Pleomorphic ventricular tachycardia with antegrade His-bundle activation: elucidation by multiple His-bundle recordings.

Abstract:

:The use of multiple His bundle-right bundle branch recordings in electrophysiologic studies has facilitated definition of the mechanism and elucidation of the direction of impulse propagation in bundle branch reentrant tachycardia, "Mahaim" fiber reciprocating tachycardia, and retrograde His depolarization in fascicular or ventricular tachycardias. This report details the electrophysiologic evaluation of pleomorphic ventricular tachycardia in a patient with advanced coronary heart disease. The ventricular tachycardia at baseline revealed variation in the QRS duration without alteration of the electrocardiographic (ECG) morphology. Following flecainide administration, a ventricular tachycardia with close resemblance of the ECG morphology to sinus rhythm was induced. Proximal and distal His-bundle recordings revealed early antegrade His-bundle activation during this tachycardia. Programmed stimulation converted this tachycardia back to the clinical ventricular tachycardia with intermittent narrowing of the QRS complexes. Early His activation was evident only during the narrower complexes but not in the tachycardia beats with wide complex. Penetration of the His bundle by ventricular tachycardia, with resultant fusion from intramyocardial ventricular activation and His-Purkinje activation, could have accounted for the near normalization of the QRS morphology during the ventricular tachycardia.

authors

Tai YT,Lee KL

doi

10.1111/j.1540-8167.1994.tb01172.x

subject

Has Abstract

pub_date

1994-04-01 00:00:00

pages

350-5

issue

4

eissn

1045-3873

issn

1540-8167

journal_volume

5

pub_type

杂志文章
  • Pace-termination and pacing for prevention of atrial tachyarrhythmias: results from a multicenter study with an implantable device for atrial therapy.

    abstract:INTRODUCTION:Patients with bradycardia requiring permanent pacing frequently suffer from additional atrial tachyarrhythmias (ATs). This study evaluated the safety and efficacy of atrial antitachycardia pacing (ATP) and the performance of pacing for AT prevention implemented into a new pacemaker. METHODS AND RESULTS:In...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1046/j.1540-8167.2001.01121.x

    authors: Israel CW,Hügl B,Unterberg C,Lawo T,Kennis I,Hettrick D,Hohnloser SH,AT500 Verification Study Investigators.

    更新日期:2001-10-01 00:00:00

  • Esophageal endoscopy results after pulmonary vein isolation using the single big cryoballoon technique.

    abstract:INTRODUCTION:Reversible esophageal thermal lesions after cryoballoon pulmonary vein isolation (CB-PVI) have been reported when using variable balloon sizes. The aim of this study was to investigate (1) the incidence of esophageal thermal lesions, and (2) esophageal temperature changes associated with CB-PVI using the s...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2010.01739.x

    authors: Fürnkranz A,Chun KR,Metzner A,Nuyens D,Schmidt B,Burchard A,Tilz R,Ouyang F,Kuck KH

    更新日期:2010-08-01 00:00:00

  • Allergic reaction to suture material after an ICD procedure: device infection mimicry.

    abstract::When an implanted device is infected, complete explantation of the device system, including lead extraction, is usually required. Superficial problems with wound healing may be managed more conservatively, but distinguishing between a surface process and deeper infection can pose a clinical challenge. We present a cas...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2011.02224.x

    authors: Tschabrunn CM,Rosenbach M,Lavi N,Cooper JM

    更新日期:2012-03-01 00:00:00

  • Approach to catheter ablation of left atrial flutters.

    abstract::Left atrial tachycardias (ATs) most commonly occur after catheter or surgical ablation of atrial fibrillation and in patients with atrial myopathies. Pre-existing scar in the left atrium (LA) can result in complex circuits, sometimes with narrow channels that can be detected with high-resolution mapping. The most comm...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,评审

    doi:10.1111/jce.14209

    authors: Markowitz SM,Thomas G,Liu CF,Cheung JW,Ip JE,Lerman BB

    更新日期:2019-12-01 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

  • Rhodiola Inhibits Atrial Arrhythmogenesis in a Heart Failure Model.

