Reciprocating tachycardia using bilateral anomalous pathways: electrophysiologic and clinical implications.

Abstract:

:A patient who had disabling supraventricular tachycardia showed electrophysiologic evidence of coexistent right and left Kent bundles. The supraventricular tachycardia was accelerated by sequential antegrade and retrograde conduction over the right and left Kent bundles, respectively. Spontaneous blocking of the conduction through the right Kent bundle was associated with a slowing of the tachycardia and with the appearance of right bundle branch block (RBBB). Antegrade conduction was through the left bundle branch and was followed by an early retrograde atrial activation through the left Kent bundle, with consequent shortening of the ventriculoatrial (VA) interval. Thus, the coexistence of bilateral Kent bundles can be suspected whenever shortening of the VA interval in external electrocardiographic recordings occurs in the presence of a tachycardia with a RBBB pattern in a patient with right-sided preexcitation. Our data also showed that bilateral accessory pathways may have different electrophysiologic properties and that unequal response to antiarrhythmic drugs may be expected.

journal_name

Circulation

journal_title

Circulation

authors

Cinca J,Valle V,Gutierrez L,Figueras J,Rius J

doi

10.1161/01.cir.62.3.657

subject

Has Abstract

pub_date

1980-09-01 00:00:00

pages

657-61

issue

3

eissn

0009-7322

issn

1524-4539

journal_volume

62

pub_type

杂志文章
  • From stem cells to viable autologous semilunar heart valve.

    abstract:BACKGROUND:An estimated 275,000 patients undergo heart valve replacement each year. However, existing solutions for valve replacement are complicated by the morbidity associated with lifelong anticoagulation of mechanical valves and the limited durability of bioprostheses. Recent advances in tissue engineering and our ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.498378

    authors: Sutherland FW,Perry TE,Yu Y,Sherwood MC,Rabkin E,Masuda Y,Garcia GA,McLellan DL,Engelmayr GC Jr,Sacks MS,Schoen FJ,Mayer JE Jr

    更新日期:2005-05-31 00:00:00

  • Chest compression rates during cardiopulmonary resuscitation are suboptimal: a prospective study during in-hospital cardiac arrest.

    abstract:BACKGROUND:Recent data highlight a vital link between well-performed cardiopulmonary resuscitation (CPR) and survival after cardiac arrest; however, the quality of CPR as actually performed by trained healthcare providers is largely unknown. We sought to measure in-hospital chest compression rates and to determine comp...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/01.CIR.0000153811.84257.59

    authors: Abella BS,Sandbo N,Vassilatos P,Alvarado JP,O'Hearn N,Wigder HN,Hoffman P,Tynus K,Vanden Hoek TL,Becker LB

    更新日期:2005-02-01 00:00:00

  • Plasma retinol-binding protein 4 (RBP4) levels and risk of coronary heart disease: a prospective analysis among women in the nurses' health study.

    abstract:BACKGROUND:Retinol-binding protein 4 (RBP4) may play an important role in the origin of insulin resistance and metabolic syndrome. Few prospective data are available on the relationship between RBP4 and coronary heart disease (CHD). Furthermore, previous studies did not distinguish among full-length and truncated forms...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.113.002073

    authors: Sun Q,Kiernan UA,Shi L,Phillips DA,Kahn BB,Hu FB,Manson JE,Albert CM,Rexrode KM

    更新日期:2013-05-14 00:00:00

  • Iron-load increases the susceptibility of rat hearts to oxygen reperfusion damage. Protection by the antioxidant (+)-cyanidanol-3 and deferoxamine.

    abstract::To investigate whether iron is involved in the reperfusion syndrome by aggravating free radical injury, the hearts from iron-loaded and control rats were perfused under normoxic, anoxic, and reperfusion conditions. Normoxic perfusion revealed no change in coronary flow, contractility, or lactate dehydrogenase (LDH) re...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.78.2.442

    authors: van der Kraaij AM,Mostert LJ,van Eijk HG,Koster JF

    更新日期:1988-08-01 00:00:00

  • Inherited Thoracic Aortic Disease: New Insights and Translational Targets.

