排序方式: 共有21条查询结果,搜索用时 15 毫秒
1.
BINU PHILIPS M.D. RONALD D. BERGER M.D. Ph.D JOSEPH E. MARINE M.D. 《Journal of cardiovascular electrophysiology》2013,24(3):359-363
Arrhythmia Rounds . We describe a case illustrating the potential challenges in distinguishing AV nodal reentry tachycardia (AVNRT) from automatic junctional tachycardia (JT). While an early atrial extrastimulus advanced the next His and ventricular depolarization without tachycardia termination, suggesting JT, other features indicated the correct diagnosis of AVNRT. This teaching case demonstrates a novel exception to a recently reported diagnostic pacing maneuver and illustrates the importance of considering response to multiple maneuvers in reaching a diagnosis of SVT mechanism. (J Cardiovasc Electrophysiol, Vol. 24, pp. 359‐363, March 2013) 相似文献
2.
3.
KARUNA CHILUKURI M.D. JONATHAN DUKES M.D. DARSHAN DALAL M.D. JOSEPH E. MARINE M.D. CHARLES A. HENRIKSON M.D. DANIEL SCHERR M.D. † SUNIL SINHA M.D. RONALD BERGER M.D. Ph .D. ALAN CHENG M.D. SAMAN NAZARIAN M.D. DAVID SPRAGG M.D. HUGH CALKINS M.D. 《Journal of cardiovascular electrophysiology》2010,21(1):27-32
Outcomes of Cardioversion Post AF Ablation. Introduction: Early recurrence of atrial tachyarrhythmias is commonly noted after catheter ablation of atrial fibrillation (AF). The long-term outcomes of patients who require cardioversion for persistent AF after AF ablation is not known. This study reports the outcomes of patients who underwent cardioversion for persistent AF or atrial flutter following an AF ablation procedure.
Methods: The patient population comprised 55 patients (mean age 58 ± 10 years, 35% paroxysmal) who underwent catheter ablation of AF and subsequently required electrical cardioversion for persistent AF (45 patients) or atrial flutter (10 patients). Cardioversion was defined as early (within 90 days of the ablation procedure) or late (between 90 and 180 days following ablation).
Results: The mean follow-up duration was 15 ± 8 months. Forty-six of the 55 patients (84%) patients experienced recurrence during follow-up. The average time to recurrence after cardioversion was 37 days. Of the 55 patients, 8 (15%) patients had a complete success, 11 (20%) patients had a partial success and 36 patients (65%) had a failed outcome. Seven of the 43 patients (16%) who underwent early cardioversion had a complete success as opposed to one of 12 patients (8%) who underwent late cardioversion (P = 0.49).
Conclusions: This study shows that >80% of patients who undergo cardioversion for persistent AF or atrial flutter after AF ablation have recurrence. The timing of cardioversion did not affect the outcome. These findings allow clinicians to provide realistic expectations to patients regarding the long-term outcome and/or requirement for a second ablation procedure. (J Cardiovasc Electrophysiol, Vol. 21, pp. 27–32, January 2010) 相似文献
Methods: The patient population comprised 55 patients (mean age 58 ± 10 years, 35% paroxysmal) who underwent catheter ablation of AF and subsequently required electrical cardioversion for persistent AF (45 patients) or atrial flutter (10 patients). Cardioversion was defined as early (within 90 days of the ablation procedure) or late (between 90 and 180 days following ablation).
Results: The mean follow-up duration was 15 ± 8 months. Forty-six of the 55 patients (84%) patients experienced recurrence during follow-up. The average time to recurrence after cardioversion was 37 days. Of the 55 patients, 8 (15%) patients had a complete success, 11 (20%) patients had a partial success and 36 patients (65%) had a failed outcome. Seven of the 43 patients (16%) who underwent early cardioversion had a complete success as opposed to one of 12 patients (8%) who underwent late cardioversion (P = 0.49).
