Search Results
Results 451 - 500 of 1598
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Gerstenfeld Edward P - - 2007
OBJECTIVE: The purpose of this study was to describe the surface electrocardiogram (ECG) morphology of common atrial tachycardias (ATs) that occur after pulmonary vein (PV) isolation. BACKGROUND: Focal ATs from reconnected PVs and macroreentrant mitral annular (MA) flutter are the most common form of ATs occurring after PV isolation. METHODS: ...
Yamada Takumi - - 2007
Pulmonary vein isolation (PVI) guided by circumferential mapping has been established as a curative treatment of atrial fibrillation. In the PVI technique, two transseptal catheters are necessary for mapping and catheter ablation. The one-puncture, double-transseptal catheterization manoeuvre is generally used in the PVI technique. However, to the best of our ...
Su P - - 2008
BACKGROUND: Occlusion of the left atrial appendage (LAA) is thought to reduce the risk of thromboembolic events in patients with atrial fibrillation. OBJECTIVE: To examine the LAA and its relationship to neighbouring structures that may be put at risk when intervening to occlude its os. METHODS: 31 heart specimens were ...
Scherr Daniel - - 2007
BACKGROUND: Complex fractionated atrial electrograms (CFAEs) have been reported as ablative targets for the treatment of atrial fibrillation (AF). However, the process of CFAE identification is highly dependent on the operator's judgment. OBJECTIVE: It is the aim of the study to report our initial experience with a novel software algorithm ...
Tada Hiroshi - - 2007
We describe two cases of swallowing-induced tachyarrhythmias that were cured by radiofrequency ablation (RFCA) using a non-contact mapping system (NCMS). In both patients, tachyarrhythmias occurred during swallowing solids and liquids, and mapping and ablation of the arrhythmia using the NCMS was attempted during swallowing a rice ball. During a premature ...
Arya Arash - - 2007
Outflow tract ventricular tachycardias (OT-VTs) re the most common form of idiopathic VTs. In>80-90% of cases OT-VT originates from the right ventricular outflow tract, however, other origins like the septum, the left ventricular outflow tract, the pulmonary artery, the aortic sinus of Valsalva, the area near the His bundle, and ...
Lupinski R W - - 2007
Lymphatics of the heart have not generated any broad or sustained interests among clinicians. Few publications on cardiac lymphatics are available, anatomy not routinely known and the true role of cardiac lymphatics remains doubtful. One important anatomical concept needing clarification is that of the lymphatic nature of conduction tissue. Sino-atrial ...
Puskas John - - 2007
A 46-year-old woman with a 7-year history of profoundly symptomatic daily paroxysmal atrial fibrillation had undergone two percutaneous catheter ablations and multiple medication trials. With informed consent, bilateral pulmonary vein isolation and left atrial appendage occlusion as well as ablation of ganglionated plexi were performed by a totally thoracoscopic technique ...
Leeson Paul - - 2007
Transesophageal echocardiography was requested for a 20-year-old woman admitted to the intensive care department after being involved, as a restrained driver, in a road traffic accident. During the study a striking abnormality was noted around the left atrial appendage and left upper pulmonary vein. The clinical history of blunt chest ...
Wu Joseph C - - 2007
A 59-year-old woman was admitted to the hospital after having severe headache for 1 day. Her medical history was significant for coronary artery disease, diabetes, atrial fibrillation, and rheumatic heart disease. The patient was in remission from stage II left breast cancer (T2 N0 M0) in 1997, treated with lumpectomy, ...
El-Chami Mikhael F - - 2007
Atrial fibrillation (AF) is the most common sustained arrhythmia and a leading cause of stroke. Warfarin reduces the incidence of thromboemboli and is recommended for most patients with AF. However, oral anticoagulation is contraindicated or not tolerated by a significant percentage of patients with AF. Occlusion of the left atrial ...
Ren Jian-Fang - - 2007
Catheter-based radiofrequency ablation in the left heart can provide effective therapy for tachyarrhythmias. The recent development of the real time intracardiac echocardiography (ICE) with 2D and Doppler color flow imaging can facilitate left heart ablation procedures. This report reviews the use of ICE during radiofrequency catheter ablation procedures for atrial ...
