Is pulmonary vein isolation enough for persistent atrial fibrillation?

abstract：INTRODUCTION:Hemodynamic collapse precludes extensive catheter mapping to identify focal target regions in many patients with ventricular tachycardia (VT) associated with heart disease. This study tested the feasibility of catheter ablation of poorly tolerated VTs by targeting a region identified during sinus rhythm. ...

journal_title：Journal of cardiovascular electrophysiology

authors： Ellison KE,Stevenson WG,Sweeney MO,Lefroy DC,Delacretaz E,Friedman PL

更新日期：2000-01-01 00:00:00

abstract：INTRODUCTION:Increased dispersion of ventricular repolarization is observed in cardiac hypertrophy and is associated with sudden cardiac death. At present, there is little information about the effects of cardiac hemodynamics and antiarrhythmic drugs on dispersion of repolarization in disease states. We compared the ef...

journal_title：Journal of cardiovascular electrophysiology

authors： Gillis AM,Mathison HJ,Kulisz E,Lester WM

更新日期：1998-09-01 00:00:00

abstract：BACKGROUND:Individual risk factors of intraprocedural cardiac injury (cardiac perforation and tamponade) during implantable cardioverter defibrillator (ICD) placement have been documented. However, the prognostic impact of their coexistence has not been explored. OBJECTIVE:To develop a risk score model to identify pat...

journal_title：Journal of cardiovascular electrophysiology

authors： Padala SK,Gunda S,Li S,Sharma PS,Koneru JN,Varosy PD,Ellenbogen KA

更新日期：2019-02-01 00:00:00

abstract：:The signal-averaged electrocardiogram (SAECG) facilitates noninvasive recording of low-amplitude cardiac signals such as ventricular late potentials. The SAECG has been used to accurately predict life-threatening ventricular tachyarrhythmias in patients after acute myocardial infarction and with nonischemic dilated ca...

journal_title：Journal of cardiovascular electrophysiology

authors： Steinberg JS,Berbari EJ

更新日期：1996-10-01 00:00:00

abstract：:A patient with congenital complete heart block underwent implantation of a dual-chamber pacemaker. He presented to the emergency room with fatigue and was found to be in atrial flutter. Device interrogation revealed undersensing of 5 mV flutter waves at a programmed sensitivity of 0.5 mV. Due to undersensing, mode swi...

journal_title：Journal of cardiovascular electrophysiology

authors： Kalahasty G,Kenigsberg DN,Wood MA,Ellenbogen KA

更新日期：2006-11-01 00:00:00

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 sel...

journal_title：Journal of cardiovascular electrophysiology

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

更新日期：2001-10-01 00:00:00

abstract：:Pulmonary vein (PV) arrhythmogenicity underlying the maintenance of atrial fibrillation (AF) may be explained by three mechanisms: enhanced automaticity, triggered activity, and reentry. There are only a few reports describing sustained PV tachycardias (PVT) following electrical disconnection from the left atrium, in ...

journal_title：Journal of cardiovascular electrophysiology

authors： Rostock T,O'Neill MD,Takahashi Y,Sanders P,Haïssaguerre M

更新日期：2007-04-01 00:00:00

abstract：INTRODUCTION:Evidence is inconclusive concerning the role of implantable cardioverter defibrillators (ICDs) to treat patients with hemodynamically stable ventricular tachycardia (VT). The goal of this study was to estimate future risk of unstable ventricular arrhythmias in patients who received ICDs for stable VT. MET...

journal_title：Journal of cardiovascular electrophysiology

authors： Glikson M,Lipchenca I,Viskin S,Ballman KV,Trusty JM,Gurevitz OT,Luria DM,Eldar M,Hammill SC,Friedman PA

更新日期：2004-06-01 00:00:00

abstract：INTRODUCTION:Conventional electrical therapies for heart failure (HF) encompass defibrillation and ventricular resynchronization for patients at high risk for lethal arrhythmias and/or with inhomogeneous ventricular contraction. Cardiac contractility modulation (CCM) by means of nonexcitatory electrical currents delive...

journal_title：Journal of cardiovascular electrophysiology

authors： Pappone C,Augello G,Rosanio S,Vicedomini G,Santinelli V,Romano M,Agricola E,Maggi F,Buchmayr G,Moretti G,Mika Y,Ben-Haim SA,Wolzt M,Stix G,Schmidinger H

更新日期：2004-04-01 00:00:00

abstract：INTRODUCTION:Echocardiography is widely used to optimize CRT programming, but it is time-consuming. This study aimed to correlate the optimal interventricular pacing (V-V) interval obtained by echo with the optimal V-V interval obtained by a simpler method based on the surface ECG. METHODS AND RESULTS:Three V-V interv...

journal_title：Journal of cardiovascular electrophysiology

authors： Vidal B,Tamborero D,Mont L,Sitges M,Delgado V,Berruezo A,Díaz-Infante E,Tolosana JM,Paré C,Brugada J