Conclusions: This study shows that >80% of patients who undergo cardioversion for persistent AF or atrial flutter after AF ablation have recurrence. The timing of cardioversion did not affect the outcome. These findings allow clinicians to provide realistic expectations to patients regarding the long-term outcome and/or requirement for a second ablation procedure. (J Cardiovasc Electrophysiol, Vol. 21, pp. 27–32, January 2010) 相似文献
4.
KARUNA CHILUKURI DARSHAN DALAL SHRIRANG GADREY JOSEPH E. MARINE EDWIN MACPHERSON CHARLES A. HENRIKSON ALAN CHENG SAMAN NAZARIAN SUNIL SINHA DAVID SPRAGG RONALD BERGER HUGH CALKINS 《Journal of cardiovascular electrophysiology》2010,21(5):521-525
Effect of Obesity and OSA on Outcomes Post AF Ablation . Background: Obesity and obstructive sleep apnea (OSA) have a strong association with atrial fibrillation (AF). The purpose of this study was to prospectively determine the effects of obesity, assessed by the body mass index (BMI) and OSA on the efficacy of catheter ablation of AF. Methods: The patient population consisted of 109 patients (mean age: 60 ± 10 years, 79% male, 67% paroxysmal, mean BMI 28 ± 5 kg/m2) who underwent catheter ablation of AF. Based on BMI, patients were classified as normal (<25 kg/m2), overweight (≥25 and <30 kg/m2), or obese (≥30 kg/m2). OSA was assessed by the Berlin questionnaire. Clinical success was defined as at least 90% reduction in AF burden after 3‐month blanking period. Mean duration of follow‐up was 11 ± 4 months. Results: Of the 75 patients with clinical success, 25 (33%) had normal BMI, 29 (39%) were overweight, and 21 (28%) were obese. Among the 34 patients with failed outcome, 5 (15%) had normal BMI, 14 (41%) were overweight, and 15 (44%) were obese (P = 0.04). Twenty‐eight of the 48 patients with OSA (58%) had clinical success as opposed to 47 of the 61 patients (77%) without OSA (P = 0.036). On multivariate analysis, only BMI emerged as an independent predictor of procedural failure ((OR 1.11, CI: 1.00–1.21, P = 0.03). Conclusions: The results of this prospective study show that obesity, a modifiable risk factor, is an independent predictor of procedural failure after catheter ablation of AF. Whether treating obesity may improve the results of catheter ablation of AF warrants further investigation. (J Cardiovasc Electrophysiol, Vol. 21, pp. 521‐525, May 2010) 相似文献
5.
6.
MRI Evaluation of Radiofrequency,Cryothermal, and Laser Left Atrial Lesion Formation in Patients with Atrial Fibrillation
下载免费PDF全文
![点击此处可从《Pacing and clinical electrophysiology : PACE》网站下载免费的PDF全文](/ch/ext_images/free.gif)
IRFAN M. KHURRAM M.D. JOHN N. CATANZARO M.D. STEFAN ZIMMERMAN M.D. VADIM ZIPUNNIKOV Ph.D. RONALD D. BERGER M.D. Ph.D. ALAN CHENG M.D. SUNIL SINHA M.D. JANE DEWIRE JOSEPH MARINE M.D. DAVID SPRAGG M.D. HIROSHI ASHIKAGA M.D. Ph.D. HENRY HALPERIN M.D. M.A. HUGH CALKINS M.D. SAMAN NAZARIAN M.D. Ph.D. 《Pacing and clinical electrophysiology : PACE》2015,38(11):1317-1324
7.
8.
