Color-coded three-dimensional entrainment mapping for analysis and treatment of atrial macroreentrant tachycardia.

Abstract:

BACKGROUND:Mapping and ablation of atrial macroreentrant tachycardia focus on activation mapping with identification of the area of slow conduction. OBJECTIVE:The purpose of this study was to evaluate a new concept for analysis and treatment of macroreentrant tachycardia based on color-coded three-dimensional (3D) entrainment mapping and subsequent placement of strategic lesion lines. METHODS:Twenty-six patients presented with macroreentrant tachycardia (cycle length 329 +/- 70 ms). Using nonfluoroscopic systems (CARTO 12, NavX 14), sequential mapping of the target atrium was performed. On each mapping point, the 3D location was paired with color-coded entrainment information so that the reentrant circuit could be directly visualized. RESULTS:Procedural duration, fluoroscopy time, and radiofrequency time measured 181 +/- 58, 37 +/- 19, and 31 +/- 17 minutes, respectively. Thirty-nine macroreentrant tachycardias were ablated: perimitral 9, around pulmonary vein ostium 6, through left atrial roof 5, around left atrial appendage 3, right atrial cavotricuspid isthmus dependent 6, around right atrial scar 2, around superior vena cava 1, within the septum 5, and within the coronary sinus 2. Tachycardia termination and noninducibility of any macroreentrant tachycardia was the procedural end-point. In case of left atrial macroreentrant tachycardia, pulmonary vein isolation was completed. Follow-up with serial 7-day Holter covered 302 +/- 82 days. Two (8%) patients experienced recurrences of a pretreated macroreentrant tachycardia. CONCLUSION:In patients with macroreentrant tachycardia, color-coded 3D entrainment mapping is feasible to accurately determine and visualize the 3D location of the reentrant circuit and to plan a strategic ablation line concept. That approach, not targeting the area of slow conduction of the circuit, resulted in excellent procedural success (100%), with long-term freedom from any tachycardia recurrences in 88% of patients.

journal_name

Heart Rhythm

journal_title

Heart rhythm

authors

Esato M,Hindricks G,Sommer P,Arya A,Gaspar T,Bode K,Bollmann A,Wetzel U,Hilbert S,Kircher S,Eitel C,Piorkowski C

doi

10.1016/j.hrthm.2008.12.013

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

349-58

issue

3

eissn

1547-5271

issn

1556-3871

pii

S1547-5271(08)01203-4

journal_volume

6

pub_type

杂志文章
  • MicroRNA-135a regulates sodium-calcium exchanger gene expression and cardiac electrical activity.

    abstract:BACKGROUND:Complete atrioventricular block (CAVB) causes arrhythmogenic remodeling and increases the risk of torsades de pointes arrhythmias. MicroRNAs (miRNAs) are key regulators of gene expression that contribute to cardiac remodeling. OBJECTIVE:The purpose of this study was to assess miRNA changes after CAVB and id...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2017.01.045

    authors: Duong E,Xiao J,Qi XY,Nattel S

    更新日期:2017-05-01 00:00:00

  • An activation-repolarization time metric to predict localized regions of high susceptibility to reentry.

    abstract:BACKGROUND:Initiation of reentrant ventricular tachycardia (VT) involves complex interactions between front and tail of the activation wave. Recent experimental work has identified the time interval between S2 repolarization proximal to a line of functional block and S2 activation at the adjacent distal side as a criti...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2015.04.013

    authors: Child N,Bishop MJ,Hanson B,Coronel R,Opthof T,Boukens BJ,Walton RD,Efimov IR,Bostock J,Hill Y,Rinaldi CA,Razavi R,Gill J,Taggart P

    更新日期:2015-07-01 00:00:00

  • Epicardial organization of human ventricular fibrillation.

    abstract:OBJECTIVE:The objective of this study was to test the hypothesis that on the epicardium of the in vivo human heart, ventricular fibrillation (VF) consists of chaotic small wavefronts that constantly change paths. BACKGROUND:Despite the significance of VF to cardiovascular mortality, little is known about the wavefront...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2004.01.007

    authors: Nanthakumar K,Walcott GP,Melnick S,Rogers JM,Kay MW,Smith WM,Ideker RE,Holman W

    更新日期:2004-05-01 00:00:00

  • Catheter ablation of ventricular tachycardia: skill versus technology.

    abstract::Despite the increasing number of sophisticated, computerized tools available to the practicing electrophysiologist for facilitating catheter ablation of ventricular tachycardia, the procedure is often quite challenging. Use of these tools needs to be kept in perspective, subservient to the judgment of the physician. T...