    abstract:INTRODUCTION:Rhodiola, a popular plant in Tibet, has been proven to decrease arrhythmia. The aim of this study was to elucidate the molecular mechanism and electrophysiological properties of rhodiola in the suppression of atrial fibrillation. METHODS:This study consisted of 3 groups as follows: Group 1: normal control...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13026

    authors: Liu SH,Hsiao YW,Chong E,Singhal R,Fong MC,Tsai YN,Hsu CP,Chen YC,Chen YJ,Chiou CW,Chiang SJ,Chang SL,Chen SA

    更新日期:2016-09-01 00:00:00

  • Origin of heat-induced accelerated junctional rhythm.

    abstract:INTRODUCTION:The application of high-frequency current to the AV junctional area results in a temperature rise in the myocardium and may cause accelerated junctional rhythm (AJR). The aim of the study was to characterize heat-induced AJR in an in vitro animal model. METHODS AND RESULTS:Studies were performed in isolat...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1998.tb00946.x

    authors: Thibault B,de Bakker JM,Hocini M,Loh P,Wittkampf FH,Janse MJ

    更新日期:1998-06-01 00:00:00

  • Electrophysiologic effects of the new class III antiarrhythmic drug dofetilide compared to the class IA antiarrhythmic drug quinidine in experimental canine atrial flutter: role of dispersion of refractoriness in antiarrhythmic efficacy.

    abstract:INTRODUCTION:Previous studies suggest that class III antiarrhythmic drugs are more effective in reentrant arrhythmias because they prolong refractoriness (ERP) and wavelength and reduce dispersion of refractoriness compared to Class IA antiarrhythmic drugs, which slow conduction velocity (CV) in addition to their effec...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1996.tb00594.x

    authors: Cha Y,Wales A,Wolf P,Shahrokni S,Sawhney N,Feld GK

    更新日期:1996-09-01 00:00:00

  • Autonomic elements within the ligament of Marshall and inferior left ganglionated plexus mediate functions of the atrial neural network.

    abstract:OBJECTIVES:We sought to systematically investigate the role of the ligament of Marshall (LOM) and inferior left ganglionated plexi (ILGP) in modulating electrophysiological functions. METHODS:The following structures were exposed in 36 dogs: (1) LOM, (2) superior left GP (SLGP) near the junction of left superior pulmo...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2008.01315.x

    authors: Lin J,Scherlag BJ,Niu G,Lu Z,Patterson E,Liu S,Lazzara R,Jackman WM,Po SS

    更新日期:2009-03-01 00:00:00

  • Sequential His bundle and left ventricular pacing for cardiac resynchronization.

    abstract:INTRODUCTION:Fusion of left ventricular pacing with intrinsic conduction provides superior resynchronization compared to biventricular pacing. His bundle pacing (HBP) preserves intrinsic conduction and allows for constant fusion with left ventricular pacing. This study evaluated sequential His bundle and left ventricul...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14674

    authors: Deshmukh A,Sattur S,Bechtol T,Heckman LIB,Prinzen FW,Deshmukh P

    更新日期:2020-09-01 00:00:00

  • Continuous rhythm monitoring-guided anticoagulation after atrial fibrillation ablation.

    abstract:INTRODUCTION:Oral anticoagulation (OAC) based on estimated stroke risk is recommended following catheter ablation (CA) of atrial fibrillation (AF), regardless of the extent of arrhythmia control. However, discontinuing OAC in selected patients may be safe. We sought to evaluate a strategy of OAC discontinuation followi...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14864

    authors: Pothineni NVK,Amankwah N,Santangeli P,Schaller RD,Supple GE,Deo R,Nazarian S,Garcia FC,Dixit S,Callans DJ,Marchlinski FE,Frankel DS

