Segmental atrial fibrillation resulting in chronic atrial dissociation. A case report.

Abstract:

:Atrial arrhythmias are diagnosed on the basis of the analysis of P wave morphology, timing and rate, the surface electrocardiogram, and intracardiac recordings. Recent intracardiac studies have demonstrated dissimilar atrial rhythms with direct intra-atrial recordings, the former otherwise not evident on the surface ECG (Zipes et al. 1972, Wu et al. 1975, Friedman et al. 1974, Gomes et al. 1981). This paper reports the electrocardiographic diagnosis of atrial dissociation made on the surface electrocardiogram. The findings suggest the following: (1) That sinus rhythm exists, with the dominant sinus rhythm depolarizing the major portion of the right as well as the left atrium; (2) Atrial fibrillation localized specifically to lead III, and at times to leads III and AVL, on the surface electrocardiogram; and (3) Intraesophageal recordings and echocardiography revealed an area of the posterior right and left atria that had wall motion abnormalities and electrical activity compatible with those of atrial fibrillation.

journal_name

J Electrocardiol

authors

Martinez EE,Pontes S,dePaola AA,Gomes JA

doi

10.1016/0022-0736(91)90010-j

subject

Has Abstract

pub_date

1991-04-01 00:00:00

pages

185-90

issue

2

eissn

0022-0736

issn

1532-8430

pii

0022-0736(91)90010-J

journal_volume

24

pub_type

杂志文章
  • Altered mental status in the emergency department - Can an electrocardiogram show the right way to go?

    abstract::A 38-year-old African American male patient with a past medical history of human immunodeficiency virus and schizophrenia who was noncompliant with medications presented to the emergency department (ED) after activation of the local crisis response center for altered mental status. Upon arrival he was lethargic and un...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2017.01.012

    authors: Dias A,Franco E,Martinez J,Figueredo VM

    更新日期:2017-01-01 00:00:00

  • Short-duration oral amiodarone for prevention of atrial fibrillation post heart surgery.

    abstract:BACKGROUND:Atrial fibrillation occurs in 20% to 40% of patients post cardiac surgery. Prophylactic amiodarone decreases the incidence of atrial fibrillation, especially in those not taking β-blockers. Studies, however, vary in dosage, duration of treatment, and route of administration. Limited studies evaluating short ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jelectrocard.2012.07.005

    authors: Carter WH,Trotter CC,Kowalski TE,Modak A,Siddiqui Y,Davis E,Sampath R,Khan JH

    更新日期:2012-11-01 00:00:00

  • Impaired left ventricular function is associated with increased recovery time dispersion in patients with previous myocardial infarction.

    abstract::Left ventricular (LV) dysfunction after myocardial infarction is associated with higher risk of serious ventricular arrhythmias and sudden death. We suspected that heterogeneity in ventricular repolarization contributes to these arrhythmias. To quantify this heterogeneity, we measured the recovery time (the interval b...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1054/jelc.2003.50005

    authors: Mine T,Shimizu H,Inazumi T,Iwasaki T

    更新日期:2003-01-01 00:00:00

  • QT interval and repolarization time in patients with intraventricular conduction delay.

    abstract::A prolonged QT interval is an important prognostic indicator for cardiac arrhythmias and sudden death. The conventional QT interval measurement, however, includes in its measure the cardiac depolarization (QRS) as well as the cardiac repolarization (JT) intervals. To evaluate the relative contribution of the depolariz...

    journal_title:Journal of electrocardiology

    pub_type: 临床试验,杂志文章

    doi:10.1016/0022-0736(90)90150-z

    authors: Das G

    更新日期:1990-01-01 00:00:00

  • Quantitative vectorcardiographic criteria for the differentiation between atrial septal defects of primum and secundum types.

    abstract::From a population of 304 patients who were operated on for atrial septal defects, 25 patients with primum defects and 78 patients with secundum defects were studied with regard to the ability of various quantitative axial lead vectorcardiographic (VCG) data to predict the anatomical type of defect. The patients includ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(75)80023-9

    authors: Rasmussen K

    更新日期:1975-01-01 00:00:00

  • Effects of supernormal capture on directly measured nonmodulated parasystolic cycles.

