Iterative atrial tachycardia originating from the coronary sinus musculature.

Abstract:

:A case of iterative atrial tachycardia leading to dilated cardiomyopathy is reported. During electrophysiologic study, the tachycardia showed a markedly irregular cycle length associated with changes in atrial activation breakthrough as demonstrated by coronary sinus (CS) recordings and frequently degenerated into self-terminating atrial fibrillation. Left atrial transseptal mapping demonstrated the earliest endocardial atrial activation close to the posterolateral mitral annulus, but this was invariably later than that recorded within the CS, where low-energy radiofrequency applications eliminated the tachycardia. No acute vessel damage was observed at postablation CS angiography. In accordance with previously published experimental data, we hypothesized that the muscular sleeves surrounding the CS might be involved in the genesis of this tachycardia. During 6-month follow-up, the patient remained asymptomatic without tachycardia recurrences and with complete recovery of left ventricular function, confirming the reversible nature of the tachycardia-induced cardiomyopathy.

authors

Tritto M,Zardini M,De Ponti R,Salerno-Uriarte JA

doi

10.1046/j.1540-8167.2001.01187.x

keywords:

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

1187-9

issue

10

eissn

1045-3873

issn

1540-8167

journal_volume

12

pub_type

杂志文章
  • A rate-independent method of assessing QT-RR slope following conversion of atrial fibrillation.

    abstract:INTRODUCTION:Following conversion of atrial fibrillation (AF), QT interval transiently and variably prolongs and can trigger torsades de pointes (TdP). However, quantitative analysis of risk in this setting is difficult because cycle length variability during AF makes rate-corrected QT impossible to calculate. In this ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1540-8167.2007.00817.x

    authors: Darbar D,Hardin B,Harris P,Roden DM

    更新日期:2007-06-01 00:00:00

  • The prevalence of early repolarization in patients with noncompaction cardiomyopathy presenting with malignant ventricular arrhythmias.

    abstract:UNLABELLED:Early Repolarization in Noncompaction Cardiomyopathy.  BACKGROUND:Early repolarization (ER) is associated with malignant ventricular arrhythmias, including ventricular fibrillation (VF) and sudden cardiac death (SCD). One possible mechanism is increased trabeculation with deep intramyocardial invagination, ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2012.02325.x

    authors: Caliskan K,Ujvari B,Bauernfeind T,Theuns DA,Van Domburg RT,Akca F,Jordaens L,Simoons ML,Szili-Torok T

    更新日期:2012-09-01 00:00:00

  • The heart rate-lowering agent ivabradine inhibits the pacemaker current I(f) in human atrial myocytes.

    abstract:INTRODUCTION:It has been speculated that pacemaker current (I(f)) in human atria could play a role in causing ectopic atrial automaticity. Ivabradine is a novel selective and specific I(f) inhibitor in the sinus node that reduces heart rate without any negative inotropic effect. The aim of the study was to explore poss...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2007.00955.x

    authors: El Chemaly A,Magaud C,Patri S,Jayle C,Guinamard R,Bois P

    更新日期:2007-11-01 00:00:00

  • Selective ablation of the ligament of Marshall attenuates atrial electrical remodeling in a short-term rapid atrial pacing canine model.

    abstract:INTRODUCTION:Cardiac sympathetic activation facilitates atrial electrical remodeling during atrial fibrillation (AF). Selective ablation of the distal part of the ligament of Marshall (LOMLSPV ) could decrease cardiac sympathetic innervation. This study aimed to investigate the effects of LOMLSPV ablation on atrial ele...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13658

    authors: Yu X,He W,Qin Z,Liu S,Ma R,Luo D,Hu H,Xie J,He B,Lu Z,Jiang H

    更新日期:2018-09-01 00:00:00

  • Substrate-Based Ablation Versus Ablation Guided by Activation and Entrainment Mapping for Ventricular Tachycardia: A Systematic Review and Meta-Analysis.

