A randomized, prospective comparison of anterior and posterior approaches to radiofrequency catheter ablation of atrioventricular nodal reentry tachycardia.

Abstract:

BACKGROUND:Two different techniques have been developed for radiofrequency catheter ablation of typical atrioventricular nodal reentry (AVNRT). Lesions made anteriorly near the apex of the triangle of Koch usually eliminate fast pathway function, whereas lesions made posteriorly near the ostium of the coronary sinus selectively affect slow pathway function. The current study compares the safety, efficacy, and electrophysiological effects of these two techniques in a prospective, randomized fashion. METHODS AND RESULTS:Fifty consecutive patients with typical AVNRT were randomly assigned to receive radiofrequency lesions either anteriorly (n = 22) or posteriorly (n = 28). If the initial approach failed to eliminate inducibility of AVNRT after 1 hour or 10 applications of radiofrequency energy, the alternative ablation technique was used. Patients underwent repeat electrophysiological testing 48 hours and 3 months after ablation. The primary success rates of the anterior and posterior techniques were similar (55% versus 68%, p = NS). All of the patients who failed the initial approach were successfully treated by the alternative technique without developing high-grade atrioventricular block. One patient developed right bundle branch block during an anterior lesion, and another patient developed complete atrioventricular block as the result of a posterior lesion. CONCLUSIONS:The posterior approach to radiofrequency catheter modification of the atrioventricular node is as effective as the anterior approach, and both techniques are associated with a low risk of complications. As long as AVNRT persists, it appears safe to cross over from one technique to the other.

journal_name

Circulation

journal_title

Circulation

authors

Langberg JJ,Leon A,Borganelli M,Kalbfleisch SJ,el-Atassi R,Calkins H,Morady F

doi

10.1161/01.cir.87.5.1551

subject

Has Abstract

pub_date

1993-05-01 00:00:00

pages

1551-6

issue

5

eissn

0009-7322

issn

1524-4539

journal_volume

87

pub_type

临床试验,杂志文章,随机对照试验
  • Plasma oxidized low-density lipoprotein, a strong predictor for acute coronary heart disease events in apparently healthy, middle-aged men from the general population.

    abstract:BACKGROUND:Oxidized LDL (oxLDL) is thought to play a key role in the inflammatory response in the arterial vessel wall. METHODS AND RESULTS:In a prospective, nested, case-control study, the association between plasma oxLDL and risk of an acute coronary heart disease (CHD) event was investigated in men without prevalen...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.104.529297

    authors: Meisinger C,Baumert J,Khuseyinova N,Loewel H,Koenig W

    更新日期:2005-08-02 00:00:00

  • Resistin promotes endothelial cell activation: further evidence of adipokine-endothelial interaction.

    abstract:BACKGROUND:Adipocyte-derived hormones may represent a mechanism linking insulin resistance to cardiovascular disease. In the present study, we evaluated the direct effects of resistin, a novel adipocyte-derived hormone, on endothelial activation. METHODS AND RESULTS:Endothelial cells (ECs) were incubated with human re...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000084503.91330.49

    authors: Verma S,Li SH,Wang CH,Fedak PW,Li RK,Weisel RD,Mickle DA

    更新日期:2003-08-12 00:00:00

  • Cytotoxin-associated gene-A--positive Helicobacter pylori strains are associated with atherosclerotic stroke.

    abstract:BACKGROUND:It is uncertain whether Helicobacter pylori is associated with ischemic syndromes and whether this association is mediated by the induction of atherosclerosis. In this study, we tested the hypothesis that atherosclerotic stroke shows a selective association with virulent H pylori strains. METHODS AND RESULT...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.0000023894.10871.2f

    authors: Pietroiusti A,Diomedi M,Silvestrini M,Cupini LM,Luzzi I,Gomez-Miguel MJ,Bergamaschi A,Magrini A,Carrabs T,Vellini M,Galante A

    更新日期:2002-07-30 00:00:00

  • Cardiac manifestations of malignant hyperthermia susceptibility.

    abstract::Malignant hyperthermia is a disease resulting from defective cellular membranes, usually presenting as drug-induced pyrexic crises. We describe four patients with life threatening ventricular arrhythmias or chest pain in the absence of pyrexic crises. Three presented with life threatening arrhythmias and the fourth wi...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.58.5.916

    authors: Huckell VF,Staniloff HM,Britt BA,Waxman MB,Morch JE

    更新日期:1978-11-01 00:00:00

  • Genetically defined therapy of inherited long-QT syndrome. Correction of abnormal repolarization by potassium.

