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Determining the Optimal Dose of Adenosine for Unmasking Dormant Pulmonary Vein Conduction Following Atrial Fibrillation Ablation: Electrophysiological and Hemodynamic Assessment. DORMANT‐AF Study
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SANDEEP PRABHU M.B.B.S. VINCENT MACKIN B.Sc. ALEX J.A. MCLELLAN M.B.B.S. Ph.D. TUONG PHAN M.B.B.S. DESMOND MCGLADE M.B.B.S. LIANG‐HAN LING M.B.B.S. Ph.D. KAH Y. PECK M.B.B.S. ALEXANDR VOSKOBOINIK M.B.B.S. BUPESH PATHIK M.B.B.S. F.R.A.C.P. CHRISHAN J. NALLIAH M.B.B.S. GEOFF R. WONG M.B.B.S. SONIA M. AZZOPARDI R.N. GEOFFREY LEE M.B.Ch.B. Ph.D. JUSTIN MARIANI M.B.B.S. Ph.D. ANDREW J. TAYLOR M.B.B.S. Ph.D. JONATHAN M. KALMAN M.B.B.S. Ph.D. F.H.R.S. PETER M. KISTLER M.B.B.S. Ph.D. F.H.R.S. 《Journal of cardiovascular electrophysiology》2017,28(1):13-22
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MICHAEL C.G. WONG M.B.B.S. JONATHAN M. KALMAN M.B.B.S Ph.D. LIANG‐HAN LING M.B.B.S. CAROLINE MEDI M.B.B.S. ANDREW TEH M.B.B.S. Ph.D. GEOFFREY LEE M.B.Ch.B. SAURABH KUMAR B.Sc. /M.B.B.S. JOSEPH B. MORTON M.B.B.S. Ph.D. PETER M. KISTLER M.B.B.S. Ph.D. 《Journal of cardiovascular electrophysiology》2013,24(4):413-418
Left Septal Atrial Tachycardias. Objective: The objective was to characterize the electrocardiographic and electrophysiological features of focal atrial tachycardia (FAT) originating from the left septum (LS). Background: FAT is recognized to occur at predefined anatomic locations rather than randomly throughout the atria. We describe the ECG and EP features of ATs originating from the LS as an important site for apparent perinodal tachycardias. Methods: Nine patients presenting with LS FAT from a consecutive series of 384 underwent EP/RFA for symptomatic FAT. Results: The mean age was 56 ± 12 years; 7 female with symptoms for 36 ± 28 months. P wave morphology (PWM) was negative/positive in lead V1 and across the precordial leads and negative or negative/positive in inferior leads in all patients. Tachycardia was incessant in 6 out of 9 patients with a mean tachycardia cycle length 421 ± 56 milliseconds. His A was ahead of P wave in all patients (mean ?15 ± 5 milliseconds) and earlier than CS proximal (mean 4 ± 9 milliseconds). Successful acute focal ablation achieved at a mean of 31 ± 12 milliseconds ahead of P wave with no recurrences at a mean follow‐up of 30 ± 28 months. Conclusion: Although the left septum is an uncommon site for focal AT an awareness of this location for harboring foci is particularly important when mapping apparently right‐sided septal tachycardias. (J Cardiovasc Electrophysiol, Vol. 24, pp. 413‐418, April 2013) 相似文献
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HARIS M. HAQQANI M.B.B.S. JOSEPH B. MORTON M.B.B.S. Ph.D. JONATHAN M. KALMAN M.B.B.S. Ph.D. F.A.C.C. 《Journal of cardiovascular electrophysiology》2009,20(7):825-832
Monomorphic ventricular tachycardia (VT) can arise from multiple different ventricular locations in the context of several different underlying myocardial substrates. Despite this variability, the surface 12-lead electrocardiograph (ECG) has proven to be a robust and reproducible initial mapping tool that can provide useful information in localizing the origin of both focal and reentrant forms of VT. The second part of this review series will look at the use of the ECG in mapping the various forms of VT encountered in clinical practice. 相似文献
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RAPHAEL ROSSO M.D. PAUL B. SPARKS M.B.B.S. Ph.D. JOSEPH B. MORTON M.B.B.S. Ph.D. PETER M. KISTLER M.B.B.S. Ph.D. JITENDRA K. VOHRA M.B.B.S. Ph.D. KAREN HALLORAN R.N. CAROLINE MEDI M.B.B.S. JONATHAN M. KALMAN M.B.B.S. Ph.D. 《Journal of cardiovascular electrophysiology》2010,21(5):489-493
Prevalence of Vagal Paroxysmal Atrial Fibrillation . Introduction: The prevalence of vagal and adrenergic atrial fibrillation (AF) and the success rate of pulmonary vein isolation (PVI) are not well defined. We investigated the prevalence of vagal and adrenergic AF and the ablation success rate of antral pulmonary vein isolation (APVI) in patients with these triggers compared with patients with random AF. Methods and Results: Two hundred and nine consecutive patients underwent APVI due to symptomatic drug refractory paroxysmal AF. Patients were diagnosed as vagal or adrenergic AF if >90% of AF episodes were related to vagal or adrenergic triggers; otherwise, a diagnosis of random AF was made. Clinical, electrocardiogram (ECG), and Holter follow‐up was every 3 months in the first year and every 6 months afterward and for symptoms. Of 209 patients, 57 (27%) had vagal AF, 14 (7%) adrenergic AF, and 138 (66%) random AF. Vagal triggers were sleep (96.4%), postprandial (96.4%), late post‐exercise (51%), cold stimulus (20%), coughing (7%), and swallowing (2%). At APVI, 94.3% of patients had isolation of all veins. Twenty‐five (12%) patients had a second APVI. At a follow‐up of 21 ± 15 months, the percentage of patients free of AF was 75% in the vagal group, 86% in the adrenergic group, and 82% for random AF (P = 0.51). Conclusion: In patients with PAF and no structural heart disease referred for APVI, vagal AF is present in approximately one quarter. APVI is equally effective in patients with vagal AF as in adrenergic and random AF. (J Cardiovasc Electrophysiol, Vol. 21, pp. 489‐493, May 2010) 相似文献
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