    abstract:INTRODUCTION:Substrate-based ablation for scar-related ventricular tachycardia (VT) has gained prominence: however, there is limited data comparing it to ablation guided predominantly by activation and entrainment mapping of inducible and hemodynamically tolerated VTs. We compared the acute procedural efficacy and outc...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/jce.13088

    authors: Kumar S,Baldinger SH,Romero J,Fujii A,Mahida SN,Tedrow UB,Stevenson WG

    更新日期:2016-12-01 00:00:00

  • Acute termination of human atrial fibrillation by identification and catheter ablation of localized rotors and sources: first multicenter experience of focal impulse and rotor modulation (FIRM) ablation.

    abstract:INTRODUCTION:Catheter ablation of atrial fibrillation (AF) currently relies on eliminating triggers, and no reliable method exists to map the arrhythmia itself to identify ablation targets. The aim of this multicenter study was to define the use of Focal Impulse and Rotor Modulation (FIRM) for identifying ablation targ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1111/jce.12000

    authors: Shivkumar K,Ellenbogen KA,Hummel JD,Miller JM,Steinberg JS

    更新日期:2012-12-01 00:00:00

  • The predictive value of heart rate variability indices tested in early period after radiofrequency catheter ablation for the recurrence of atrial fibrillation.

    abstract:INTRODUCTION:To explore the relationship between recurrence of atrial fibrillation (AF) and the autonomic nervous activity evaluated by heart rate variability (HRV) indices after radiofrequency catheter ablation (RFCA) in the early period. METHODS:We enrolled 102 patients with paroxysmal AF and tested the HRV indices ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14448

    authors: Zhu Z,Wang W,Cheng Y,Wang X,Sun J

    更新日期:2020-06-01 00:00:00

  • Epicardial sock mapping following monophasic and biphasic shocks of equal voltage with an endocardial lead system.

    abstract:INTRODUCTION:The reason for the increased defibrillation efficacy of biphasic shocks over monophasic shock is not definitely known. METHODS AND RESULTS:In six anesthetized pigs, we mapped the epicardium after transvenous defibrillation shocks to compare the activation patterns following successful biphasic shocks with...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1996.tb00533.x

    authors: Usui M,Callihan RL,Walker RG,Walcott GP,Rollins DL,Wolf PD,Smith WM,Ideker RE

    更新日期:1996-04-01 00:00:00

  • Failure of cilostazol in the prevention of ventricular fibrillation in a patient with Brugada syndrome.

    abstract::The ECG appearance in Brugada syndrome is caused by failure of the dome of the action potential to develop. Increased activity of the I(to) current in epicardial cells generates a transmural gradient with repolarization dispersion between the epicardium and the endocardium in the right ventricular wall, thus favoring ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2005.00290.x

    authors: Abud A,Bagattin D,Goyeneche R,Becker C

    更新日期:2006-02-01 00:00:00

  • Epicardial ventricular tachycardia in ischemic cardiomyopathy: Prevalence, electrophysiological characteristics, and long-term ablation outcomes.

    abstract:INTRODUCTION:The characteristics of the epicardial (EPI) substrate responsible for ventricular tachycardia (VT) in ischemic cardiomyopathy (ICM) are undefined, and data on the long-term outcomes of EPI catheter ablation limited. We evaluated the prevalence, electrophysiologic features, and outcomes of catheter ablation...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13739

    authors: Hayashi T,Liang JJ,Muser D,Shirai Y,Enriquez A,Garcia FC,Supple GE,Schaller RD,Frankel DS,Lin D,Nazarian S,Zado ES,Arkles JS,Dixit S,Callans DJ,Marchlinski FE,Santangeli P

    更新日期:2018-11-01 00:00:00

  • Time course of esophageal lesions after catheter ablation with cryothermal and radiofrequency ablation: implication for atrio-esophageal fistula formation after catheter ablation for atrial fibrillation.

