Abstract：
:Although successful operative treatment of atrial focal tachycardia has been reported in children, there are only isolated reports of surgical treatment of this arrhythmia in adults. In this case series of eight patients (aged 10 to 53 years) with drug-resistant right atrial focal tachycardia, results of electrophysiologic studies, surgical techniques and long-term follow-up are described. Atrial focal tachycardia was reproduced during electrophysiologic study, and endocardial mapping localized the earliest onset of atrial activation in the right atrium in all patients. Epicardial mapping confirmed the location of atrial tachycardia foci in seven of eight patients whose tachycardia was inducible intraoperatively. Of four patients treated with epicardial cryoablation alone, two had recurrent tachycardia and required a second procedure. None have had arrhythmia recurrence. In all four patients after right atrial excision (two of whom had intraoperative recurrence of atrial focal tachycardia after epicardial cryoablation alone), there has been no recurrence during a clinical follow-up period of 11 to 67 months (mean 30). It is concluded that in adult patients 1) electrophysiologic study with endocardial and epicardial mapping permits successful surgical treatment of atrial focal tachycardia; 2) epicardial cryoablation alone may be associated with recurrence of atrial focal tachycardia either intraoperatively or postoperatively; and 3) subtotal right atrial resection appears to be a well tolerated procedure with no long-term recurrence of atrial focal tachycardia.
journal_name
J Am Coll Cardioljournal_title
Journal of the American College of Cardiologyauthors
Seals AA,Lawrie GM,Magro S,Lin HT,Pacifico A,Roberts R,Wyndham CRdoi
10.1016/s0735-1097(98)90072-9subject
Has Abstractpub_date
1988-05-01 00:00:00pages
1111-7issue
5eissn
0735-1097issn
1558-3597pii
S0735-1097(98)90072-9journal_volume
11pub_type
杂志文章abstract：OBJECTIVES:The purpose of this study was to better understand the effects of long-term right ventricular pacing on left ventricular perfusion, innervation, function and histology. BACKGROUND:Long-term right ventricular apical pacing is associated with increased congestive heart failure and mortality compared with atri...
journal_title：Journal of the American College of Cardiology
pub_type： 杂志文章
doi：10.1016/0735-1097(94)90567-3
更新日期：1994-07-01 00:00:00
abstract：OBJECTIVES:We evaluated the effects of growth hormone (GH) on survival in experimental heart failure (HF). BACKGROUND:Growth hormone has been beneficial in various models of experimental HF. Whether GH also affects HF progression and survival is not known. METHODS:A total of 119 rats with moderate myocardial infarcti...
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pub_type： 杂志文章
doi：10.1016/s0735-1097(03)00483-2
更新日期：2003-06-18 00:00:00
abstract：BACKGROUND:Patients with familial hypercholesterolemia (FH) are characterized by elevated atherogenic lipoprotein particles, predominantly low-density lipoprotein cholesterol (LDL-C), which is associated with accelerated atherogenesis and increased cardiovascular risk. OBJECTIVES:This study used (18)F-fluorodeoxygluco...
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更新日期：2014-10-07 00:00:00
abstract：OBJECTIVES:This prospective, multicenter trial was aimed at defining efficacy and safety of low energy shocks during atrial fibrillation in a diverse cohort of patients. BACKGROUND:Experimental studies in sheep and preliminary data in humans have suggested that low energy internal shocks delivered between right atrial...
journal_title：Journal of the American College of Cardiology
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1016/s0735-1097(96)00583-9
更新日期：1997-03-15 00:00:00
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journal_title：Journal of the American College of Cardiology
pub_type： 杂志文章,评审
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更新日期：1990-07-01 00:00:00
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journal_title：Journal of the American College of Cardiology
pub_type： 杂志文章
doi：10.1016/s0735-1097(87)80195-x
更新日期：1987-09-01 00:00:00
abstract：OBJECTIVES:This study compared the efficacy and safety of two antitachycardia pacing algorithms in the treatment of ventricular tachycardia. BACKGROUND:There is agreement that antitachycardia pacing should be adapted to tachycardia rate and be delivered in a burst, but the ideal pacing pattern is not well understood. ...
journal_title：Journal of the American College of Cardiology
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1993-05-01 00:00:00
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journal_title：Journal of the American College of Cardiology
pub_type： 杂志文章
doi：10.1016/s0735-1097(88)80006-8
更新日期：1988-12-01 00:00:00
abstract：OBJECTIVES:Our aim was to clarify the anatomic substrate in hearts diagnosed as having tricuspid atresia by studying autopsy specimens and comparing the findings with those in two-dimensional echocardiograms. BACKGROUND:Traditionally, tricuspid atresia was thought, and is still believed by some, to be due to an imperf...
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更新日期：1995-09-01 00:00:00
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doi：10.1016/j.jacc.2019.09.041
更新日期：2019-11-26 00:00:00
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pub_type： 临床试验,杂志文章
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更新日期：1994-08-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/0735-1097(94)90026-4
更新日期：1994-09-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/0735-1097(94)00342-n
更新日期：1995-01-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/j.jacc.2018.10.050
更新日期：2019-01-08 00:00:00
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journal_title：Journal of the American College of Cardiology
pub_type： 杂志文章
doi：10.1016/s0735-1097(87)80152-3
更新日期：1987-07-01 00:00:00
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journal_title：Journal of the American College of Cardiology
pub_type： 杂志文章
doi：10.1016/0735-1097(91)90703-c
更新日期：1991-01-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/0735-1097(92)90386-2
更新日期：1992-11-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/s0735-1097(85)80256-4
更新日期：1985-07-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/s0735-1097(84)80323-x
更新日期：1984-07-01 00:00:00
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更新日期：2010-02-23 00:00:00
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更新日期：1998-03-01 00:00:00
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更新日期：1995-08-01 00:00:00
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更新日期：1996-04-01 00:00:00
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更新日期：2014-09-09 00:00:00
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journal_title：Journal of the American College of Cardiology
pub_type： 杂志文章
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更新日期：2004-11-02 00:00:00
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journal_title：Journal of the American College of Cardiology
pub_type： 杂志文章
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更新日期：1987-09-01 00:00:00
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更新日期：2012-07-10 00:00:00
abstract：OBJECTIVES:We sought to determine a generalized equation for predicting maximal heart rate (HRmax) in healthy adults. BACKGROUND:The age-predicted HRmax equation (i.e., 220 - age) is commonly used as a basis for prescribing exercise programs, as a criterion for achieving maximal exertion and as a clinical guide during...
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pub_type： 杂志文章,meta分析
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更新日期：2001-01-01 00:00:00
abstract：:With the emergence of new lipid risk markers and a growing cardiometabolic risk burden in the United States, there is a need to better integrate residual risk into cardiovascular disease (CVD) risk stratification. In anticipation of the Adult Treatment Panel IV (ATP IV) guidelines from the National Cholesterol Educati...
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pub_type： 杂志文章,评审
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更新日期：2011-07-26 00:00:00
abstract：OBJECTIVES:This research was undertaken to assess the status of the coronary wall morphology late after the arterial switch operation (ASO) for transposition of the great arteries employing intravascular ultrasound (IVUS). BACKGROUND:Long-term patency of the reimplanted coronary arteries is a key issue after ASO. Foll...
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doi：10.1016/j.jacc.2005.02.076
更新日期：2005-06-21 00:00:00