    abstract::Pacemaker capture during the supernormal period was seen in a case of modulated parasystole where ectopic cycles occurred without any interposed nonparasystolic beat. This contrasts with previous clinical reports, since, in the latter, the parasystolic cycle length could not be measured directly. As in experimental st...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/0022-0736(89)90003-4

    authors: Castellanos A,De La Hera A,Luceri RM,Mendoza IJ,Myerburg RJ

    更新日期:1989-10-01 00:00:00

  • Development of linear and non-linear properties of heart rate control during quiet and active sleep in healthy infants.

    abstract::In this study it is analyzed by linear and non-linear methods, how the control of instantaneous heart rate (IHR) develops in infants in quiet and active sleep. Ten healthy and term newborns were studied during their first half year of life. Low (LF) and high frequency power (HF) of the spectrum, and the largest Lyapun...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(05)80064-0

    authors: Patzak A

    更新日期:1995-10-01 00:00:00

  • The synthesized vectorcardiogram resembles the measured vectorcardiogram in patients with dyssynchronous heart failure.

    abstract:BACKGROUND:The use of vectorcardiography (VCG) has regained interest, however, original Frank-VCG equipment is rare. This study compares the measured VCGs with those synthesized from the 12-lead electrocardiogram (ECG) in patients with heart failure and conduction abnormalities, who are candidate for cardiac resynchron...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2015.04.001

    authors: Engels EB,Alshehri S,van Deursen CJ,Wecke L,Bergfeldt L,Vernooy K,Prinzen FW

    更新日期:2015-07-01 00:00:00

  • Effects of gender and age on heart rate variability in healthy individuals and in persons after sudden cardiac arrest.

    abstract::The purpose of this study was to describe the effects of gender and age on heart rate variability (HRV) in healthy volunteers (n = 111; 40 men and 71 women) and in persons after sudden cardiac arrest (SCA) (n = 95; 79 men and 16 women). Frequency-domain measurements and six time-domain measurements of HRV (SDANN, 24-h...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(94)80037-5

    authors: Cowan MJ,Pike K,Burr RL

    更新日期:1994-01-01 00:00:00

  • Evaluation of index of cardiac-electrophysiological balance before and after hemodialysis in patients with end-stage renal disease.

    abstract:BACKGROUND:Ventricular arrhythmias and sudden cardiac deaths are the most common cause of mortality in patients with end-stage renal disease (ESRD). Index of cardiac-electrophysiological balance (iCEB) (QT/QRS) may predict malignant ventricular arrhythmias. In this study, we investigated whether iCEB value is increased...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2019.03.011

    authors: Sivri S,Çelik M

    更新日期:2019-01-01 00:00:00

  • Electrocardiogram training for residents: A curriculum based on Facebook and Twitter.

    abstract:BACKGROUND:We studied whether social media applications can serve as effective educational tools for teaching electrocardiogram (ECG) interpretation to medical residents. METHODS:39 emergency, family, and internal medicine residents participated in the 33-week "ECG of the Week" curriculum via Facebook and Twitter. ECG...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2017.04.010

    authors: Liu SS,Zakaria S,Vaidya D,Srivastava MC

    更新日期:2017-01-01 00:00:00

  • QRST isointegral departure mapping after exercise in patients with congenital long QT syndrome.

    abstract::Congenital long QT syndrome (LQTS) is known to be a critical syndrome associated with a bizarre T wave, prolonged QT interval, and ventricular arrhythmias and is followed by syncope and/or sudden death. Body surface mapping, especially QRST isointegral departure mapping, was used after exercise to assess exercise-indu...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2005.02.005

    authors: Tsukahara K,Hirata T,Hirata M,Hayano M,Yano K

    更新日期:2005-07-01 00:00:00

  • Micro-processor synthesis and analysis of the polarcardiogram.

    abstract::A low-cost micro-processor combined with a standard 3-channel electrocardiographic recorder was adapted to polar coordinate conversion of Frank orthogonal lead signals and display of the resultant polarcardiogram. The processor also functions as a computer of average transients for the ECG complexes and provides autom...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(82)80047-2

    authors: Grant ME,Hanson JS

    更新日期:1982-01-01 00:00:00

  • Isomagnetic maps in right ventricular overloading.

    abstract::Isomagnetic maps were recorded in normal subjects and in patients with systolic overloading of the right ventricle. The isomagnetic maps examined in this study indicated the instantaneous current source of the heart by applying the "corkscrew rule." The magnetic field recorded by a second derivative gradiometer detect...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(88)80013-x

    authors: Nakaya Y,Takeuchi A,Nii H,Katayama M,Nomura M,Fujino K,Saito K,Mori H

    更新日期:1988-04-01 00:00:00

  • PR depression with multi‑lead ST elevation and ST depression in aVR: Is it always acute pericarditis?

