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Supraventricular tachycardia with a concealed accessory connection

MedGen UID:
868821
•Concept ID:
C4023231
•
Disease or Syndrome
Synonym: Supraventricular tachycardia with a concealed accessory connexion
 
HPO: HP:0011689

Definition

Supraventricular tachycardia with an accessory connection mediated pathway that is called concealed becasue it is not seen on the ECG during sinus rhythm. [from HPO]

Professional guidelines

PubMed

Using the right drug: a treatment algorithm for regular supraventricular tachycardias.
Lévy S, Ricard P
Eur Heart J 1997 May;18 Suppl C:C27-32. doi: 10.1093/eurheartj/18.suppl_c.27. PMID: 9152672
Electrogram criteria for identification of appropriate target sites for radiofrequency catheter ablation of accessory atrioventricular connections.
Calkins H, Kim YN, Schmaltz S, Sousa J, el-Atassi R, Leon A, Kadish A, Langberg JJ, Morady F
Circulation 1992 Feb;85(2):565-73. doi: 10.1161/01.cir.85.2.565. PMID: 1735152

Recent clinical studies

Etiology

Tricking CARTO: Cryoablation of Supraventricular Tachycardia in Children with Minimal Radiation Exposure Using the CARTO3 System.
Ceresnak SR, Nappo L, Janson CM, Pass RH
Pacing Clin Electrophysiol 2016 Jan;39(1):36-41. Epub 2015 Oct 30 doi: 10.1111/pace.12754. PMID: 26412504
Radiofrequency catheter ablation of supraventricular tachycardias in pediatric patients.
Chang YC, Wu MH, Lin JL, Young ML, Wang JK, Lue HC
Zhonghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi 1995 Mar-Apr;36(2):113-20. PMID: 7793276
Recurrence of conduction in accessory atrioventricular connections after initially successful radiofrequency catheter ablation.
Langberg JJ, Calkins H, Kim YN, Sousa J, el-Atassi R, Leon A, Borganelli M, Kalbfleisch SJ, Morady F
J Am Coll Cardiol 1992 Jun;19(7):1588-92. doi: 10.1016/0735-1097(92)90622-t. PMID: 1593055
Long-term results of catheter ablation of a posteroseptal accessory atrioventricular connection in 48 patients.
Morady F, Scheinman MM, Kou WH, Griffin JC, Dick M 2nd, Herre J, Kadish AH, Langberg J
Circulation 1989 Jun;79(6):1160-70. doi: 10.1161/01.cir.79.6.1160. PMID: 2720923
Electrophysiological effects and clinical efficacy of propafenone in children with recurrent paroxysmal supraventricular tachycardia.
Musto B, D'Onofrio A, Cavallaro C, Musto A
Circulation 1988 Oct;78(4):863-9. doi: 10.1161/01.cir.78.4.863. PMID: 3168194

Diagnosis

Ablation of Supraventricular Tachycardias From Concealed Left-Sided Nodoventricular and Nodofascicular Accessory Pathways.
Cardona-Guarache R, Han FT, Nguyen DT, Chicos AB, Badhwar N, Knight BP, Johnson CJ, Heaven D, Scheinman MM
Circ Arrhythm Electrophysiol 2020 May;13(5):e007853. Epub 2020 Apr 14 doi: 10.1161/CIRCEP.119.007853. PMID: 32286853
Tricking CARTO: Cryoablation of Supraventricular Tachycardia in Children with Minimal Radiation Exposure Using the CARTO3 System.
Ceresnak SR, Nappo L, Janson CM, Pass RH
Pacing Clin Electrophysiol 2016 Jan;39(1):36-41. Epub 2015 Oct 30 doi: 10.1111/pace.12754. PMID: 26412504
Cryoablation and angiographic evidence of a concealed right atrial appendage to right ventricle accessory pathway in an infant.
Dean PN, Skeete A, Moak JP, Berul CI
Congenit Heart Dis 2013 Nov-Dec;8(6):E183-7. Epub 2013 Jan 28 doi: 10.1111/chd.12037. PMID: 23350863
Using the right drug: a treatment algorithm for regular supraventricular tachycardias.
Lévy S, Ricard P
Eur Heart J 1997 May;18 Suppl C:C27-32. doi: 10.1093/eurheartj/18.suppl_c.27. PMID: 9152672
Comparison of transesophageal and intracardiac electrophysiologic studies in characterization of supraventricular tachycardia in pediatric patients.
Samson RA, Deal BJ, Strasburger JF, Benson DW Jr
J Am Coll Cardiol 1995 Jul;26(1):159-63. doi: 10.1016/0735-1097(95)00128-m. PMID: 7797745