    abstract:BACKGROUND:Atrio-esophageal fistulas have been described as a consequence of radiofrequency (RF) ablation for the treatment of atrial fibrillation (AF). However, whether cryoablation can avoid this potential fatal complication remains unclear. METHODS AND RESULTS:We studied the effects of direct application of RF and ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2007.00790.x

    authors: Ripley KL,Gage AA,Olsen DB,Van Vleet JF,Lau CP,Tse HF

    更新日期:2007-06-01 00:00:00

  • Change in the retrograde atrial activation sequence following radiofrequency modification of the atrioventricular node: implications for the electrophysiologic circuit of a variant of atrioventricular nodal reentrant tachycardia.

    abstract:INTRODUCTION:Despite the great success in treating AV nodal reentrant tachycardia (AVNRT) with radiofrequency modification of the AV node, the dimensions of the electrophysiologic circuit of this arrhythmia remain unclear, and simple models fail to explain all tachycardia-related phenomena. METHODS AND RESULTS:We desc...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2003.02100.x

    authors: Dizon J,Reiffel J,Kassotis J,Woollett I,Garan H

    更新日期:2003-05-01 00:00:00

  • Long-Term Results of Radiofrequency Hot Balloon Ablation in Patients With Paroxysmal Atrial Fibrillation: Safety and Rhythm Outcomes.

    abstract:INTRODUCTION:Isolation of pulmonary veins (PVs) and the posterior left atrium (LA) can be safely performed by radiofrequency hot balloon (RHB)-based box isolation. However, data on long-term effects for the treatment of atrial fibrillation (AF) by the use of this method remain limited. METHODS AND RESULTS:We treated 2...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12820

    authors: Yamaguchi Y,Sohara H,Takeda H,Nakamura Y,Ihara M,Higuchi S,Satake S

    更新日期:2015-12-01 00:00:00

  • Description and evaluation of the Res-Q Arrhythmia Control Device.

    abstract::The Res-Q Arrhythmia Control Device (Intermedics Inc.) is one of the latest entries into the growing implantable cardioverter defibrillator (ICD) market. Dysrhythmias are classified according to their zone of detection, with a bradycardia zone, up to 3 tachycardia zones, and a fibrillation zone. Detection criterion, t...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8167.1995.tb00766.x

    authors: Miller RE,Wilkoff BL

    更新日期:1995-02-01 00:00:00

  • Hypoxia and hypothermia enhance spatial heterogeneities of repolarization in guinea pig hearts: analysis of spatial autocorrelation of optically recorded action potential durations.

    abstract:INTRODUCTION:Regional dispersions of repolarization (DOR) are arrhythmogenic perturbations that are closely associated with reentry. However, the characteristics of DOR have not been well defined or adequately analyzed because previous algorithms did not take into account spatial heterogeneities of action potential dur...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1998.tb00897.x

    authors: Salama G,Kanai AJ,Huang D,Efimov IR,Girouard SD,Rosenbaum DS

    更新日期:1998-02-01 00:00:00

  • Autonomic dysfunction and new-onset atrial fibrillation in patients with left ventricular systolic dysfunction after acute myocardial infarction: a CARISMA substudy.

    abstract:BACKGROUND:Atrial fibrillation (AF) increases morbidity and mortality in patients with previous myocardial infarction and left ventricular systolic dysfunction. The purpose of this study was to identify patients with a high risk for new-onset AF in this population using invasive and noninvasive electrophysiological tes...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2010.01795.x

    authors: Jons C,Raatikainen P,Gang UJ,Huikuri HV,Joergensen RM,Johannesen A,Dixen U,Messier M,McNitt S,Thomsen PE,Cardiac Arrhythmias and Risk Stratification after Acute Myocardial Infarction (CARISMA) Study Group.