更新日期：2007-12-01 00:00:00

abstract：BACKGROUND:The value of signal-averaged ECG (SAECG) in the risk stratification of Chagas disease (ChD), a potentially lethal illness prevalent in Latin America, remains controversial. The aim of this prospective longitudinal study was to determine the prognostic value of SAECG in ChD, using multivariate models with oth...

journal_title：Journal of cardiovascular electrophysiology

authors： Ribeiro AL,Cavalvanti PS,Lombardi F,Nunes Mdo C,Barros MV,Rocha MO

更新日期：2008-05-01 00:00:00

abstract：OBJECTIVES:We tested proposed algorithms for idiopathic and nonischemic tachycardias for their ability to identify epicardial LV-VT origins. BACKGROUND:Several ECG features have been reported to identify epicardial origins for left ventricular tachycardias (LV-VTs) in the absence of myocardial infarction. Only limited...

journal_title：Journal of cardiovascular electrophysiology

authors： Martinek M,Stevenson WG,Inada K,Tokuda M,Tedrow UB

更新日期：2012-02-01 00:00:00

abstract：INTRODUCTION:Functional tricuspid regurgitation (TR) remains a challenging clinical problem with poor outcomes and few effective treatments. Atrial fibrillation (AF) has been associated with functional TR. We sought to determine whether restoring sinus rhythm through catheter ablation of AF can decrease the degree of T...

journal_title：Journal of cardiovascular electrophysiology

authors： Markman TM,Plappert T,De Feria Alsina A,Levin M,Amankwah N,Sheth S,Gertz ZM,Schaller RD,Marchlinski FE,Rame JE,Frankel DS

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:Focal atrial tachycardias (FAT) originate from areas with poor cell-to-cell coupling. Due to cellular uncoupling extracellular potentials become fractionated. The degree of fragmentation may be used to identify the site of origin of FAT prior to catheter ablation. We studied electrical fragmentation in relat...

journal_title：Journal of cardiovascular electrophysiology

authors： De Groot NM,Schalij MJ

更新日期：2006-10-01 00:00:00

abstract：UNLABELLED:Electrical Activity and RhoA in the Embryo. INTRODUCTION:Myocardium at the venous pole (sinus venosus) of the heart has gained clinical interest as arrhythmias can be initiated from this area. During development, sinus venosus myocardium is incorporated to the primary heart tube and expresses different mark...

journal_title：Journal of cardiovascular electrophysiology

authors： Vicente-Steijn R,Kolditz DP,Mahtab EA,Askar SF,Bax NA,VAN DER Graaf LM,Wisse LJ,Passier R,Pijnappels DA,Schalij MJ,Poelmann RE,Gittenberger-DE Groot AC,Jongbloed MR

更新日期：2010-11-01 00:00:00

abstract：:Innovations in radiofrequency (RF) ablation and nonablative techniques have led to significant advances in addressing complex arrhythmogenic substrates for a variety of cardiac arrhythmias. Anatomical challenges, deep substrate, and mid-myocardial locations may pose difficulties and decrease success rates using routin...

journal_title：Journal of cardiovascular electrophysiology

authors： Sandhu A,Nguyen DT

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Transseptal access for large sheaths may be encumbered by tissue resistance against the sheath-dilator stepped interface. The ExpanSure Large Access Transseptal Dilator (Baylis Medical) is designed as a single introducer and dilation device with a smooth sheath-dilator transition to support transseptal punct...

journal_title：Journal of cardiovascular electrophysiology

authors： Inohara T,Gilhofer T,Al-Dujaili S,Leung L,Yeung D,Tsang M,Saw J

更新日期：2021-01-21 00:00:00

abstract：INTRODUCTION:Longer observational time and adenosine challenge have proven to be able to detect pulmonary vein (PV) reconnections. The aim of this study was to assess incidence of spontaneous and adenosine-induced PV reconnection after ablation with second-generation cryoballoon (CB-Adv). METHODS AND RESULTS:Fifty con...

journal_title：Journal of cardiovascular electrophysiology

authors： Ciconte G,Chierchia GB,DE Asmundis C,Sieira J,Conte G,Juliá J,DI Giovanni G,Wauters K,Baltogiannis G,Saitoh Y,Mugnai G,Catanzariti D,Tondo C,Brugada P

更新日期：2014-08-01 00:00:00

abstract：INTRODUCTION:Due to the lack of good molecular markers, for decades the morphogenetic origin of the cardiac conduction system has been a matter of debate. More recently, the spatial expression of minK-lacZ in the adult mouse heart has been shown, for the larger part, to be coincident with the conduction tissues. METHO...

journal_title：Journal of cardiovascular electrophysiology

authors： Kondo RP,Anderson RH,Kupershmidt S,Roden DM,Evans SM

更新日期：2003-04-01 00:00:00

abstract：INTRODUCTION:Prevention of sudden arrhythmic cardiac death depends on accurate identification of individuals at high risk. Previous studies of signals recorded directly from arrhythmogenic tissue suggested that the predictive value of the signal-averaged ECG could be enhanced by expanded temporal, spectral, and spatial...