    abstract:BACKGROUND:Many members of families with inherited long-QT (LQT) syndrome have mutations in HERG, a gene encoding a cardiac potassium channel that is modulated by extracellular potassium. We hypothesized that an increase in serum potassium would normalize repolarization in these patients. METHODS AND RESULTS:We studie...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.94.5.1018

    authors: Compton SJ,Lux RL,Ramsey MR,Strelich KR,Sanguinetti MC,Green LS,Keating MT,Mason JW

    更新日期:1996-09-01 00:00:00

  • Changing pattern of valve surgery.

    abstract:BACKGROUND:Advances in surgical technique and perioperative myocardial protection have reduced the risk of aortic and mitral valve surgery. Improved methods of valve repair have reduced the proportion of patients who require valve replacement. However, patients who require valve replacement often have advanced disease ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Rao V,Christakis GT,Weisel RD,Buth KJ,Ikonomidis JS,Shirai T,Cohen G,David TE

    更新日期:1996-11-01 00:00:00

  • Neutral endopeptidase is activated in cardiomyocytes in human aortic valve stenosis and heart failure.

    abstract:BACKGROUND:The regulation of the cardiac neutral endopeptidase (EC 24.10, NEP) that degrades bradykinin and natriuretic peptides has been investigated in human cardiac hypertrophy and heart failure. Methods and Results- NEP mRNA was quantitated by real-time polymerase chain reaction (PCR) in left ventricular biopsies f...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/hc0302.103593

    authors: Fielitz J,Dendorfer A,Pregla R,Ehler E,Zurbrügg HR,Bartunek J,Hetzer R,Regitz-Zagrosek V

    更新日期:2002-01-22 00:00:00

  • Humoral immune response during coronary artery bypass grafting: A comparison of limited approach, "off-pump" technique, and conventional cardiopulmonary bypass.

    abstract:BACKGROUND:The introduction of limited approaches to the heart and the avoidance of cardiopulmonary bypass (CPB) aim to reduce the invasiveness of CABG by decreasing the systemic release of inflammatory cytokines, such as tumor necrosis factor (TNF)-alpha, interleukin (IL)-6, and IL-8, as well as the anti-inflammatory ...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.102.suppl_3.iii-95

    authors: Diegeler A,Doll N,Rauch T,Haberer D,Walther T,Falk V,Gummert J,Autschbach R,Mohr FW

    更新日期:2000-11-07 00:00:00

  • Angiographic determination of arterial patency after percutaneous catheterization in infants and small children.

    abstract::Patency of the femoral artery of infants and children who previously had percutaneous arterial catheterization at a weight of less than 25 kg was studied angiographically. During the study period, 118 patients had repeat arterial catheterization. 48 from the opposite leg. Femoral artery occlusion was found in four pat...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.56.1.102

    authors: Hurwitz RA,Franken EA Jr,Girod DA,Smith JA,Smith WL

    更新日期:1977-07-01 00:00:00

  • High prevalence of respiratory ciliary dysfunction in congenital heart disease patients with heterotaxy.

    abstract:BACKGROUND:Patients with congenital heart disease (CHD) and heterotaxy show high postsurgical morbidity/mortality, with some developing respiratory complications. Although this finding is often attributed to the CHD, airway clearance and left-right patterning both require motile cilia function. Thus, airway ciliary dys...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.111.079780

    authors: Nakhleh N,Francis R,Giese RA,Tian X,Li Y,Zariwala MA,Yagi H,Khalifa O,Kureshi S,Chatterjee B,Sabol SL,Swisher M,Connelly PS,Daniels MP,Srinivasan A,Kuehl K,Kravitz N,Burns K,Sami I,Omran H,Barmada M,Olivier K,

    更新日期:2012-05-08 00:00:00

  • Exercise Training-Induced Repolarization Abnormalities Masquerading as Congenital Long QT Syndrome.

    abstract:BACKGROUND:The diagnosis of long QT syndrome (LQTS) is rather straightforward. We were surprised by realizing that, despite long-standing experience, we were making occasional diagnostic errors by considering as affected subjects who, over time, resulted as not affected. These individuals were all actively practicing s...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.120.048916

    authors: Dagradi F,Spazzolini C,Castelletti S,Pedrazzini M,Kotta MC,Crotti L,Schwartz PJ