    journal_title:Heart rhythm

    pub_type: 杂志文章,评审

    doi:10.1016/j.hrthm.2009.02.014

    authors: Miller JM,Scherschel JA

    更新日期:2009-08-01 00:00:00

  • Feasibility, accuracy, and safety of 3-dimensional electroanatomic mapping without fluoroscopy in patients with congenital heart defects.

    abstract:BACKGROUND:Use of nonfluoroscopic 3-dimensional electroanatomic mapping (NF-3DEAM) in patients with congenital heart defects (CHDs) is not well reported. OBJECTIVE:The purpose of this study was to evaluate the feasibility, accuracy, and safety of NF-3DEAM in patients with CHDs. METHODS:Retrospective review of electro...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2016.04.010

    authors: Bharmanee A,Gowda S,Singh HR

    更新日期:2016-08-01 00:00:00

  • Respiratory cycle-dependent atrial tachycardia: prevalence, electrocardiographic and electrophysiologic characteristics, and outcome after catheter ablation.

    abstract:BACKGROUND:Little is known about the tachyarrhythmias relating to respiration. Case reports presented patients with respiratory cycle-dependent atrial tachycardias (RCATs), which cyclically emerge after starting inspiration and cease during expiration. OBJECTIVE:The aim of the present study was to elucidate the preval...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2011.04.031

    authors: Yamamoto T,Hayashi M,Miyauchi Y,Murata H,Horie T,Igawa O,Kato T,Mizuno K

    更新日期:2011-10-01 00:00:00

  • Relationship among complex signals, short cycle length activity, and dominant frequency in patients with long-lasting persistent AF: a high-density epicardial mapping study in humans.

    abstract:BACKGROUND:Complex fractionated atrial electrograms (CFAEs) and regions of high dominant frequency (DF) both may identify sites critical to the maintenance of atrial fibrillation (AF). CFAEs may be defined by either (1) complex multicomponent electrograms (EGMs) and/or continuous electrical activity (multicomponent/con...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2011.05.021

    authors: Lee G,Roberts-Thomson K,Madry A,Spence S,Teh A,Heck PM,Kumar S,Kistler PM,Morton JB,Sanders P,Kalman JM

    更新日期:2011-11-01 00:00:00

  • Role of extensive diagnostic workup in young athletes and nonathletes with complex ventricular arrhythmias.

    abstract:BACKGROUND:Ventricular arrhythmias (VAs) are the most common cause of death in athletes. The differences in the electroanatomic substrate in athletes and nonathletes with complex VA are unknown. OBJECTIVE:The purpose of this study was to compare the electroanatomic substrate of complex VA in athletes vs nonathletes. ...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2019.08.022

    authors: Narducci ML,Pelargonio G,La Rosa G,Inzani F,d'Amati G,Novelli V,Marano R,Perna F,Bencardino G,Pinnacchio G,Genuardi M,Cammarano M,Palmieri V,Zeppilli P,Crea F

    更新日期:2020-02-01 00:00:00

  • Outcomes of nonpharmacologic treatment of atrial fibrillation in patients with hypertrophic cardiomyopathy.

    abstract:BACKGROUND:Limited data exist regarding the outcome of atrial fibrillation (AF) surgery and catheter ablation in patients with hypertrophic cardiomyopathy (HCM). OBJECTIVE:The purpose of this study was to evaluate the safety and efficacy of nonpharmacologic treatment of AF in HCM. METHODS:One hundred forty-seven pati...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2015.03.042

    authors: Bassiouny M,Lindsay BD,Lever H,Saliba W,Klein A,Banna M,Abraham J,Shao M,Rickard J,Kanj M,Tchou P,Dresing T,Baranowski B,Bhargava M,Callahan T,Tarakji K,Cantillon D,Hussein A,Marc Gillinov A,Smedira NG,Wazni O

    更新日期:2015-07-01 00:00:00

  • Ventricular tachycardia in cardiolaminopathy: Characteristics and considerations for device programming.

    abstract:BACKGROUND:Mutations in LMNA cause an arrhythmogenic cardiomyopathy (cardiolaminopathy) with high risk of ventricular tachycardia (VT). The natural history of VT among patients with cardiolaminopathy is incompletely understood. OBJECTIVE:The purpose of this study was to determine the longitudinal burden and progressio...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2020.05.023

    authors: Sidhu K,Han L,Picard KCI,Tedrow UB,Lakdawala NK

    更新日期:2020-10-01 00:00:00

  • Cardiac memory: a work in progress.

