenital or in postoperative settings. It is often a narrow complex tachycardia but can present as a wide complex tachycardia as a result of aberrant conduction. Its differentiation from other arrhythmias especially atrioventricular nodal reentrant tachycardia (AVNRT) can be challenging. Medical treatment of JET is difficult, and catheter ablation remains the mainstay of treatment in refractory cases with a high risk of atrioventricular block and recurrence.
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Affiliation(s)
- Mohammad Alasti
- Monash Cardiac Rhythm Management Department MonashHEART Monash Medical Centre Melbourne Vic. Australia
| | - Sam Mirzaee
- Monash Cardiac Rhythm Management Department MonashHEART Monash Medical Centre Melbourne Vic. Australia
| | - Colin Machado
- Monash Cardiac Rhythm Management Department MonashHEART Monash Medical Centre Melbourne Vic. Australia
| | - Stewart Healy
- Monash Cardiac Rhythm Management Department MonashHEART Monash Medical Centre Melbourne Vic. Australia
| | - Logan Bittinger
- Monash Cardiac Rhythm Management Department MonashHEART Monash Medical Centre Melbourne Vic. Australia
| | - David Adam
- Monash Cardiac Rhythm Management Department MonashHEART Monash Medical Centre Melbourne Vic. Australia
| | - Emily Kotschet
- Monash Cardiac Rhythm Management Department MonashHEART Monash Medical Centre Melbourne Vic. Australia
| | - Jack Krafchek
- Monash Cardiac Rhythm Management Department MonashHEART Monash Medical Centre Melbourne Vic. Australia
| | - Jeffrey Alison
- Monash Cardiac Rhythm Management Department MonashHEART Monash Medical Centre Melbourne Vic. Australia
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Musa T, Darrat Y, Etaee F, Butt M, Czarapata M, McMullen C, Mattingly L, Daoud A, Coy K, Ogunbayo G, Delisle B, Elayi CS. Gender differences in management of patients undergoing catheter ablation of atrioventricular nodal reentry tachycardia. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2019; 42:937-941. [DOI: 10.1111/pace.13735] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2019] [Revised: 04/28/2019] [Accepted: 05/21/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Thaer Musa
- Division of Cardiovascular Medicine, and Veterans Administration Medical Center, Gill Heart & Vascular InstituteUniversity of Kentucky Lexington Kentucky
| | - Yousef Darrat
- Division of Cardiovascular Medicine, and Veterans Administration Medical Center, Gill Heart & Vascular InstituteUniversity of Kentucky Lexington Kentucky
| | - Farshid Etaee
- Division of Cardiovascular Medicine, and Veterans Administration Medical Center, Gill Heart & Vascular InstituteUniversity of Kentucky Lexington Kentucky
| | - Muhammad Butt
- Division of Cardiovascular Medicine, and Veterans Administration Medical Center, Gill Heart & Vascular InstituteUniversity of Kentucky Lexington Kentucky
| | - Melissa Czarapata
- Division of Cardiovascular Medicine, and Veterans Administration Medical Center, Gill Heart & Vascular InstituteUniversity of Kentucky Lexington Kentucky
| | - Colleen McMullen
- Division of Cardiovascular Medicine, and Veterans Administration Medical Center, Gill Heart & Vascular InstituteUniversity of Kentucky Lexington Kentucky
| | - Lynn Mattingly
- Division of Cardiovascular Medicine, and Veterans Administration Medical Center, Gill Heart & Vascular InstituteUniversity of Kentucky Lexington Kentucky
| | - Amro Daoud
- Division of Cardiovascular Medicine, and Veterans Administration Medical Center, Gill Heart & Vascular InstituteUniversity of Kentucky Lexington Kentucky
| | - Kevin Coy
- Division of Cardiovascular Medicine, and Veterans Administration Medical Center, Gill Heart & Vascular InstituteUniversity of Kentucky Lexington Kentucky
| | - Gbolahan Ogunbayo
- Division of Cardiovascular Medicine, and Veterans Administration Medical Center, Gill Heart & Vascular InstituteUniversity of Kentucky Lexington Kentucky
| | - Brian Delisle
- Division of Cardiovascular Medicine, and Veterans Administration Medical Center, Gill Heart & Vascular InstituteUniversity of Kentucky Lexington Kentucky
| | - Claude S. Elayi
- Division of Cardiovascular Medicine, and Veterans Administration Medical Center, Gill Heart & Vascular InstituteUniversity of Kentucky Lexington Kentucky
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