    更新日期:2020-12-31 00:00:00

  • Biphasic waveform defibrillation using a three-electrode transvenous lead system in humans.

    abstract:INTRODUCTION:Biphasic waveform defibrillation is not always more efficacious than monophasic waveform defibrillation. METHODS AND RESULTS:Waveform efficacy appears to vary with the lead system used. In this prospective, randomized study, defibrillation efficacy with biphasic and monophasic single capacitor 120-microF,...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1540-8167.1994.tb01149.x

    authors: Marks ML,Johnson G,Hofer BO,Bardy GH

    更新日期:1994-02-01 00:00:00

  • In vivo effects of mutant HERG K+ channel inhibition by disopyramide in patients with a short QT-1 syndrome: a pilot study.

    abstract:INTRODUCTION:Quinidine has been evaluated in patients with a short QT-1 syndrome caused by an IKr gain-of-function mutation of HERG. Recently, in vitro data with disopyramide showed an even stronger effect on the N588K mutant current. The aim of the present study was to test the in vivo effects of disopyramide in patie...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2007.00925.x

    authors: Schimpf R,Veltmann C,Giustetto C,Gaita F,Borggrefe M,Wolpert C

    更新日期:2007-11-01 00:00:00

  • Long term performance and safety of His bundle pacing: A multicenter experience.

    abstract:INTRODUCTION:Several single-center short-term studies have demonstrated the feasibility, safety, and positive clinical outcomes of permanent His bundle pacing (HBP). We performed a retrospective study to evaluate long-term technical and safety performances of HBP in a large population of pacemaker patients from two dif...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jce.14063

    authors: Zanon F,Abdelrahman M,Marcantoni L,Naperkowski A,Subzposh FA,Pastore G,Baracca E,Boaretto G,Raffagnato P,Tiribello A,Dandamudi G,Vijayaraman P

    更新日期:2019-09-01 00:00:00

  • Biophysical Modeling Predicts Ventricular Tachycardia Inducibility and Circuit Morphology: A Combined Clinical Validation and Computer Modeling Approach.

    abstract:INTRODUCTION:Computational modeling of cardiac arrhythmogenesis and arrhythmia maintenance has made a significant contribution to the understanding of the underlying mechanisms of arrhythmia. We hypothesized that a cardiac model using personalized electro-anatomical parameters could define the underlying ventricular ta...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12991

    authors: Chen Z,Cabrera-Lozoya R,Relan J,Sohal M,Shetty A,Karim R,Delingette H,Gill J,Rhode K,Ayache N,Taggart P,Rinaldi CA,Sermesant M,Razavi R

    更新日期:2016-07-01 00:00:00

  • Mapping the critical diastolic pathway in intra-atrial reentrant tachycardia using an automated voltage mapping program.

    abstract::This case report demonstrates the use of an automated voltage mapping algorithm to facilitate the rapid mapping of the low-voltage zone and isolate the critical diastolic pathway of an intra-atrial reentrant tachycardia circuit. Catheter ablation targeted to this pathway successfully terminated the arrhythmia. ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2006.00422.x

    authors: Kaltman JR,Schultz JR,Wieand TS,Tanel RE,Vetter VL,Shah MJ

    更新日期:2006-07-01 00:00:00

  • Predictors of freedom from atrial arrhythmia recurrence after cryoballoon ablation for persistent atrial fibrillation: A multicenter study.

    abstract:AIMS:We sought to assess (1) clinical outcomes of second-generation cryoballoon (CB) ablation for persistent atrial fibrillation (AF), and (2) the association of baseline and procedural covariates with atrial arrhythmia recurrence (AAR) after ablation. METHODS:A total of 135 patients (63 ± 11 years, 96 men [71%]) with...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章,多中心研究

    doi:10.1111/jce.14023

    authors: Reissmann B,Plenge T,Heeger CH,Schlüter M,Wohlmuth P,Fink T,Rottner L,Tilz RR,Mathew S,Lemeš C,Maurer T,Lüker J,Sultan A,Bellmann B,Goldmann B,Ouyang F,Kuck KH,Metzner A,Steven D,Rillig A