    更新日期:2020-12-22 00:00:00

  • Very late coronary stent thrombosis of a newer-generation everolimus-eluting stent compared with early-generation drug-eluting stents: a prospective cohort study.

    abstract:BACKGROUND:Early-generation drug-eluting stents releasing sirolimus (SES) or paclitaxel (PES) are associated with increased risk of very late stent thrombosis occurring >1 year after stent implantation. It is unknown whether the risk of very late stent thrombosis persists with newer-generation everolimus-eluting stents...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究

    doi:10.1161/CIRCULATIONAHA.111.058560

    authors: Räber L,Magro M,Stefanini GG,Kalesan B,van Domburg RT,Onuma Y,Wenaweser P,Daemen J,Meier B,Jüni P,Serruys PW,Windecker S

    更新日期:2012-03-06 00:00:00

  • The prognostic implications of acute myocardial infarct scintigraphy with 99mTc-pyrophosphate.

    abstract::The predictive value of the myocardial scintigraphy with 99mTc-pyrophosphate was studied in 100 patients admitted to the coronary care unit with suspected acute myocardial infarction. None of the 21 patients with normal scintigrams had acute myocardial infraction by other criteria. Fifty-five percent of patients with ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.57.2.320

    authors: Holman BL,Chisholm RJ,Braunwald E

    更新日期:1978-02-01 00:00:00

  • Transplantation of fetal myocardial tissue into the infarcted myocardium of rat. A potential method for repair of infarcted myocardium?

    abstract:BACKGROUND:Unlike skeletal myocytes, mammalian adult cardiomyocytes cannot regenerate after injury. A possible strategy to increase viability and augment ventricular function after myocardial injury is fetal myocardial tissue transplantation. The engrafted fetal cells are a potential source of growth factors and can be...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:

    authors: Leor J,Patterson M,Quinones MJ,Kedes LH,Kloner RA

    更新日期:1996-11-01 00:00:00

  • Contrasting inotropic effects of endogenous endothelin in the normal and failing human heart: studies with an intracoronary ET(A) receptor antagonist.

    abstract:BACKGROUND:Endothelin-1 (ET-1) is a potent positive inotrope in vitro, but its physiological effects on intrinsic myocardial contractile function in humans in vivo are unknown. Plasma ET-1 levels are elevated in heart failure, and ET-1 may be involved in the pathophysiology of this condition. However, its effects on co...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.101.2.142

    authors: MacCarthy PA,Grocott-Mason R,Prendergast BD,Shah AM

    更新日期:2000-01-18 00:00:00

  • LPA Gene, Ethnicity, and Cardiovascular Events.

    abstract:BACKGROUND:The relationship of LPA single nucleotide polymorphisms (SNPs), apolipoprotein(a) isoforms, and lipoprotein(a) [Lp(a)] levels with major adverse cardiovascular events (MACE) in different ethnic groups is not well known. METHODS:LPA SNPs, apolipoprotein(a) isoforms, Lp(a), and oxidized phospholipids on apoli...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.116.024611

    authors: Lee SR,Prasad A,Choi YS,Xing C,Clopton P,Witztum JL,Tsimikas S

    更新日期:2017-01-17 00:00:00

  • ST-elevation acute coronary syndromes in the Platelet Inhibition and Patient Outcomes (PLATO) trial: insights from the ECG substudy.

    abstract:BACKGROUND:Ticagrelor, when compared with clopidogrel, reduced the 12-month risk of vascular death/myocardial infarction and stroke in patients with ST-elevation acute coronary syndromes intended to undergo primary percutaneous coronary intervention in the PLATelet inhibition and patient Outcomes (PLATO) trial. This pr...

    journal_title:Circulation

    pub_type: 杂志文章,随机对照试验

    doi:10.1161/CIRCULATIONAHA.111.047530

    authors: Armstrong PW,Siha H,Fu Y,Westerhout CM,Steg PG,James SK,Storey RF,Horrow J,Katus H,Clemmensen P,Harrington RA,Wallentin L

    更新日期:2012-01-24 00:00:00

  • Adrenergic receptors and sensitization of adenylyl cyclase in acute myocardial ischemia.