    abstract::Inherited thoracic aortopathies denote a group of congenital conditions that predispose to disease of the thoracic aorta. Aortic wall weakness and abnormal aortic hemodynamic profiles predispose these patients to dilatation of the thoracic aorta, which is generally silent but can precipitate aortic dissection or ruptu...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.119.043756

    authors: Fletcher AJ,Syed MBJ,Aitman TJ,Newby DE,Walker NL

    更新日期:2020-05-12 00:00:00

  • Mechanism of acceleration of functional reentry in the ventricle: effects of ATP-sensitive potassium channel opener.

    abstract:BACKGROUND:The effect of effective refractory period (ERP) shortening on the vulnerability and characteristics of induced functional reentry in the ventricle remain poorly defined. We hypothesized that ERP shortening increases ventricular vulnerability to reentry and accelerates its rate, as is the case in the atrium. ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.99.5.704

    authors: Uchida T,Yashima M,Gotoh M,Qu Z,Garfinkel A,Weiss JN,Fishbein MC,Mandel WJ,Chen PS,Karagueuzian HS

    更新日期:1999-02-09 00:00:00

  • Biventricular circulatory support with two miniaturized implantable assist devices.

    abstract:BACKGROUND:Up to 30% of patients with end-stage heart failure experience biventricular failure that requires biventricular mechanical support. For these patients, only bulky extracorporeal or implantable displacement pumps or the total artificial heart have been available to date, which enables only limited quality of ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.110.011502

    authors: Krabatsch T,Potapov E,Stepanenko A,Schweiger M,Kukucka M,Huebler M,Hennig E,Hetzer R

    更新日期:2011-09-13 00:00:00

  • The tricuspid valve: current perspective and evolving management of tricuspid regurgitation.

    abstract::Cardiovascular specialists have entered an era of renewed interest and enthusiasm surrounding the diagnosis and treatment of valvular heart disease, driven in part by emerging percutaneous therapies for the treatment of aortic, pulmonic, and mitral valve disease. Despite this wave of investigation, little or no attent...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/CIRCULATIONAHA.108.842773

    authors: Rogers JH,Bolling SF

    更新日期:2009-05-26 00:00:00

  • Differential effects of the cyclin-dependent kinase inhibitors p27(Kip1), p21(Cip1), and p16(Ink4) on vascular smooth muscle cell proliferation.

    abstract:BACKGROUND:The cyclin-dependent kinase inhibitors (CKIs) have different patterns of expression in vascular diseases. The Kip/Cip CKIs, p27(Kip1) and p21(Cip1), are upregulated during arterial repair and negatively regulate the growth of vascular smooth muscle cells (VSMCs). In contrast, the Ink CKI, p16(Ink4), is not e...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.17.2022

    authors: Tanner FC,Boehm M,Akyürek LM,San H,Yang ZY,Tashiro J,Nabel GJ,Nabel EG

    更新日期:2000-05-02 00:00:00

  • Angiotensin II increases plasminogen activator inhibitor type 1 and tissue-type plasminogen activator messenger RNA in cultured rat aortic smooth muscle cells.

    abstract:BACKGROUND:The role of angiotensin as a vasoconstrictor is well established. Lately, several other actions of this hormone on vascular smooth muscle (VSM) cells have been recognized including the induction of hypertrophy and/or DNA synthesis. Platelet-derived growth factor (PDGF), a mitogen recently shown to increase p...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.90.1.362

    authors: van Leeuwen RT,Kol A,Andreotti F,Kluft C,Maseri A,Sperti G

    更新日期:1994-07-01 00:00:00

  • Preoperative identification of patients likely to have left ventricular dysfunction after aortic valve replacement. Participants in the Veterans Administration Cooperative Study on Valvular Heart Disease.

    abstract::The purpose of this study was to identify preoperative and intraoperative variables predictive of left ventricular dysfunction 6 months after aortic valve replacement. Patients were considered to have postoperative left ventricular dysfunction if the end-diastolic-volume index was greater than or equal to 101 ml/m2 or...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Hwang MH,Hammermeister KE,Oprian C,Henderson W,Bousvaros G,Wong M,Miller DC,Folland E,Sethi G