    更新日期:2010-09-01 00:00:00

  • Correlative anatomy for the electrophysiologist, Part I: the pericardial space, oblique sinus, transverse sinus.

    abstract::There is an increasing need for invasive electrophysiologists to appreciate the exact anatomy of the epicardial space and the coronary veins. The location of the epicardial fat, the complementary relationship with the main cardiac veins, and the location of sensitive structures (arteries, phrenic nerve, esophagus) hav...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1540-8167.2010.01872.x

    authors: Lachman N,Syed FF,Habib A,Kapa S,Bisco SE,Venkatachalam KL,Asirvatham SJ

    更新日期:2010-12-01 00:00:00

  • Avoid delivering therapies for nonsustained fast ventricular tachyarrhythmia in patients with implantable cardioverter/defibrillator: the ADVANCE III Trial.

    abstract:INTRODUCTION:The purpose of this investigation is to evaluate whether a prolonged detection interval for life threatening ventricular tachyarrhythmia (VT) is able to reduce therapies (Rx) delivered by an implantable cardioverter/defibrillator (ICD). Until now, only the PREPARE trial demonstrated a reduction of ICD Rx i...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1540-8167.2008.01415.x

    authors: Schwab JO,Gasparini M,Lunati M,Proclemer A,Kaup B,Santi E,Ligorio G,Klersy C,DE Sousa J,Okreglicki A,Arenal A,Wijffels M,Lemke B

    更新日期:2009-06-01 00:00:00

  • Manpower and outpatient clinic workload for remote monitoring of patients with cardiac implantable electronic devices: data from the HomeGuide Registry.

    abstract:BACKGROUND:This study aimed to assess manpower and resource consumption of the HomeGuide workflow model for remote monitoring (Biotronik Home Monitoring [HM], Biotronik SE & Co. KG, Berlin, Germany) of cardiac implantable electronic devices in daily clinical practice. METHODS:The model established a cooperative intera...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jce.12482

    authors: Ricci RP,Morichelli L,D'Onofrio A,Calò L,Vaccari D,Zanotto G,Curnis A,Buja G,Rovai N,Gargaro A

    更新日期:2014-11-01 00:00:00

  • Influence of filtering techniques on the time-domain analysis of signal-averaged P wave electrocardiogram.

    abstract:INTRODUCTION:The advent of signal-averaged ECG (SAECG) systems for P wave analysis has made it important to determine if the use of different filtering techniques in these systems is diagnostically equivalent. METHODS AND RESULTS:Three different high-pass filtering techniques and two cutoff frequency values were used:...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章

    doi:10.1111/j.1540-8167.1998.tb00910.x

    authors: Valverde ER,Quinteiro RA,Bertran GC,Arini PD,Glenny P,Biagetti MO

    更新日期:1998-03-01 00:00:00

  • Increased dispersion of repolarization time determined by monophasic action potentials in two patients with familial idiopathic ventricular fibrillation.

    abstract:INTRODUCTION:The role of increased dispersion of repolarization in the genesis of torsades de pointes in patients with long QT syndrome has been clarified, but its role in the genesis of idiopathic ventricular fibrillation (VF) is not yet known. To investigate the pathogenesis of VF, we recorded monophasic action poten...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1998.tb00869.x

    authors: Matsuo K,Shimizu W,Kurita T,Suyama K,Aihara N,Kamakura S,Shimomura K

    更新日期:1998-01-01 00:00:00

  • Irregular sinus parasystole due to intermittency and modulation of parasystolic activity.

    abstract::A case of intermittent sinus parasystole in which the parasystolic focus is protected from the dominant sinus rhythm only during the second half of its intrinsic cycle is reported. In addition, a modulating (i.e., electronic) effect is often clearly exerted from the dominant rhythm upon the focus during the protected ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1996.tb00523.x

    authors: Satullo G,Donato A,Busá G,Cavallaro L

    更新日期:1996-03-01 00:00:00

  • Beat-to-beat repolarization lability identifies patients at risk for sudden cardiac death.

    abstract:INTRODUCTION:Recent studies have implicated repolarization lability in the genesis of malignant ventricular arrhythmias. However, few data exist on assessment of temporal QT interval variability and its relation to arrhythmogenesis. We tested the ability of the QT variability index (QTVI), a measure of beat-to-beat QT ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1998.tb00130.x

    authors: Atiga WL,Calkins H,Lawrence JH,Tomaselli GF,Smith JM,Berger RD

    更新日期:1998-09-01 00:00:00

  • CaMKII and its role in cardiac arrhythmia.