    abstract::Cardiac memory is a form of electrophysiological remodeling generally considered benign, although it shares transduction pathways with factors that may be pathological, such as angiotensin II and reactive oxygen species. When induced by electrical pacing, memory provides a window into the mechanisms engaged during car...

    journal_title:Heart rhythm

    pub_type: 杂志文章,评审

    doi:10.1016/j.hrthm.2009.01.008

    authors: Ozgen N,Rosen MR

    更新日期:2009-04-01 00:00:00

  • Moderate alcohol consumption is associated with atrial electrical and structural changes: Insights from high-density left atrial electroanatomic mapping.

    abstract:BACKGROUND:Regular alcohol intake is an important modifiable risk factor associated with atrial fibrillation (AF) and left atrial (LA) dilation. OBJECTIVE:The purpose of this study was to determine the impact of different degrees of alcohol consumption on atrial remodeling using high-density electroanatomic mapping. ...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2018.10.041

    authors: Voskoboinik A,Wong G,Lee G,Nalliah C,Hawson J,Prabhu S,Sugumar H,Ling LH,McLellan A,Morton J,Kalman JM,Kistler PM

    更新日期:2019-02-01 00:00:00

  • Electrolyte disturbances differentially regulate sinoatrial node and pulmonary vein electrical activity: A contribution to hypokalemia- or hyponatremia-induced atrial fibrillation.

    abstract:BACKGROUND:Hypokalemia and hyponatremia increase the occurrence of atrial fibrillation. Sinoatrial nodes (SANs) and pulmonary veins (PVs) play a critical role in the pathophysiology of atrial fibrillation. OBJECTIVE:The purpose of this study was to evaluate whether electrolyte disturbances with low concentrations of p...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2015.12.005

    authors: Lu YY,Cheng CC,Chen YC,Lin YK,Chen SA,Chen YJ

    更新日期:2016-03-01 00:00:00

  • QRS narrowing is associated with reverse remodeling in patients with chronic right ventricular pacing upgraded to cardiac resynchronization therapy.

    abstract:BACKGROUND:Patients with chronic right ventricular pacing (RVP) upgraded to cardiac resynchronization therapy (CRT) have been excluded from the majority of clinical trials of CRT. Little is known about the predictors of response in this population. We hypothesized that reversal of RVP-induced electrical dyssynchrony (i...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2012.09.018

    authors: Rickard J,Cheng A,Spragg D,Cantillon D,Chung MK,Tang WH,Wilkoff BL,Varma N

    更新日期:2013-01-01 00:00:00

  • Utility of high-resolution electroanatomic mapping of the left ventricle using a multispline basket catheter in a swine model of chronic myocardial infarction.

    abstract:BACKGROUND:Standard electroanatomic mapping systems use a single catheter to perform left ventricular substrate mapping. A new mapping system uses a 64-electrode mini-basket catheter to perform rapid automated acquisition of chamber geometry, voltage, and activation. OBJECTIVE:The aim of this study was to compare the ...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2014.08.036

    authors: Tanaka Y,Genet M,Chuan Lee L,Martin AJ,Sievers R,Gerstenfeld EP

    更新日期:2015-01-01 00:00:00

  • Targeted sequencing in candidate genes for atrial fibrillation: the Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE) Targeted Sequencing Study.

    abstract:BACKGROUND:Genome-wide association studies (GWAS) have identified common genetic variants that predispose to atrial fibrillation (AF). It is unclear whether rare and low-frequency variants in genes implicated by such GWAS confer additional risk of AF. OBJECTIVE:To study the association of genetic variants with AF at G...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2013.11.012

    authors: Lin H,Sinner MF,Brody JA,Arking DE,Lunetta KL,Rienstra M,Lubitz SA,Magnani JW,Sotoodehnia N,McKnight B,McManus DD,Boerwinkle E,Psaty BM,Rotter JI,Bis JC,Gibbs RA,Muzny D,Kovar CL,Morrison AC,Gupta M,Folsom AR,Kä

    更新日期:2014-03-01 00:00:00

  • Temporal trends and sex differences in pulmonary vein isolation for patients with atrial fibrillation.

    abstract:BACKGROUND:Indications for pulmonary vein isolation for the treatment of atrial fibrillation (AF) have expanded over the years. OBJECTIVE:We aimed to describe trends in demographic and clinical characteristics of patients undergoing ablation, with a particular focus on sex differences. METHODS:Patients who underwent ...

