Ablation of supraventricular tachycardia in a 96 year old

Atrioventricular nodal re-entrant tachycardia (AVNRT) is a common arrhythmia that is frequently encountered in clinical practice. Though more common in the younger population, it affects individuals of all ages. The elderly in particular are usually more symptomatic and more frequently require emerg...

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Bibliographic Details
Published in:Age and ageing 2007-05, Vol.36 (3), p.346-348
Main Authors: Diab, Ihab G., Earley, Mark J.
Format: Article
Language:English
Subjects:
Ablation (Surgery)
Aged
Aged, 80 and over
Anti-Arrhythmia Agents - therapeutic use
Cardiac arrhythmia
Cardiology
Care and treatment
Case studies
Catheter Ablation
Diagnosis
Elderly
Elderly people
Electrocardiography
Female
Health aspects
Humans
Medical treatment
Older people
Patient Selection
Practice Guidelines as Topic
Supraventricular tachycardia
Tachycardia, Atrioventricular Nodal Reentry - drug therapy
Tachycardia, Atrioventricular Nodal Reentry - physiopathology
Tachycardia, Atrioventricular Nodal Reentry - surgery
Treatment Failure
Treatment Outcome
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Summary:Atrioventricular nodal re-entrant tachycardia (AVNRT) is a common arrhythmia that is frequently encountered in clinical practice. Though more common in the younger population, it affects individuals of all ages. The elderly in particular are usually more symptomatic and more frequently require emergency treatment including urgent hospital admissions. We report on a 96-year-old lady who presented with troublesome supraventricular tachycardia that was difficult to control with drug treatment. Electrophysiologic testing revealed AVNRT that was ablated successfully using the standard technique with no complications. She continued to do well at follow-up 1 month after the ablation. This case highlights the need to routinely offer this highly effective technique as the first-line treatment to the elderly along the same indications as those commonly observed among younger patients.
ISSN:0002-0729
1468-2834
DOI:10.1093/ageing/afm015