    abstract::Calcium/calmodulin-dependent kinase II (CaMKII) is a multifunctional serine/threonine kinase widely distributed in a number of tissue types. Activation of CaMKII has been linked to important downstream physiological processes, including apoptosis, hypertrophy, and arrhythmia in the heart. Pharmacological or genetic in...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2008.01295.x

    authors: Erickson JR,Anderson ME

    更新日期:2008-12-01 00:00:00

  • Improving safety in catheter ablation for atrial fibrillation: a prospective study of the use of ultrasound to guide vascular access.

    abstract:INTRODUCTION:The most frequent complications of AF ablation (AFA) are related to vascular access, but there is little evidence as to how these can be minimized. METHODS:Consecutive patients undergoing AFA at a high-volume center received either standard care (Group S) or routine ultrasound-guided vascular access (Grou...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12404

    authors: Wynn GJ,Haq I,Hung J,Bonnett LJ,Lewis G,Webber M,Waktare JE,Modi S,Snowdon RL,Hall MC,Todd DM,Gupta D

    更新日期:2014-07-01 00:00:00

  • Frequency mapping of the pulmonary veins in paroxysmal versus permanent atrial fibrillation.

    abstract:INTRODUCTION:The pulmonary veins (PVs) are a dominant source of triggers initiating atrial fibrillation (AF). While recent evidence implicates these structures in the maintenance of paroxysmal AF, their role in permanent AF is not known. The current study aims to compare the contribution of PV activity to the maintenan...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2006.00546.x

    authors: Sanders P,Nalliah CJ,Dubois R,Takahashi Y,Hocini M,Rotter M,Rostock T,Sacher F,Hsu LF,Jönsson A,O'Neill MD,Jaïs P,Haïssaguerre M

    更新日期:2006-09-01 00:00:00

  • The impact of catheter ablation in the interpulmonary isthmus on atrial fibrillation ablation outcomes: a randomized study.

    abstract:INTRODUCTION:Previous studies have underscored the importance of the interpulmonary isthmus in the initiation and maintenance of atrial fibrillation (AF). The efficacy of additional radiofrequency energy delivery in the interpulmonary isthmus following pulmonary vein antral isolation (PVAI) was investigated. METHODS A...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/jce.12399

    authors: Letsas KP,Efremidis M,Vlachos K,Karlis D,Lioni L,Asvestas D,Valkanas K,Mihas CC,Sideris A

    更新日期:2014-07-01 00:00:00

  • Mechanisms of pacing interventions in atrial fibrillation.

    abstract::Atrial flutter is due to large single reentrant loops, typically oriented around the caval veins and a line of functional conduction block in between. These reentrant circuits can easily be terminated by properly timed extra beats colliding in the antidromic direction with the reentrant orthodromic wavefront and being...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:

    authors: Schoels W,Becker R

    更新日期:1998-08-01 00:00:00

  • Programmed ventricular stimulation in patients with active vs previous arrhythmic myocarditis.

    abstract:INTRODUCTION:No studies so far addressed the role of invasive programmed ventricular stimulation (PVS) in myocarditis patient's arrhythmic risk stratification. METHODS AND RESULTS:We present a single-center prospective study on 96 consecutive adult patients (44 ± 13 years, 70.1% males) with myocarditis and ventricular...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14374

    authors: Peretto G,Sala S,Basso C,Della Bella P

    更新日期:2020-03-01 00:00:00

  • Clinical outcome of very late recurrence of atrial fibrillation after catheter ablation of paroxysmal atrial fibrillation.

    abstract:INTRODUCTION:High recurrence rate is still a major problem associated with ablation of paroxysmal atrial fibrillation (AF). Most of the recurrences occur within 6 months after ablation. The characteristics of very late recurrent AF (>12 months after ablation) have not been reported. METHODS AND RESULTS:Two hundred sev...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1046/j.1540-8167.2003.03047.x

    authors: Hsieh MH,Tai CT,Tsai CF,Lin WS,Lin YK,Tsao HM,Huang JL,Ueng KC,Yu WC,Chan P,Ding YA,Chang MS,Chen SA

    更新日期:2003-06-01 00:00:00