journal_title：Journal of cardiovascular electrophysiology

authors： Kavesh NG,Sarang SE,Gold MR

更新日期：2000-02-01 00:00:00

abstract：INTRODUCTION:ATP-sensitive K+ channels (K(ATP)) are expressed abundantly in cardiovascular tissues. Blocking this channel in experimental models of ischemia can reduce arrhythmias. We investigated the acute effects of amiodarone on the activity of cardiac sarcolemmal K(ATP) channels and their sensitivity to ATP. METHO...

journal_title：Journal of cardiovascular electrophysiology

authors： Holmes DS,Sun ZQ,Porter LM,Bernstein NE,Chinitz LA,Artman M,Coetzee WA

更新日期：2000-10-01 00:00:00

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

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

abstract：INTRODUCTION:The measurement of microvolt level T wave alternans (TWA) is a technique for detecting arrhythmia vulnerability. Previous studies demonstrated that the magnitude of TWA is dependent on heart rate. However, the effects of antiarrhythmic drugs on TWA are unknown. METHODS AND RESULTS:This was a prospective e...

journal_title：Journal of cardiovascular electrophysiology

authors： Kavesh NG,Shorofsky SR,Sarang SE,Gold MR

更新日期：1999-05-01 00:00:00

abstract：INTRODUCTION:Heart failure patients with left ventricular assist devices (LVADs) are at risk for infection. Cardiac implantable electronic devices (CIEDs) are commonly present in these patients. The course of infections in patients with an LVAD and a CIED is not well described. METHODS AND RESULTS:We identified 6 pati...

journal_title：Journal of cardiovascular electrophysiology

authors： Krishnamoorthy A,Pokorney SD,Lewis RK,Daubert JP,Greenfield RA,Hegland DD,Milano CA,Rogers JG,Schroder JN,Patel CB,Piccini JP

更新日期：2014-11-01 00:00:00

abstract：INTRODUCTION:Open irrigation during radiofrequency (RF) application allows a higher power delivery in the setting of temperature-controlled ablation, without causing blood clots. This study sought to evaluate the clinical value of the additional 6 supplementary channels at the proximal catheter tip compared to a standa...

journal_title：Journal of cardiovascular electrophysiology

authors： Knecht S,Sacher F,Forclaz A,Verbeet T,Hocini M,Wright M,Tran-Ngoc E,Morissens M,Peperstraete B,Derval N,Jaïs P,Linton N,Decoodt P,Haïssaguerre M,Castro-Rodriguez J

更新日期：2011-05-01 00:00:00

abstract：INTRODUCTION:Pulmonary vein isolation (PVI) is the cornerstone ablation strategy for treatment of atrial fibrillation (AF). Ablation outside the PVs is sometimes needed particularly in persistent or longstanding AF. This study reported left atrial appendage isolation (LAAI) using cryoballoon (CB) focusing on technical ...

journal_title：Journal of cardiovascular electrophysiology

authors： Chen S,Schmidt B,Bordignon S,Perrotta L,Bologna F,Nagase T,Chun KRJ

更新日期：2019-02-01 00:00:00

abstract：INTRODUCTION:Rapid PV activity is critical in initiating and maintaining AF. The underlying substrate responsible for this remains uncertain. We sought to identify if patients with paroxysmal (PAF) and persistent atrial fibrillation (PeAF) have an abnormal substrate within the pulmonary veins (PVs). METHODS AND RESULT...

journal_title：Journal of cardiovascular electrophysiology

authors： Teh AW,Kistler PM,Lee G,Medi C,Heck PM,Spence S,Morton JB,Sanders P,Kalman JM

更新日期：2011-10-01 00:00:00

abstract：INTRODUCTION:Dynamic variations in electrophysiologic phenomena inherent to the Brugada syndrome may complicate therapy with implantable cardioverter defibrillators (ICDs). METHODS AND RESULTS:Between 1997 and 1999, 3 of 7 patients with Brugada syndrome (1 man and 2 women, mean age 42 years) received an ICD. During fo...

journal_title：Journal of cardiovascular electrophysiology

authors： Stix G,Bella PD,Carbucicchio C,Schmidinger H

更新日期：2000-05-01 00:00:00

abstract：INTRODUCTION:This study was designed to analyze dynamic changes in autonomic tone preceding the onset of sustained atrial arrhythmias in patients with focal atrial fibrillation (AF) to determine why patients with frequent discharge from the arrhythmogenic foci develop sustained AF. METHODS AND RESULTS:Holter tapes fro...

journal_title：Journal of cardiovascular electrophysiology

authors： Zimmermann M,Kalusche D

更新日期：2001-03-01 00:00:00

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

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