BYUNG-SEOK LEE ELIZABETH A. STEWART MARINE SAHAKIAN ROMANA A. NOWAK 《American journal of reproductive immunology (New York, N.Y. : 1989)》1998,40(1):19-25
PROBLEM: Abnormal uterine bleeding is a significant health problem for many women and is the number-one reason for performing hysterectomy in the United States. Leiomyomas (uterine fibroids) are benign neoplams that are a frequent cause of abnormal uterine bleeding. The goal of this study was to assess the effects of the anti-angiogenic cytokine, interferon (INF)-α, on the proliferation of both leiomyoma and normal uterine cells. METHOD OF STUDY: Primary cultures of leiomyoma, myometrial, and endometrial stromal cells were established for in vitro study. The effects of INF-α (10, 100, and 1000 U/ml) were tested on serum-stimulated and basic fibroblast growth factor-stimulated cell proliferation using the [3H]thymidine incorporation assay. RESULTS: INF-α was a potent inhibitor of cell proliferation for all three cell types, with endometrial stromal cells showing the greatest sensitivity. The antiproliferative effect did not appear to result from toxic effects on the cells. CONCLUSION: INFs may prove to be useful therapeutic agents for the treatment of leiomyoma-related abnormal uterine bleeding. 相似文献
9.
DANIEL SCHERR M.D. † DARSHAN DALAL M.D. M.P.H. KARUNA CHILUKURI M.D. JUN DONG M.D. Ph .D. ‡ DAVID SPRAGG M.D. CHARLES A. HENRIKSON M.D. SAMAN NAZARIAN M.D. ALAN CHENG M.D. RONALD D. BERGER M.D. Ph .D. THEODORE P. ABRAHAM M.D. HUGH CALKINS M.D. JOSEPH E. MARINE M.D. 《Journal of cardiovascular electrophysiology》2009,20(4):379-384
Background: Transesophageal echocardiography (TEE) is commonly used prior to catheter ablation of atrial fibrillation (AF) in order to exclude left atrial (LA) thrombus. However, the incidence and predictors of LA thrombus detected with TEE have not been systematically examined in this setting.
Methods: This study included 732 cases (mean age 57 ± 11 years; 23% female; 353 persistent AF) in 585 consecutive patients referred for catheter ablation of AF. Patients were anticoagulated for at least 4 weeks prior to the procedure and then bridged with enoxaparin. TEE was performed in all cases within 24 hours prior to ablation.
Results: Preprocedural TEE revealed LA thrombus in 12 of 732 cases (1.6%), all located in the LA appendage. Among these 12 patients, 9 had persistent AF and 3 had paroxysmal AF. All patients with thrombus had an LA size ≥ 4.5 cm. LA thrombus was present in 0.3%, 1.4%, and 5.3% of patients with CHADS2 scores of 0, 1, and ≥ 2, respectively. In multivariate analysis, a CHADS2 score ≥ 2 and larger LA diameter remained significant predictors of LA thrombus.
Conclusions: Despite oral anticoagulation treatment, there is a small but significant incidence of LA thrombus by TEE prior to AF ablation. A CHADS2 score ≥ 2 and larger LA diameter are independent predictors of LA thrombus in this patient population, while type of AF or rhythm at the time of TEE is not. The risk of LA thrombus is low in patients with a CHADS2 score of 0 and in patients with an LA diameter < 4.5 cm. 相似文献
Methods: This study included 732 cases (mean age 57 ± 11 years; 23% female; 353 persistent AF) in 585 consecutive patients referred for catheter ablation of AF. Patients were anticoagulated for at least 4 weeks prior to the procedure and then bridged with enoxaparin. TEE was performed in all cases within 24 hours prior to ablation.
Results: Preprocedural TEE revealed LA thrombus in 12 of 732 cases (1.6%), all located in the LA appendage. Among these 12 patients, 9 had persistent AF and 3 had paroxysmal AF. All patients with thrombus had an LA size ≥ 4.5 cm. LA thrombus was present in 0.3%, 1.4%, and 5.3% of patients with CHADS
Conclusions: Despite oral anticoagulation treatment, there is a small but significant incidence of LA thrombus by TEE prior to AF ablation. A CHADS
10.