Reithmann Christopher - - 2007
The NavX system was used to guide mapping and successful ablation of a reciprocating antidromic tachycardia involving anterograde conduction over a nodo-fascicular fibre and retrograde conduction over the His bundle and AV node. This novel mapping system allowed visualization of the lower insertion site of the nodo-fascicular accessory pathway approximately ...
Karayannis George - - 2008
Systolic heart failure (HF) is a progressive disorder that often begins with asymptomatic left ventricular (LV) systolic dysfunction and culminates in symptoms from fluid overload and poor end-organ perfusion. The progression to symptomatic HF is accompanied by marked activation of neurohormonal and cytokine systems, as well as a series of ...
Ryu Kyungmoo - - 2007
The canine sterile pericarditis model is characterized by impaired conduction and atrial arrhythmia vulnerability. Electrical and structural remodeling processes caused by the inflammatory response likely promote these abnormalities. In the present study, we tested the hypothesis that altered distribution of atrial connexins is associated with markedly abnormal atrial conduction, thereby ...
Gong Yunfan - - 2007
BACKGROUND: The mechanisms underlying paroxysmal atrial flutter/atrial fibrillation initiation by ectopic foci from various locations are unclear. METHODS AND RESULTS: We used parallel computational techniques to study an anatomically accurate 3-dimensional atrial structure incorporating a detailed ionic-current model of an atrial myocyte. At the single-cell level, upregulation of the L-type ...
Oh Yu Whan - - 2007
This article has been removed, consistent with Elsevier Policy on Article Withdrawal (http://www.elsevier.com/locate/withdrawalpolicy). The Publisher apologizes for any inconvenience this may cause.
Imperiale D - - 2007
We describe a 63-year-old man in sinus rhythm (SR) with an ischaemic stroke involving basal ganglia region on the right side. The patient was known to be heterozygous for factor V Leiden (FVL) mutation. On diagnostic work-up, no arterial sources of embolism were found. Transoesophageal echocardiography evidenced a left atrial ...
Beall Jennifer W - - 2007
A 65-year-old Caucasian male with a shellfish allergy developed atrial fibrillation and hypotension after coronary artery bypass and duodenal ulcer surgery. Following electrical cardioversion, oral amiodarone was continued chronically without an allergic reaction. There is a common misconception that a shellfish allergy correlates to an iodine allergy. There is little ...
Ciarka Agnieszka - - 2007
BACKGROUND: We have reported previously that the sympathetic nervous system is activated in patients with pulmonary arterial hypertension (PAH), and that this is only partly explained by a decrease in arterial oxygenation. Possible causes for increased muscle sympathetic nerve activity (MSNA) in patients with PAH include right atrial distension and ...
Donnino Robert - - 2008
A 79-year-old woman with severe aortic stenosis underwent aortic valve replacement surgery, and had ligation of the left atrial appendage (LAA) using an epicardial approach. On a post-operative echocardiographic evaluation, the distal portion of the LAA was excluded, leaving no communication with the left atrium. The proximal portion of the ...
Schneider Carsten - - 2007
BACKGROUND: Pulmonary vein stenosis (PVS) has been described as a complication after primary catheter ablation of atrial fibrillation (Afib). The purpose of this study was to evaluate the utility of transesophageal echocardiography (TEE) as follow-up tool after catheter ablation of Afib and interventional therapy of PVS and pulmonary vein occlusion ...
Ohkubo Kimie - - 2007
BACKGROUND: Symptomatic prolonged sinus pauses upon termination of atrial fibrillation (AF) are an indication for pacemaker implantation. METHODS AND RESULTS: We evaluated the clinical outcomes of 4 patients who showed prolonged sinus pauses (> 2 seconds) upon termination of AF and thus underwent ablation. The ablative procedure included pulmonary vein ...
Ajiki Kohsuke - - 2007
Supraventricular tachycardia (SVT) was observed in a 13-year-old male patient with complex clinical features that included univentricular heart with single atrium, pulmonary atresia, and polysplenia syndrome. During electrophysiologic study, atrial burst stimuli reproducibly induced and terminated the SVT, while the occurrence of ventriculoatrial block did not interrupt the SVT. His ...
Shan Qijun - - 2007
We detail findings in a patient with incessant idiopathic left ventricular tachycardia (ILVT), induced cardiomyopathy, and an "electrical storm" consisting of recurrent polymorphic ventricular tachycardia (PVT). Catheter ablation not only eradicated the ILVT, but also additionally suppressed recurrent PVT. These findings suggest that the recurrent PVT storm in this patient ...