    journal_title:Heart rhythm

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.hrthm.2015.06.029

    authors: Avgil Tsadok M,Gagnon J,Joza J,Behlouli H,Verma A,Essebag V,Pilote L

    更新日期:2015-09-01 00:00:00

  • Common wearable devices demonstrate variable accuracy in measuring heart rate during supraventricular tachycardia.

    abstract:BACKGROUND:Wearable devices are used as a noninvasive method of monitoring health. The accuracy of wearables for heart rate (HR) monitoring has been extensively studied in sinus rhythm, but evidence for tachyarrhythmias, particularly supraventricular tachycardia (SVT), is sparse. OBJECTIVE:The purpose of this study wa...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2020.02.018

    authors: Sequeira N,D'Souza D,Angaran P,Aves T,Dorian P

    更新日期:2020-05-01 00:00:00

  • Spectral analysis during sinus rhythm predicts an abnormal atrial substrate in patients with paroxysmal atrial fibrillation.

    abstract:BACKGROUND:Regions of rapid and multiple deflections can be identified with high dominant frequency (DF) during sinus rhythm (SR). These areas may play a role in the perpetuation of atrial fibrillation (AF) and indicate an atrial substrate abnormality. OBJECTIVE:The purpose of this study was to investigate the atrial ...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2008.03.039

    authors: Lin YJ,Kao T,Tai CT,Chang SL,Lo LW,Tuan TC,Udyavar AR,Hu YF,Tso HW,Higa S,Chen SA

    更新日期:2008-07-01 00:00:00

  • Optimizing cardiac resynchronization therapy to minimize ATP consumption heterogeneity throughout the left ventricle: a simulation analysis using a canine heart failure model.

    abstract:BACKGROUND:Cardiac resynchronization therapy (CRT) has been demonstrated to lead to restoration of oxygen consumption homogeneity throughout the left ventricle (LV), which is important for long-term reverse remodeling of the ventricles. However, research has focused exclusively on identifying the LV pacing sites that l...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2014.03.021

    authors: Hu Y,Gurev V,Constantino J,Trayanova N

    更新日期:2014-06-01 00:00:00

  • Spatiotemporal characterization of atrial activation in persistent human atrial fibrillation: multisite electrogram analysis and surface electrocardiographic correlations--a pilot study.

    abstract:BACKGROUND:The mechanisms of persistent human atrial fibrillation (AF) are not well understood. OBJECTIVE:The purpose of this study was to examine whether left atrial (LA) drivers are present in persistent AF by performing a comprehensive evaluation of atrial activation frequency and organization using multisite atria...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2008.01.027

    authors: Dibs SR,Ng J,Arora R,Passman RS,Kadish AH,Goldberger JJ

    更新日期:2008-05-01 00:00:00

  • Human KCNQ1 S140G mutation is associated with atrioventricular blocks.

    abstract:BACKGROUND:We recently reported that an S140G mutation in human KCNQ1, an alpha subunit of potassium channels, was involved in the pathogenesis of familial atrial fibrillation (AF), but it is not clear whether the mutation is associated with other cardiac arrhythmias. OBJECTIVE:The purpose of this study was to further...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2007.01.029

    authors: Yang Y,Liu Y,Dong X,Kuang Y,Lin J,Su X,Peng L,Jin Q,He Y,Liu B,Pan Z,Li L,Zhu Q,Lin X,Zhou Q,Pan Q,Eurlings PM,Fei J,Wang Z,Chen YH

    更新日期:2007-05-01 00:00:00

  • Endothelin-1 as a predictor of atrial fibrillation recurrence after pulmonary vein isolation.

    abstract:BACKGROUND:A considerable rate of atrial fibrillation (AF) recurrence is one of the major limitations of pulmonary vein isolation (PVI). Although endothelin-1 (ET-1) is involved in atrial remodeling, it is unknown whether plasma ET-1 level before PVI can be used as a predictive factor for AF recurrence. OBJECTIVE:The ...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2009.02.027

    authors: Nakazawa Y,Ashihara T,Tsutamoto T,Ito M,Horie M

    更新日期:2009-06-01 00:00:00

  • Association between atrial fibrillation and volumetric magnetic resonance imaging brain measures: Framingham Offspring Study.