    abstract::The classic electrocardiographic (ECG) manifestation of stage I of acute pericarditis is diffuse ST elevation and PR depression with ST depression in lead aVR. One of the most common conditions, that is often confused with acute pericarditis, is the benign diffuse ST elevation, termed "early repolarization with ST ele...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2019.01.085

    authors: Birnbaum Y,Perez Riera AR,Nikus K

    更新日期:2019-01-01 00:00:00

  • Facilitated reperfusion with prehospital glycoprotein IIb/IIIa inhibition: predictors of complete ST-segment resolution before primary percutaneous coronary intervention in the On-TIME 2 trial: correlates of reperfusion before primary PCI.

    abstract:OBJECTIVE:The objective of this study is to evaluate the incidence, predictors, and outcome of complete ST-segment resolution (STR) during transportation after pretreatment with dual or triple antiplatelet therapy in the Ongoing Tirofiban in Myocardial Infarction Evaluation (On-TIME) 2 trial. METHODS:Patients with ST-...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jelectrocard.2010.09.010

    authors: Heestermans T,Suryapranata H,ten Berg JM,Mosterd A,Gosselink AT,Kochman W,Dill T,van Houwelingen G,Kolkman E,van Werkum JW,Zijlstra F,Hamm C,van 't Hof AW

    更新日期:2011-01-01 00:00:00

  • Supernormal conduction in a case of Mobitz type II atrioventricular block.

    abstract::A 52-year-old woman exhibited Mobitz type II atrioventricular block with right bundle branch block and 1:1 atrioventricular conduction at or slower than 80 beats/min. Electrophysiologic study revealed transient HV interval block followed by recovery from the block at shorter coupling intervals without prolongation of ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(98)90009-7

    authors: Ayusawa M,Sakurada H,Hiyoshi Y,Sumitomo N,Okazaki H,Motomiya T,Sugiura M,Hiraoka M

    更新日期:1998-01-01 00:00:00

  • Acquired forms of the Brugada syndrome.

    abstract::The Brugada syndrome is characterized by ST-segment elevation in the right precordial leads (V1 through V3) and an episode of ventricular fibrillation in the absence of structural heart disease. SCN5A, the gene encoding the alpha subunit of the sodium channel, is the only gene thus far linked to the Brugada syndrome b...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jelectrocard.2005.06.005

    authors: Shimizu W

    更新日期:2005-10-01 00:00:00

  • Intra-QRS high-frequency ECG changes with ischemia. Is it possible to evaluate these changes using the signal-averaged Holter ECG in dogs?

    abstract::The purpose of this experiment is to study the possibility of intra-QRS high-frequency electrocardiographic (HFECG) changes for the evaluation of and recovery from myocardial ischemia in both the time-domain and spectral-turbulence analyses on the signal-averaged ECG using the Holter ECG monitoring (Holter SAECG) syst...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(95)80064-6

    authors: Yakubo S,Ozawa Y,Komaki K

    更新日期:1995-01-01 00:00:00

  • QRS integral: an electrocardiographic indicator of mechanical interventricular asynchrony.

    abstract:AIM:The aim of this study was to investigate whether interventricular asynchrony (IVA) can be measured by electrocardiography. METHODS:Sixty-two patients (New York Heart Association heart failure functional class III: age, mean +/- SD: 64 +/- 9 years; ejection fraction, mean +/- SD: 24% +/- 8%; dilative cardiomyopathy...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2009.12.006

    authors: Samol A,Klotz S,Stypmann J,Bruns HJ,Houben R,Paul M,Vahlhaus C

    更新日期:2010-05-01 00:00:00

  • Ventriculoatrial conduction in complete atrioventricular block.

    abstract::The case of a patient with complete atrioventricular block with capability of rapid ventriculoatrial conduction with unusual behavior is presented. Potential mechanisms are discussed. ...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2012.03.005

    authors: Arias MA,Jiménez-López J,Pachón M,Jerez-Valero M,Puchol A,Rodríguez-Padial L

    更新日期:2012-07-01 00:00:00

  • Influence of ECG measurement accuracy on ECG diagnostic statements.

