Impact of transesophageal electrophysiological study on midterm management of pediatric tachyarrhythmias
Background : Transesophageal electrophysiological study (TEEPS) is a minimally invasive procedure that helps in evaluating the risk of recurrence of supraventricular tachycardia based on the inducibility of the tachycardia. The purpose of this study was to evaluate the diagnostic capability, negativ...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Annals of Pediatric Cardiology |
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| Online Access: | http://www.annalspc.com/article.asp?issn=0974-2069;year=2022;volume=15;issue=5;spage=453;epage=458;aulast=Manickavasagam |
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| author | Anand Manickavasagam Sirish Chandra Srinath Patloori Harsa Teja Perla David Chase John Roshan |
| author_facet | Anand Manickavasagam Sirish Chandra Srinath Patloori Harsa Teja Perla David Chase John Roshan |
| author_sort | Anand Manickavasagam |
| collection | DOAJ |
| description | Background : Transesophageal electrophysiological study (TEEPS) is a minimally invasive procedure that helps in evaluating the risk of recurrence of supraventricular tachycardia based on the inducibility of the tachycardia. The purpose of this study was to evaluate the diagnostic capability, negative predictive value of noninducibility of tachycardia and safety of TEEPS among the Indian pediatric population.
Methods : It is a retrospective single-center observational study of all patients who underwent TEEPS from January 01, 2014, to December 31, 2020.
Results : Twenty-two TEEPS procedures were done in eighteen children with three children undergoing more than one procedure. The median duration of follow-up was 42.97 months (8.52–82.12 months). Out of the 22 procedures, four were conducted for acute tachycardia termination, two for tachycardia suppression assessment, and sixteen to assess tachycardia inducibility off medications. Tachycardia was noninducible in nine children and inducible in six children. Two children had clinical recurrence of tachycardia on follow-up. Out of these two children, one had noninducibility of tachycardia on TEEPS. The negative predictive value of TEEPS was 88.89% in this study. None of the children had any postprocedure complication.
Conclusions : TEEPS is a safe procedure. It is used to assess the efficacy of medication in the suppression of arrhythmia. The noninducibility of tachycardia has a high negative predictive value and is a good indicator of nonrecurrence of clinical tachycardia on midterm follow-up. |
| first_indexed | 2024-03-13T10:39:45Z |
| format | Article |
| id | doaj.art-1a27d895a4f44b999d5b3a821099ce03 |
| institution | Directory Open Access Journal |
| issn | 0974-2069 |
| language | English |
| last_indexed | 2024-03-13T10:39:45Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Pediatric Cardiology |
| spelling | doaj.art-1a27d895a4f44b999d5b3a821099ce032023-05-18T04:57:14ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20692022-01-0115545345810.4103/apc.apc_25_22Impact of transesophageal electrophysiological study on midterm management of pediatric tachyarrhythmiasAnand ManickavasagamSirish Chandra Srinath PatlooriHarsa Teja PerlaDavid ChaseJohn RoshanBackground : Transesophageal electrophysiological study (TEEPS) is a minimally invasive procedure that helps in evaluating the risk of recurrence of supraventricular tachycardia based on the inducibility of the tachycardia. The purpose of this study was to evaluate the diagnostic capability, negative predictive value of noninducibility of tachycardia and safety of TEEPS among the Indian pediatric population. Methods : It is a retrospective single-center observational study of all patients who underwent TEEPS from January 01, 2014, to December 31, 2020. Results : Twenty-two TEEPS procedures were done in eighteen children with three children undergoing more than one procedure. The median duration of follow-up was 42.97 months (8.52–82.12 months). Out of the 22 procedures, four were conducted for acute tachycardia termination, two for tachycardia suppression assessment, and sixteen to assess tachycardia inducibility off medications. Tachycardia was noninducible in nine children and inducible in six children. Two children had clinical recurrence of tachycardia on follow-up. Out of these two children, one had noninducibility of tachycardia on TEEPS. The negative predictive value of TEEPS was 88.89% in this study. None of the children had any postprocedure complication. Conclusions : TEEPS is a safe procedure. It is used to assess the efficacy of medication in the suppression of arrhythmia. The noninducibility of tachycardia has a high negative predictive value and is a good indicator of nonrecurrence of clinical tachycardia on midterm follow-up.http://www.annalspc.com/article.asp?issn=0974-2069;year=2022;volume=15;issue=5;spage=453;epage=458;aulast=Manickavasagaminducibilitypediatric arrhythmiapreexcitationsupraventricular tachycardiatransesophageal electrophysiological study |
| spellingShingle | Anand Manickavasagam Sirish Chandra Srinath Patloori Harsa Teja Perla David Chase John Roshan Impact of transesophageal electrophysiological study on midterm management of pediatric tachyarrhythmias Annals of Pediatric Cardiology inducibility pediatric arrhythmia preexcitation supraventricular tachycardia transesophageal electrophysiological study |
| title | Impact of transesophageal electrophysiological study on midterm management of pediatric tachyarrhythmias |
| title_full | Impact of transesophageal electrophysiological study on midterm management of pediatric tachyarrhythmias |
| title_fullStr | Impact of transesophageal electrophysiological study on midterm management of pediatric tachyarrhythmias |
| title_full_unstemmed | Impact of transesophageal electrophysiological study on midterm management of pediatric tachyarrhythmias |
| title_short | Impact of transesophageal electrophysiological study on midterm management of pediatric tachyarrhythmias |
| title_sort | impact of transesophageal electrophysiological study on midterm management of pediatric tachyarrhythmias |
| topic | inducibility pediatric arrhythmia preexcitation supraventricular tachycardia transesophageal electrophysiological study |
| url | http://www.annalspc.com/article.asp?issn=0974-2069;year=2022;volume=15;issue=5;spage=453;epage=458;aulast=Manickavasagam |
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