    更新日期:1989-09-01 00:00:00

  • Mildly oxidized LDL induces activation of platelet-derived growth factor beta-receptor pathway.

    abstract:BACKGROUND:Mildly oxidized LDL (moxLDL) is thought to play a role in atherogenesis. MoxLDL induces derivatization of cell proteins and triggers a variety of intracellular signaling. We aimed to investigate whether moxLDL-induced protein derivatization may influence the activity of platelet-derived growth factor recepto...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc4001.097179

    authors: Escargueil-Blanc I,Salvayre R,Vacaresse N,Jürgens G,Darblade B,Arnal JF,Parthasarathy S,Nègre-Salvayre A

    更新日期:2001-10-09 00:00:00

  • Importance of endogenous adenosine during ischemia and reperfusion in neonatal porcine hearts.

    abstract:BACKGROUND:Adenosine has several potentially cardioprotective effects. We hypothesized that the effects of endogenous adenosine vary with degree of ischemia and that elevating endogenous levels is protective. METHODS AND RESULTS:Isolated blood-perfused piglet hearts underwent 120 minutes of low-flow ischemia (10% flow...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.9.3094

    authors: Sommerschild HT,Grund F,Offstad J,Jynge P,Ilebekk A,Kirkebøen KA

    更新日期:1997-11-04 00:00:00

  • Vitamin C improves endothelial function of conduit arteries in patients with chronic heart failure.

    abstract:BACKGROUND:Chronic heart failure (CHF) is associated with endothelial dysfunction including impaired endothelium-mediated, flow-dependent dilation (FDD). There is evidence for increased radical formation in CHF, raising the possibility that nitric oxide is inactivated by radicals, thereby impairing endothelial function...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.97.4.363

    authors: Hornig B,Arakawa N,Kohler C,Drexler H

    更新日期:1998-02-03 00:00:00

  • Overexpression of eotaxin and the CCR3 receptor in human atherosclerosis: using genomic technology to identify a potential novel pathway of vascular inflammation.

    abstract:BACKGROUND:Unstable atherosclerotic lesions typically have an abundant inflammatory cell infiltrate, including activated T cells, macrophages, and mast cells, which may decrease plaque stability. The pathophysiology of inflammatory cell recruitment and activation in the human atheroma is incompletely described. METHOD...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.102.18.2185

    authors: Haley KJ,Lilly CM,Yang JH,Feng Y,Kennedy SP,Turi TG,Thompson JF,Sukhova GH,Libby P,Lee RT

    更新日期:2000-10-31 00:00:00

  • Discrimination of nonobstructive hypertrophic cardiomyopathy from hypertensive left ventricular hypertrophy on the basis of strain rate imaging by tissue Doppler ultrasonography.

    abstract:BACKGROUND:The differentiation of hypertrophic cardiomyopathy (HCM) from hypertensive left ventricular hypertrophy (H-LVH) on the basis of morphological information obtained by conventional echocardiography is occasionally problematic. We investigated whether strain rate (SR) imaging derived from tissue Doppler imaging...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000150334.69355.00

    authors: Kato TS,Noda A,Izawa H,Yamada A,Obata K,Nagata K,Iwase M,Murohara T,Yokota M

    更新日期:2004-12-21 00:00:00

  • Abnormal systolic intraventricular flow velocities after valve replacement for aortic stenosis. Mechanisms, predictive factors, and prognostic significance.

    abstract:BACKGROUND:Dynamic intraventricular flow velocities after valve replacement for aortic stenosis have been associated with high in-hospital morbidity and mortality. The aims of the present study were to determine the mechanisms and preoperative predictors of abnormal flow velocity (AFV) after valve replacement for aorti...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.93.4.712

    authors: Bartunek J,Sys SU,Rodrigues AC,van Schuerbeeck E,Mortier L,de Bruyne B

    更新日期:1996-02-15 00:00:00

  • Outcomes of Transcatheter Aortic Valve Replacement in Patients With Bicuspid Aortic Valve Disease: A Report From the Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry.