    abstract::Acute myocardial ischemia leads to a gradual increase in beta-adrenergic receptors at the cell surface. This increase occurs rapidly after onset of global ischemia (15 minutes) and persists even after prolonged periods of global ischemia. This alteration can be observed both in vivo and in vitro in isolated perfused h...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:

    authors: Strasser RH,Marquetant R,Kübler W

    更新日期:1990-09-01 00:00:00

  • Increased neointimal formation after surgical vein grafting in a murine model of type 2 diabetes.

    abstract:BACKGROUND:Diabetes is an independent risk factor for the development of neointimal hyperplasia and subsequent vein graft failure after coronary or peripheral artery bypass grafting. We evaluate a new mouse model of surgical vein grafting to investigate the mechanisms of neointimal formation in the setting of type 2 di...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.001339

    authors: Salzberg SP,Filsoufi F,Anyanwu A,von Harbou K,Karlof E,Carpentier A,Dansky HM,Adams DH

    更新日期:2006-07-04 00:00:00

  • Coronary stenting with a new, radiopaque, balloon-expandable endoprosthesis in pigs.

    abstract:BACKGROUND:Intracoronary stents may be effective when used as "bail-out" devices for acute complications after percutaneous transluminal coronary angioplasty. Furthermore, preliminary reports have demonstrated some promising results with stents with regard to the reduction of restenosis. Several stent devices are avail...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.83.5.1788

    authors: van der Giessen WJ,Serruys PW,van Beusekom HM,van Woerkens LJ,van Loon H,Soei LK,Strauss BH,Beatt KJ,Verdouw PD

    更新日期:1991-05-01 00:00:00

  • Determinants of survival and left ventricular performance after mitral valve replacement. Department of Veterans Affairs Cooperative Study on Valvular Heart Disease.

    abstract::To determine how survival and clinical status were related to left ventricular (LV) size and systolic function after mitral valve replacement, 104 patients (48 mitral regurgitation [MR], 33 mitral stenosis [MS], and 23 MS/MR) with isolated mitral valve replacement were evaluated before and after surgery. Preoperative ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.81.4.1173

    authors: Crawford MH,Souchek J,Oprian CA,Miller DC,Rahimtoola S,Giacomini JC,Sethi G,Hammermeister KE

    更新日期:1990-04-01 00:00:00

  • Persistent inhibition of neointimal hyperplasia after sirolimus-eluting stent implantation: long-term (up to 2 years) clinical, angiographic, and intravascular ultrasound follow-up.

    abstract:BACKGROUND:Early results of sirolimus-eluting stent implantation showed a nearly complete abolition of neointimal hyperplasia. The question remains, however, whether the early promising results will still be evident at long-term follow-up. The objective of our study was to evaluate the efficiency of sirolimus-eluting s...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.0000034447.02535.d5

    authors: Degertekin M,Serruys PW,Foley DP,Tanabe K,Regar E,Vos J,Smits PC,van der Giessen WJ,van den Brand M,de Feyter P,Popma JJ

    更新日期:2002-09-24 00:00:00

  • Stimulated activation of platelet-derived growth factor receptor in vivo in balloon-injured arteries: a link between angiotensin II and intimal thickening.

    abstract:BACKGROUND:Growth factors such as platelet-derived growth factor (PDGF) have been postulated to be important mediators of neointimal formation in balloon-injured artery. Binding of growth factors to their receptors activates intrinsic receptor tyrosine kinase, resulting in tyrosine phosphorylation of receptors themselv...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.96.6.1906

    authors: Abe J,Deguchi J,Matsumoto T,Takuwa N,Noda M,Ohno M,Makuuchi M,Kurokawa K,Takuwa Y

    更新日期:1997-09-16 00:00:00

  • The stunned myocardium: prolonged, postischemic ventricular dysfunction.

    abstract::Myocardial ischemia has, for many decades, been viewed as an all-or-none process that causes myocardial necrosis when prolonged and severe, but whose effects are transient when it is brief or mild. In view of the evidence that the ischemic process may "hit, run and stun," perhaps our thinking about the consequences of...