    abstract:BACKGROUND:The increased risk of stroke and cognitive impairment associated with atrial fibrillation (AF) is well documented. However, there is a paucity of research investigating the relations between AF and brain morphology. OBJECTIVE:The purpose of this study was to investigate the association between AF and brain ...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2016.07.004

    authors: Piers RJ,Nishtala A,Preis SR,DeCarli C,Wolf PA,Benjamin EJ,Au R

    更新日期:2016-10-01 00:00:00

  • Anatomic insights for catheter ablation of ventricular tachycardia.

    abstract::Safe maneuvering of catheters in and around the ventricles, and ablations for ventricular tachycardia, require knowledge of the anatomy of the cardiac and extracardiac structures. This review emphasises the three-dimensional spatial relationships between the right and left ventricles and highlights the important extra...

    journal_title:Heart rhythm

    pub_type: 杂志文章,评审

    doi:10.1016/j.hrthm.2009.02.008

    authors: Ho SY

    更新日期:2009-08-01 00:00:00

  • Pediatric survivors of out-of-hospital ventricular fibrillation: Etiologies and outcomes.

    abstract:BACKGROUND:In general, the prognosis is poor for pediatric patients who experience out-of-hospital (OOH) cardiac arrest, with survival rates of 12% to 29%. OBJECTIVE:The purpose of this study was to describe the causes and outcomes of pediatric patients with documented ventricular fibrillation (VF) at resuscitation fr...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2017.08.014

    authors: Silka MJ,Kobayashi RL,Hill AC,Bar-Cohen Y

    更新日期:2018-01-01 00:00:00

  • Sudden cardiac arrest recorded during Holter monitoring: prevalence, antecedent electrical events, and outcomes.

    abstract:BACKGROUND:Causative arrhythmias of sudden cardiac arrest (SCA) are changing in this age of improved coronary care. OBJECTIVE:The purpose of this study was to examine the frequency of terminal arrhythmias and the electrical events prior to SCA. METHODS:We analyzed 24-hour Holter recordings of 132 patients enrolled fr...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2014.04.036

    authors: Watanabe E,Tanabe T,Osaka M,Chishaki A,Takase B,Niwano S,Watanabe I,Sugi K,Katoh T,Takayanagi K,Mawatari K,Horie M,Okumura K,Inoue H,Atarashi H,Yamaguchi I,Nagasawa S,Moroe K,Kodama I,Sugimoto T,Aizawa Y

    更新日期:2014-08-01 00:00:00

  • Minimally invasive percutaneous pericardial ICD placement in an infant piglet model: Head-to-head comparison with an open surgical thoracotomy approach.

    abstract:BACKGROUND:Epicardial implantable cardioverter-defibrillator (ICD) placement in infants, children, and patients with complex cardiac anatomy requires an open surgical thoracotomy and is associated with increased pain, longer length of stay, and higher cost. OBJECTIVE:The purpose of this study was to compare an open su...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2015.12.015

    authors: Clark BC,Davis TD,El-Sayed Ahmed MM,McCarter R,Ishibashi N,Jordan CP,Kane TD,Kim PCW,Krieger A,Nath DS,Opfermann JD,Berul CI

    更新日期:2016-05-01 00:00:00

  • Gap junction modifier rotigaptide decreases the susceptibility to ventricular arrhythmia by enhancing conduction velocity and suppressing discordant alternans during therapeutic hypothermia in isolated rabbit hearts.

    abstract:BACKGROUND:Therapeutic hypothermia (TH) may increase the susceptibility to ventricular arrhythmias by decreasing ventricular conduction velocity (CV) and facilitating arrhythmogenic spatially discordant alternans (SDA). OBJECTIVE:The purpose of this study was to test the hypothesis that rotigaptide, a gap junction enh...

    journal_title:Heart rhythm

    pub_type: 杂志文章

    doi:10.1016/j.hrthm.2015.07.023

    authors: Hsieh YC,Lin JC,Hung CY,Li CH,Lin SF,Yeh HI,Huang JL,Lo CP,Haugan K,Larsen BD,Wu TJ

    更新日期:2016-01-01 00:00:00

  • Cardiac electrophysiology of patients with spinal cord injury.

    abstract::Spinal cord injury is a clinical syndrome encountered frequently in trauma centers and is accompanied by both acute and chronic heart rhythm abnormalities. The injury is characterized by sympathetic nervous system impairment with preservation of parasympathetic output via the vagus nerve. Severe bradycardia in the for...

    journal_title:Heart rhythm

    pub_type: 杂志文章,评审

    doi:10.1016/j.hrthm.2017.02.015

    authors: Manogue M,Hirsh DS,Lloyd M

    更新日期:2017-06-01 00:00:00