    abstract:BACKGROUND:Patients with bicuspid aortic valve (AV) stenosis were excluded from the pivotal evaluations of transcatheter AV replacement (TAVR) devices. We sought to evaluate the outcomes of TAVR in patients with bicuspid AV stenosis in comparison with those with tricuspid AV stenosis. METHODS:We used data from the Soc...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.119.040333

    authors: Halim SA,Edwards FH,Dai D,Li Z,Mack MJ,Holmes DR,Tuzcu EM,Thourani VH,Harrison JK,Brennan JM

    更新日期:2020-03-31 00:00:00

  • The United States preventive services task force recommendation statement on screening for peripheral arterial disease: more harm than benefit?

    abstract::Under the auspices of the Agency for Healthcare Research and Quality, the United States Preventive Services Task Force (USPSTF) recently released an update to its 1996 Peripheral Arterial Disease (PAD) Screening Recommendation Statement. The USPSTF recommended against PAD screening, giving the practice a "D" level rec...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.607846

    authors: Beckman JA,Jaff MR,Creager MA

    更新日期:2006-08-22 00:00:00

  • Local perivascular delivery of basic fibroblast growth factor in patients undergoing coronary bypass surgery: results of a phase I randomized, double-blind, placebo-controlled trial.

    abstract:BACKGROUND:Angiogenesis is a promising treatment strategy for patients who are not candidates for standard revascularization, because it promotes the growth of new blood vessels in ischemic myocardium. METHODS AND RESULTS:We conducted a randomized, double-blind, placebo-controlled study of basic fibroblast growth fact...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/01.cir.100.18.1865

    authors: Laham RJ,Sellke FW,Edelman ER,Pearlman JD,Ware JA,Brown DL,Gold JP,Simons M

    更新日期:1999-11-02 00:00:00

  • Clinical and Genetic Determinants of Varicose Veins.

    abstract:BACKGROUND:Varicose veins are a common problem with no approved medical therapies. Although it is believed that varicose vein pathogenesis is multifactorial, there is limited understanding of the genetic and environmental factors that contribute to their formation. Large-scale studies of risk factors for varicose veins...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.118.035584

    authors: Fukaya E,Flores AM,Lindholm D,Gustafsson S,Zanetti D,Ingelsson E,Leeper NJ

    更新日期:2018-12-18 00:00:00

  • Phased chest and abdominal compression-decompression versus conventional cardiopulmonary resuscitation in out-of-hospital cardiac arrest.

    abstract:BACKGROUND:Several methods have been developed to improve the efficacy of mechanical resuscitation, because organ perfusion achieved with conventional manual resuscitation is often insufficient. In animal studies, phased chest and abdominal compression-decompression resuscitation by use of the Lifestick device has resu...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1161/hc3101.093905

    authors: Arntz HR,Agrawal R,Richter H,Schmidt S,Rescheleit T,Menges M,Burbach H,Schröder J,Schultheiss HP

    更新日期:2001-08-14 00:00:00

  • Body iron stores and the risk of carotid atherosclerosis: prospective results from the Bruneck study.

    abstract:BACKGROUND:Fe2+ released from tissue iron stores may accelerate lipid peroxidation by virtue of its pro-oxidant properties and thus promote early atherogenesis. METHODS AND RESULTS:The present prospective survey addresses the potential association between serum ferritin concentrations and the 5-year progression of car...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.10.3300

    authors: Kiechl S,Willeit J,Egger G,Poewe W,Oberhollenzer F

    更新日期:1997-11-18 00:00:00

  • Operator-independent isotropic three-dimensional magnetic resonance imaging for morphology in congenital heart disease: a validation study.