    更新日期:2019-09-01 00:00:00

  • Two versus one repeat freeze-thaw cycle(s) after cryoballoon pulmonary vein isolation: the alster extra pilot study.

    abstract:BACKGROUND:Repeated freezing (bonus applications) during cryoballoon pulmonary vein isolation (PVI) has been suggested to improve lesion durability. However, the long-term clinical effects of repeated freezing have not been investigated. METHODS AND RESULTS:A total of 51 patients (pts) with paroxysmal atrial fibrillat...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2012.02315.x

    authors: Chun KR,Fürnkranz A,Köster I,Metzner A,Tönnis T,Wohlmuth P,Wissner E,Schmidt B,Ouyang F,Kuck KH

    更新日期:2012-08-01 00:00:00

  • Compatibility of electroanatomical mapping systems with a concurrent percutaneous axial flow ventricular assist device.

    abstract:BACKGROUND:Hemodynamic instability hinders activation and entrainment mapping during ventricular tachycardia ablation. The Impella 2.5 microaxial flow device (MFD; Abiomed Inc., Danvers, MA, USA) is used to prevent hemodynamic instability during electrophysiologic study. However, electromagnetic interference (EMI) gene...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.12437

    authors: Vaidya VR,Desimone CV,Madhavan M,Noheria A,Shahid M,Walters J,Ladewig DJ,Mikell SB,Johnson SB,Suddendorf SH,Asirvatham SJ

    更新日期:2014-07-01 00:00:00

  • Identification of critical isthmus using coherent mapping in patients with scar-related atrial tachycardia.

    abstract:INTRODUCTION:Accurate identification of slow conducting regions in patients with scar-related atrial tachycardia (AT) is difficult using conventional electrogram annotation for cardiac electroanatomic mapping (EAM). Estimating delays between neighboring mapping sites is a potential option for activation map computation...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14457

    authors: Vicera JJB,Lin YJ,Lee PT,Chang SL,Lo LW,Hu YF,Chung FP,Lin CY,Chang TY,Tuan TC,Chao TF,Liao JN,Wu CI,Liu CM,Lin CH,Chuang CM,Chen CC,Chin CG,Liu SH,Cheng WH,Tai LP,Huang SH,Chou CY,Lugtu I,Liu CH,Chen SA

    更新日期:2020-06-01 00:00:00

  • Outcome of non-vitamin K oral anticoagulants in the treatment of left atrial/left atrial appendage thrombus in patients with nonvalvular atrial fibrillation.

    abstract:BACKGROUND:Data comparing dabigatran with rivaroxaban regarding the resolution of left atrial/left atrial appendage (LA/LAA) thrombus in patients with nonvalvular atrial fibrillation (AF) are scarce. This study aimed to compare the efficacy and safety of dabigatran vs rivaroxaban regarding the resolution of LA/LAA thro...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.14365

    authors: Lin C,Quan J,Bao Y,Hua W,Ke M,Zhang N,Jin Q,Xie Y,Wei Y,Ling T,Pan W,Wu L,Xie Y

    更新日期:2020-03-01 00:00:00

  • Three-dimensional electromagnetic catheter technology: electroanatomical mapping of the right atrium and ablation of ectopic atrial tachycardia.

    abstract:INTRODUCTION:The difficult catheter orientation and navigation associated with conventional technology and mono-/multiplane fluoroscopy may complicate ablation procedures of atrial tachycardias. A new three-dimensional catheter technology for electroanatomical mapping of the right atrium and ablation of ectopic atrial ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.1997.tb01029.x

    authors: Kottkamp H,Hindricks G,Breithardt G,Borggrefe M

    更新日期:1997-12-01 00:00:00

  • Thinking inside the box: Custom pacemaker improves device longevity in a congenital heart patient.