Therapy

Endocardial ablation at the mitral valve vestibule and its surroundings for the treatment of arrhythmias linked to the greater cardiac vasculature.
Nageh MF, Tang S
Pacing Clin Electrophysiol 2022 Oct;45(10):1263-1267. Epub 2022 Sep 20 doi: 10.1111/pace.14589. PMID: 36082476
Ablation of Supraventricular Tachycardias From Concealed Left-Sided Nodoventricular and Nodofascicular Accessory Pathways.
Cardona-Guarache R, Han FT, Nguyen DT, Chicos AB, Badhwar N, Knight BP, Johnson CJ, Heaven D, Scheinman MM
Circ Arrhythm Electrophysiol 2020 May;13(5):e007853. Epub 2020 Apr 14 doi: 10.1161/CIRCEP.119.007853. PMID: 32286853
Using the right drug: a treatment algorithm for regular supraventricular tachycardias.
Lévy S, Ricard P
Eur Heart J 1997 May;18 Suppl C:C27-32. doi: 10.1093/eurheartj/18.suppl_c.27. PMID: 9152672
Electrophysiological effects and clinical efficacy of propafenone in children with recurrent paroxysmal supraventricular tachycardia.
Musto B, D'Onofrio A, Cavallaro C, Musto A
Circulation 1988 Oct;78(4):863-9. doi: 10.1161/01.cir.78.4.863. PMID: 3168194
Newer antiarrhythmic drugs in children.
Moak JP, Smith RT, Garson A Jr
Am Heart J 1987 Jan;113(1):179-85. doi: 10.1016/0002-8703(87)90027-5. PMID: 3099560

Prognosis

Variable Presentations and Ablation Sites for Manifest Nodoventricular/Nodofascicular Fibers.
Nazer B, Walters TE, Dewland TA, Naniwadekar A, Koruth JS, Najeeb Osman M, Intini A, Chen M, Biermann J, Steinfurt J, Kalman JM, Tanel RE, Lee BK, Badhwar N, Gerstenfeld EP, Scheinman MM
Circ Arrhythm Electrophysiol 2019 Sep;12(9):e007337. Epub 2019 Sep 11 doi: 10.1161/CIRCEP.119.007337. PMID: 31505948
Cryoablation and angiographic evidence of a concealed right atrial appendage to right ventricle accessory pathway in an infant.
Dean PN, Skeete A, Moak JP, Berul CI
Congenit Heart Dis 2013 Nov-Dec;8(6):E183-7. Epub 2013 Jan 28 doi: 10.1111/chd.12037. PMID: 23350863
Comparison of transesophageal and intracardiac electrophysiologic studies in characterization of supraventricular tachycardia in pediatric patients.
Samson RA, Deal BJ, Strasburger JF, Benson DW Jr
J Am Coll Cardiol 1995 Jul;26(1):159-63. doi: 10.1016/0735-1097(95)00128-m. PMID: 7797745
Long-term results of catheter ablation of a posteroseptal accessory atrioventricular connection in 48 patients.
Morady F, Scheinman MM, Kou WH, Griffin JC, Dick M 2nd, Herre J, Kadish AH, Langberg J
Circulation 1989 Jun;79(6):1160-70. doi: 10.1161/01.cir.79.6.1160. PMID: 2720923
Electrophysiological effects and clinical efficacy of propafenone in children with recurrent paroxysmal supraventricular tachycardia.
Musto B, D'Onofrio A, Cavallaro C, Musto A
Circulation 1988 Oct;78(4):863-9. doi: 10.1161/01.cir.78.4.863. PMID: 3168194

Clinical prediction guides

Ablation of Supraventricular Tachycardias From Concealed Left-Sided Nodoventricular and Nodofascicular Accessory Pathways.
Cardona-Guarache R, Han FT, Nguyen DT, Chicos AB, Badhwar N, Knight BP, Johnson CJ, Heaven D, Scheinman MM
Circ Arrhythm Electrophysiol 2020 May;13(5):e007853. Epub 2020 Apr 14 doi: 10.1161/CIRCEP.119.007853. PMID: 32286853
Variable Presentations and Ablation Sites for Manifest Nodoventricular/Nodofascicular Fibers.
Nazer B, Walters TE, Dewland TA, Naniwadekar A, Koruth JS, Najeeb Osman M, Intini A, Chen M, Biermann J, Steinfurt J, Kalman JM, Tanel RE, Lee BK, Badhwar N, Gerstenfeld EP, Scheinman MM
Circ Arrhythm Electrophysiol 2019 Sep;12(9):e007337. Epub 2019 Sep 11 doi: 10.1161/CIRCEP.119.007337. PMID: 31505948
Cryoablation and angiographic evidence of a concealed right atrial appendage to right ventricle accessory pathway in an infant.
Dean PN, Skeete A, Moak JP, Berul CI
Congenit Heart Dis 2013 Nov-Dec;8(6):E183-7. Epub 2013 Jan 28 doi: 10.1111/chd.12037. PMID: 23350863
Comparison of transesophageal and intracardiac electrophysiologic studies in characterization of supraventricular tachycardia in pediatric patients.
Samson RA, Deal BJ, Strasburger JF, Benson DW Jr
J Am Coll Cardiol 1995 Jul;26(1):159-63. doi: 10.1016/0735-1097(95)00128-m. PMID: 7797745
Electrophysiological effects and clinical efficacy of propafenone in children with recurrent paroxysmal supraventricular tachycardia.
Musto B, D'Onofrio A, Cavallaro C, Musto A
Circulation 1988 Oct;78(4):863-9. doi: 10.1161/01.cir.78.4.863. PMID: 3168194

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