    abstract:BACKGROUND:Operator-independent isotropic 3D MRI may greatly simplify the assessment of complex morphology in congenital heart disease. We sought to evaluate the reliability of this new approach. METHODS AND RESULTS:In 31 adolescent and adult patients (age, 6 to 42 years; median, 16 years) with congenital heart diseas...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000134282.35183.AD

    authors: Sørensen TS,Körperich H,Greil GF,Eichhorn J,Barth P,Meyer H,Pedersen EM,Beerbaum P

    更新日期:2004-07-13 00:00:00

  • Thrombolytic therapy causes an increase in vascular permeability that is reversed by 1-deamino-8-D-vasopressin.

    abstract:BACKGROUND:To examine the effect of plasminogen activator therapy on vascular permeability, we used a modified rabbit mesenteric model of extravascular tissue accumulation of radiolabeled albumin. METHODS AND RESULTS:Albumin deposition was measured after saline, tissue-type plasminogen activator (t-PA; 0.86 mg/kg for ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.84.6.2568

    authors: Rudd MA,Johnstone MT,Rabbani LE,George D,Ware JA,Loscalzo J

    更新日期:1991-12-01 00:00:00

  • Myofilament calcium regulation in human myocardium.

    abstract:BACKGROUND:We investigated whether decreased myofilament calcium contractile activation may, in part, contribute to heart failure. METHODS AND RESULTS:Calcium concentration required for 50% activation and Hill coefficient for fibers from nonfailing and failing human hearts at pH 7.1 were not different. Maximum calcium...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.14.1679

    authors: Hajjar RJ,Schwinger RH,Schmidt U,Kim CS,Lebeche D,Doye AA,Gwathmey JK

    更新日期:2000-04-11 00:00:00

  • Expression of the chemokine receptor CXCR3 and its ligand IP-10 during human cardiac allograft rejection.

    abstract:BACKGROUND:Chemokines play an essential role in regulating the infiltration of leukocytes into allografts in experimental models. Little is known of their expression or function after human cardiac transplantation. METHODS AND RESULTS:We analyzed 169 sequential human endomyocardial biopsies by immunocytochemistry for ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc4601.098010

    authors: Melter M,Exeni A,Reinders ME,Fang JC,McMahon G,Ganz P,Hancock WW,Briscoe DM

    更新日期:2001-11-20 00:00:00

  • Long-term prognostic value of dobutamine-atropine stress echocardiography in 1737 patients with known or suspected coronary artery disease: A single-center experience.

    abstract:BACKGROUND:The purpose of this study was to assess the long-term value of dobutamine-atropine stress echocardiography (DSE) for prediction of late cardiac events in patients with proven or suspected coronary artery disease. METHODS AND RESULTS:Clinical data and DSE results were analyzed in 1734 consecutive patients un...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.99.6.757

    authors: Poldermans D,Fioretti PM,Boersma E,Bax JJ,Thomson IR,Roelandt JR,Simoons ML

    更新日期:1999-02-16 00:00:00

  • Efferent vagal fibre stimulation blunts nuclear factor-kappaB activation and protects against hypovolemic hemorrhagic shock.

    abstract:BACKGROUND:We investigated whether electrical stimulation (STIM) of efferent vagus nerves may suppress nuclear factor (NF)-kappaB activation and the inflammatory cascade in hemorrhagic (Hem) shock. METHODS AND RESULTS:Rats were subjected to bilateral cervical vagotomy (VGX) or sham surgical procedures. Hem shock was i...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000050627.90734.ed

    authors: Guarini S,Altavilla D,Cainazzo MM,Giuliani D,Bigiani A,Marini H,Squadrito G,Minutoli L,Bertolini A,Marini R,Adamo EB,Venuti FS,Squadrito F

    更新日期:2003-03-04 00:00:00

  • The association between urinary sodium excretion and blood pressure in children.

    abstract::This study explored the association between sodium excretion and blood pressure (BP). A new method was used to minimize the measurement error introduced by the large intrinsic variability of 24-hour sodium excretion. The ratio of intra- to interindividual variation was used to estimate the number of measurements neede...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.62.1.97

    authors: Cooper R,Soltero I,Liu K,Berkson D,Levinson S,Stamler J

    更新日期:1980-07-01 00:00:00