    journal_title:Circulation

    pub_type: 杂志文章,评审

    doi:10.1161/01.cir.66.6.1146

    authors: Braunwald E,Kloner RA

    更新日期:1982-12-01 00:00:00

  • Treatment of frequent ventricular arrhythmia with encainide: assessment using serial ambulatory electrocardiograms, intracardiac electrophysiologic studies, treadmill exercise tests, and radionuclide cineangiographic studies.

    abstract::The effects of encainide on ventricular arrhythmia and left ventricular function were studied in 21 patients with chronic, high-grade ventricular arrhythmia using a prospective, 3-month, placebo-controlled, single-blind trial design. Encainide caused a 96% decrease in the average hourly frequency of ventricular premat...

    journal_title:Circulation

    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.65.6.1134

    authors: DiBianco R,Fletcher RD,Cohen AI,Gottdiener JS,Singh SN,Katz RJ,Bates HR,Sauerbrunn B

    更新日期:1982-06-01 00:00:00

  • Incidence and consequences of periprocedural occlusion. The 1985-1986 National Heart, Lung, and Blood Institute Percutaneous Transluminal Coronary Angioplasty Registry.

    abstract::Of 1,801 patients in the 1985-1986 Percutaneous Transluminal Coronary Angioplasty (PTCA) Registry, 122 (6.8%) had periprocedural occlusion (4.9% in the catheterization laboratory, 1.9% outside the laboratory). Baseline patient factors independently associated with increased occlusion rates included triple-vessel disea...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.82.3.739

    authors: Detre KM,Holmes DR Jr,Holubkov R,Cowley MJ,Bourassa MG,Faxon DP,Dorros GR,Bentivoglio LG,Kent KM,Myler RK

    更新日期:1990-09-01 00:00:00

  • Radiofrequency catheter ablation of left lateral accessory pathways via the coronary sinus.

    abstract:BACKGROUND:The purpose of this study was to describe a new technique for catheter ablation of left lateral accessory pathways (APs) by radiofrequency energy applied at the epicardium through the coronary sinus wall using a unipolar configuration. METHODS AND RESULTS:In an overall group of 212 patients with left latera...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.86.5.1464

    authors: Haissaguerre M,Gaita F,Fischer B,Egloff P,Lemetayer P,Warin JF

    更新日期:1992-11-01 00:00:00

  • Associations of parental, birth, and early life characteristics with systolic blood pressure at 5 years of age: findings from the Mater-University study of pregnancy and its outcomes.

    abstract:BACKGROUND:We examined the associations of a range of parental and early life characteristics with systolic blood pressure at 5 years of age. METHODS AND RESULTS:Information from 3864 children who were followed up prospectively from their mother's first antenatal clinic assessment was used. Maternal age, body mass ind...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.CIR.0000145165.80130.B5

    authors: Lawlor DA,Najman JM,Sterne J,Williams GM,Ebrahim S,Davey Smith G

    更新日期:2004-10-19 00:00:00

  • The impending crisis awaiting cardiac transplantation. Modeling a solution based on selection.

    abstract:BACKGROUND:Each month, the number of transplant candidates added to the waiting list exceeds the number of transplantations performed, and many outpatients deteriorate to require transplantation urgently. The current list of 2400 candidates and the average wait of 8 months continue to increase. METHODS AND RESULTS:To ...

    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.89.1.450

    authors: Stevenson LW,Warner SL,Steimle AE,Fonarow GC,Hamilton MA,Moriguchi JD,Kobashigawa JA,Tillisch JH,Drinkwater DC,Laks H

    更新日期:1994-01-01 00:00:00

  • Randomized trial of simple versus complex drug-eluting stenting for bifurcation lesions: the British Bifurcation Coronary Study: old, new, and evolving strategies.

    abstract:BACKGROUND:The optimal strategy for treating coronary bifurcation lesions remains a subject of debate. With bare-metal stents, single-stent approaches appear to be superior to systematic 2-stent strategies. Drug-eluting stents, however, have low rates of restenosis and might offer improved outcomes with complex stentin...

    journal_title:Circulation

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1161/CIRCULATIONAHA.109.888297

    authors: Hildick-Smith D,de Belder AJ,Cooter N,Curzen NP,Clayton TC,Oldroyd KG,Bennett L,Holmberg S,Cotton JM,Glennon PE,Thomas MR,Maccarthy PA,Baumbach A,Mulvihill NT,Henderson RA,Redwood SR,Starkey IR,Stables RH

    更新日期:2010-03-16 00:00:00