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Europace Advance Access originally published online on June 13, 2006
Europace 2006 8(8):601-606; doi:10.1093/europace/eul067
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

ELECTROPHYSIOLOGY

Electrocardiographic predictors of long-term outcomes after radiofrequency ablation in patients with right-ventricular outflow tract tachycardia

Rungroj Krittayaphong1,*, Charn Sriratanasathavorn2, Chatkanok Dumavibhat2, Sachana Pumprueg1, Warangkana Boonyapisit1, Sukanya Pooranawattanakul2, Suteera Phrudprisan2 and Charuwan Kangkagate3

1 Division of Cardiology, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand; 2 Division of Cardiology, Her Majesty Cardiac Center, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand; 3 Division of Cardiology, Department of Research Promotion, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand

Aims The objectives of this study were to identify electrocardiographic (ECG) predictors of long-term outcomes after radiofrequency (RF) ablation in patients with right-ventricular outflow tract (RVOT) tachycardia.

Methods and results We correlated ECG characteristics with RF ablation outcomes in 144 patients with RVOT tachycardia who underwent RF ablation for >1 year. Unfavourable RF ablation outcomes were predefined as unsuccessful RF ablation or recurrence of tachycardia requiring repeated ablation. RF ablation was not successful in 11 (7.6%) patients and 16 (12%) patients had arrhythmia recurrence requiring repeated ablation. Average follow-up time was 72.2±28.4 months. Selected parameters from univariate analysis included number of RF applications, pacemapping, application of bonus burn, procedure time, monophasic R-wave in lead I, QS pattern in leads I and aVL, QRS duration in leads II and V2, and right axis deviation, in ventricular tachycardia. From logistic regression analysis, only monophasic R-wave in lead I remained in the final equation (P=0.004, odds ratio 12.9).

Conclusion Monophasic R-wave in lead I during RVOT tachycardia is associated with unfavourable outcomes after RF ablation. This finding may help clinicians in the selection of patients for RF ablation and for the prediction of RF ablation outcome.

Key Words: ECG, RF ablation, RVOT tachycardia, Ventricular tachycardia

* Corresponding author. Tel: +66 1 805 9992; fax: +66 2 412 7412. E-mail address: sirkt{at}mahidol.ac.th


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