Liu Tong - - 2008
The interplay between left atrial (LA) dilatation and atrial fibrillation (AF) has been well established, but the underlying mechanisms of this vicious circle are not fully understood. Recent studies indicated that pulmonary vein (PV) dilatation is implicated in the development of AF. On the other hand, PV dilatation has been ...
Thomas Stuart P - - 2007
BACKGROUND: Wide electrical pulmonary vein isolation (PVI) with two separate rings of ablation requires extensive ablation on the posterior left atrial wall close to the esophagus. OBJECTIVE: The purpose of this study was to determine the feasibility of PVI using a single ring of radiofrequency ablation lesions. METHODS: Irrigated-tip ablation ...
Baker James H JH - - 2007
INTRODUCTION: Intracardiac delay optimization of biventricular and dual-chamber pacing devices currently relies on time-consuming echocardiographic measurements. A novel intracardiac electrogram (IEGM) method for atrioventricular (AV/PV) and interventricular (VV) delay optimization was developed, which can be performed during routine device follow-up. METHODS AND RESULTS: In this prospective, nonrandomized, multi-center trial, patients ...
Lacomis Joan M - - 2007
Atrial fibrillation (AF) is a common cardiac rhythm disturbance and its incidence is increasing. Radiofrequency catheter ablation (RFCA) is a highly successful therapy for treating AF, and its use is becoming more widespread; however, with its increasing use and evolving technique, known complications are better understood and new complications are ...
Akcay Murat - - 2007
Crista terminalis is a fibromuscular ridge at the posterolateral region of the right atrium (RA). Superiorly localized prominent crista terminalis can mimic pathologic RA mass on transthoracic echocardiograms. Transesophageal echocardiography can be used to differentiate nonpathologic structures from pathologic ones. Besides mimicking RA mass, crista terminalis is an important anatomic ...
Chan Joseph Yat-Sun - - 2007
BACKGROUND: Linear microwave ablation has been shown to be effective for treatment of atrial fibrillation during open-heart surgery by producing transmural lesions in the atrium to isolate the pulmonary veins. However, the safety and efficacy of percutaneous, transcatheter, linear microwave ablation for atrial arrhythmias, while demonstrated in animal models, is ...
Benson Mark D - - 2007
The voltage-gated potassium (Kv) channel Kv1.5 mediates the I(Kur) repolarizing current in human atrial myocytes and regulates vascular tone in multiple peripheral vascular beds. Understanding the complex regulation of Kv1.5 function is of substantial interest because it represents a promising pharmacological target for the treatment of atrial fibrillation and hypoxic ...
Gerstenfeld Edward P - - 2007
Regular left atrial tachycardias are a frequent complication of atrial fibrillation ablation procedures. The arrhythmia mechanism appears to be due to focal pulmonary vein reentry in patients who undergo only electrically guided pulmonary vein isolation. The most common site of origin is the septal and inferior aspect of the right ...
Klemm Hanno U - - 2007
BACKGROUND: The accuracy of three-dimensional mapping systems is affected by cardiac contraction and respiration. OBJECTIVE: The study sought to determine relative motion of cardiac and thoracic structures to assess positional errors and guide the choice of an optimized spatial reference. METHODS: Motion of catheters placed at the coronary sinus (CS), ...
Cheng Alan - - 2007
Atrial transseptal puncture as a means of accessing the left heart is a critical component of catheter ablation procedures for atrial fibrillation, left-sided accessory pathways, and access to the left ventricle in patients with certain types of prosthetic aortic valves. Although this technique has been performed successfully since the 1950s, ...
Ott Peter - - 2007
BACKGROUND: Interatrial conduction occurs via discrete pathways along the coronary sinus musculature, fossa ovalis region, and Bachman's bundle. We assessed the feasibility of altering interatrial conduction by selectively ablating two of these conduction pathways using a novel mesh electrode ablation catheter. METHODS: Circular radiofrequency energy catheter ablation lesions were created ...
Rostock Thomas - - 2007
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 which the electrophysiological features are most consistent with ...
Kamohara Keiji - - 2007
OBJECTIVES: We sought to investigate the short-term and midterm effects of left atrial appendage exclusion on left atrial function. Left atrial appendage exclusion is considered a possible therapeutic option for stroke prevention in patients with atrial fibrillation. Favorable outcomes have encouraged widespread use of left atrial appendage exclusion for cardiac ...