    abstract::Patients with congenital heart disease have unique pacing challenges and often require epicardial systems. High pacing threshold is one of the major factors that decrease these systems' durability. Sometimes surgical reintervention or lead replacement is difficult or prohibitive in these patients due to repeated surge...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type:

    doi:10.1111/jce.14603

    authors: Von Wald L,Brucker R,Salerno S,Ries A,Roukoz H

    更新日期:2020-08-01 00:00:00

  • Real-world data on the lifespan of implantable cardioverter-defibrillators depending on manufacturers and the amount of ventricular pacing.

    abstract:INTRODUCTION:Implantable cardioverter-defibrillator (ICD) longevity is crucial for both patients and public health systems because it determines the number of surgical ICD replacements, which can generally be considered an additional risk factor for complications, and the cost-effectiveness of ICD therapy. Our objectiv...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2012.02408.x

    authors: Horlbeck FW,Mellert F,Kreuz J,Nickenig G,Schwab JO

    更新日期:2012-12-01 00:00:00

  • Cardiac implantable electronic device removal in patients with left ventricular assist device associated infections.

    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

    pub_type: 杂志文章

    doi:10.1111/jce.12461

    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

  • 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

  • Do atrial differences in endothelial damage, leukocyte and platelet activation, or tissue factor activity contribute to chamber-specific thrombogenic status in patients with atrial fibrillation?

    abstract:BACKGROUND:Thrombi form mainly in the left rather than the right atria of patients with atrial fibrillation (AF), the reason of this predilection being unknown. OBJECTIVE:The purpose of this study was to investigate whether atrial-specific differences in endothelial damage, leukocyte activation, platelet stimulation, ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 临床试验,杂志文章

    doi:10.1111/jce.12312

    authors: Jesel L,Arentz T,Herrera-Siklody C,Trenk D,Zobairi F,Abbas M,Weber R,Minners J,Toti F,Morel O

    更新日期:2014-03-01 00:00:00

  • When Ventricular Safety Standby Does Not Work.

    abstract::Dual chamber pacemakers have inbuilt advanced safety systems such as ventricular safety standby (crosstalk detection) to prevent ventricular oversensing resulting in inappropriate pacing inhibition. We describe a case where this safety mechanism does not reliably work and the management required to rectify the situati...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/jce.13162

    authors: Haldar SK,Steed B,Watkins S,Nair K

    更新日期:2017-05-01 00:00:00

  • Validation of ECG indices of ventricular repolarization heterogeneity: a computer simulation study.

    abstract:INTRODUCTION:Repolarization heterogeneity (RH) is functionally linked to dispersion in refractoriness and to arrhythmogenicity. In the current study, we validate several proposed electrocardiogram (ECG) indices for RH: T-wave amplitude, -area, -complexity, and -symmetry ratio, QT dispersion, and the Tapex-end interval ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2005.40758.x

    authors: Van Huysduynen BH,Swenne CA,Draisma HH,Antoni ML,Van De Vooren H,Van Der Wall EE,Schalij MJ

    更新日期:2005-10-01 00:00:00

  • Ablation catheter entrapment by chordae tendineae in the mitral valve during ventricular tachycardia ablation.

    abstract::We report on the entrapment of an ablation catheter by chordae tendineae in the mitral valve during radiofrequency (RF) ablation of ventricular tachycardia. The entrapped tip had to be removed via open surgery. Great care must be taken when performing radiofrequency ablation around the mitral valve apparatus. ...

    journal_title:Journal of cardiovascular electrophysiology

    pub_type: 杂志文章

    doi:10.1111/j.1540-8167.2011.02206.x

    authors: Kim KH,Choi KJ,Kim SH,Nam GB,Kim YH

    更新日期:2012-02-01 00:00:00