    abstract::Computer analysis of electrocardiograms (ECGs) provides a large amount of ECG measurement data, which may be used for diagnostic classification and storage in ECG databases. Until now, neither error limits for ECG measurements have been specified nor has their influence on diagnostic statements been systematically inv...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(96)80022-7

    authors: Zywietz C,Celikag D,Joseph G

    更新日期:1996-01-01 00:00:00

  • Alternating reversed wenckebach periodicity: Concealed electrotonic conduction as a possible mechanism.

    abstract::Electrocardiograms were taken from a 67-year-old man with 2:1 atrioventricular block in whom alternating reversed Wenckebach periodicity was found. Long PR intervals of alternately conducted P waves progressively shortened until an alternate P wave was blocked. After an alternate P wave was blocked, the next alternate...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1054/jelc.2003.50010

    authors: Katoh T,Kinoshita S,Tsujimura Y,Sasaki Y

    更新日期:2003-01-01 00:00:00

  • Brugada syndrome phenotype cardiac arrest in a young patient unmasked during the acute phase of amiodarone infusion: disclosure and aggravation of Brugada electrocardiographic pattern.

    abstract::We report a case of an outpatient cardiac arrest due to ventricular fibrillation and resuscitated with external automated defibrillator shocks in which acute amiodarone infusion unmasked a Brugada phenotype electrocardiographic pattern. Possible interferences by this drug and suitable therapeutic actions are discussed...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2012.02.005

    authors: D'Aloia A,Vizzardi E,Bugatti S,Zanini G,Bontempi L,Curnis A

    更新日期:2012-07-01 00:00:00

  • Body surface mapping of atrial arrhythmias: atlas of paced P wave integral maps to localize the focal origin of right atrial tachycardia.

    abstract::Successful curative treatment of right atrial tachycardia (AT) can be obtained provided detailed catheter activation mapping of the target site for radiofrequency energy application has been accomplished. However, right AT mapping may be difficult with a single roving catheter due to infrequent presence or noninducibi...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(98)90298-9

    authors: SippensGroenewegen A,Roithinger FX,Peeters HA,Linnenbank AC,van Hemel NM,Steiner PR,Lesh MD

    更新日期:1998-01-01 00:00:00

  • Will the electrocardiograph replace the electrocardiographer?

    abstract::Professional groups, endorsed by individual cardiologists involved in the practice of electrocardiology, have recently issued official policy statements declaring that there is no computer program for electrocardiographic interpretation that can replace interpretation by a skilled physician, and consequently, all comp...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:

    authors: Rautaharju PM

    更新日期:1993-01-01 00:00:00

  • Ordinal discrimination of ECG orthogonal features.

    abstract::A rigorous mathematical analysis of Electrocardiogram (ECG) data is presented in this paper, as a decision support system for ECG interpretation. The mathematical analysis: provides a new insight to the ECG data, provides flexibility for future understanding of the heart system or the ECG, and avoids the need of measu...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:

    authors: Marcus M,Cohen A,Hammerman H,Inbar G

    更新日期:1987-10-01 00:00:00

  • Recent advances in magnetocardiography.

    abstract::New developments in instrumentation, in clinical application, as well as in data analysis and visualization have provided new momentum to magnetocardiography (MCG). On one hand robust, easy to use and budget-priced MCG-systems entered the market and are applied to a multi-centred clinical study. On the other hand high...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/j.jelectrocard.2004.08.035

    authors: Koch H

    更新日期:2004-01-01 00:00:00

  • Influence of right ventricular site of stimulation and infarct location on the inducibility of ventricular tachycardia in patients with coronary artery disease.

    abstract::No prior studies have evaluated the relationship between the site of right ventricular stimulation, the site of prior infarction, and the inducibility of ventricular tachycardia (VT). This study was performed to determine if the location of pathologic Q waves influences the inducibility of VT at various right ventricu...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章

    doi:10.1016/s0022-0736(98)90012-7

    authors: Harvey M,Goyal R,Knight BP,Man KC,Strickberger SA,Morady F

    更新日期:1998-10-01 00:00:00

  • Exercise training slows down heart rate and improves deceleration and acceleration capacity in patients with heart failure.

    abstract::Controlled physical training has been shown to be a valuable therapeutic addition to a pharmacological treatment in patients with chronic heart failure (CHF). It is speculated that repeated physical training can improve the autonomic modulation of the cardiovascular system in patients with CHF. The present study evalu...

    journal_title:Journal of electrocardiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jelectrocard.2012.01.002

    authors: Ricca-Mallada R,Migliaro ER,Piskorski J,Guzik P

    更新日期:2012-05-01 00:00:00