Rogan Mark P - - 2007
BACKGROUND: A 34-year-old woman with known familial pulmonary arterial hypertension presented with syncope. Despite medical therapy with an endothelin-receptor antagonist and a phosphodiesterase inhibitor, the patient had NYHA class III symptoms, with exertional dyspnea. Right heart catheterization revealed severe pulmonary hypertension (right atrial pressure 15 mmHg, right ventricular pressure 80/15 ...
Mavroudis Constantine - - 2007
The principles of Fontan conversion with arrhythmia surgery are to restore the cardiac anatomy by converting the original atriopulmonary connection to a total cavopulmonary artery extracardiac connection and treat the underlying atrial arrhythmias. Successful outcomes of this procedure are dependent on a thorough understanding of several factors: the patient's fundamental ...
Spodick David H - - 2007
Abnormal atrial depolarization, denoted as interatrial block (IAB; P wave >110 ms), is associated with myocardial ischemia during exercise. The authors conducted an 18-month follow-up for cardiovascular events in 31 consecutive patients with IAB and 60 controls without IAB at rest; participants had coronary artery disease and hypertension and had ...
Arentz Thomas - - 2007
INTRODUCTION: High-density three-dimensional (3D) mapping of the pulmonary vein (PV)-left atrial (LA) junction was performed to characterize spontaneous PV activity in humans. METHODS AND RESULTS: The activation patterns of ectopic beats and of the initial 2 seconds of atrial fibrillation (AF) from the PVs were analyzed using a 64-poles basket ...
Bednarek Jacek - - 2007
Complete atrioventricular block, second-degree Mobitz type II and first-degree atrioventricular block with right bundle branch block were observed consecutively following successful radiofrequency ablation in close proximity to the sinus node. This resulted in the modification and disappearance of the inappropriate sinus tachycardia that had previously been present. Neither tachycardia nor ...
Poyrazoglu H Hakan - - 2007
Atrial septostomy or septectomy are required to enable atrial mixture in various congenital cardiac lesions. The aim of this article was to introduce a technique where atrial septostomy application could be employed off pump with the aid of a new device. To our knowledge this is the first report for ...
Yamashita Eiji - - 2007
BACKGROUND: Multiple cardiac ganglia are present in the left atrial (LA) region, and marked changes in autonomic nervous activity can occur after left atrial catheter ablation (CA) for atrial fibrillation (AF). Vasospastic angina involving the inferior wall of the left ventricle has been reported as a complication shortly after LACA. ...
Rieta Jose J - - 2007
Atrial tachyarrhythmias are a very common cardiovascular disease in clinical practice with an incidence that doubles with each advancing decade. A key issue to understand their pathophysiological mechanisms is the analysis and interpretation of atrial electrograms (AEG). To properly study these signals, ventricular artifacts have to be removed from the ...
Ito Sachiko - - 2007
Radiofrequency catheter ablation was performed in 2 patients with atrial tachycardia (AT). In both cases the AT originated from the inferoseptal portion of the right atrium, and the cycle length was 210 ms. The surface ECG demonstrated common counterclockwise atrial flutter, probably caused by functional block in the clockwise direction ...
Gittenberger-de Groot Adriana C - - 2007
Recent advances in the study of cardiac development have shown the relevance of addition of myocardium to the primary myocardial heart tube. In wild-type mouse embryos (E9.5-15.5), we have studied the myocardium at the venous pole of the heart using immunohistochemistry and 3D reconstructions of expression patterns of MLC-2a, Nkx2.5, ...
Schneider Birke - - 2007
BACKGROUND: Transesophageal echocardiography (TEE) is regarded as the method of choice for imaging left atrial appendage thrombi (LAAT). However, the interobserver variability among 2 independent echocardiographic laboratories in diagnosing LAAT by multiplane TEE has not yet been assessed. METHODS AND RESULTS: The videorecordings of 50 patients in atrial fibrillation (25 ...
Iesaka Yoshito - - 2007
Curing atrial fibrillation (AF) by catheter ablation has significantly improved patient morbidity and mortality. The circumferential pulmonary vein isolation technique is established as the principal procedure, with a high cure rate and acceptable safety, for paroxysmal AF, but new adjunctive ablation strategies targeting the AF substrates and sources for long-standing ...
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