Document Detail


Catheter ablation of premature ventricular contractions originating from the His bundle region.
MedLine Citation:
PMID:  17507357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a 35-year-old man with idiopathic frequent premature ventricular contractions (PVCs) originating from the His-bundle region, where a low frequency ventricular potential was recorded in the bipolar recording and QR pattern in the unipolar recording. Electro-anatomical mapping revealed a confined low voltage zone (<1.2 mV) in the His-bundle region, and the activation spread out radially to the entire right ventricle. The PVCs were successfully abolished without any atrioventricular block by a step-wise incremental radiofrequency energy application to the His-bundle region. The patient has remained free from PVCs or any symptoms without medication during a 23 month follow-up period.
Authors:
Keiichi Ashikaga; Takeshi Tsuchiya; Aya Nakashima; Kiyoshi Hayashida
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-05-16
Journal Detail:
Title:  Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology     Volume:  9     ISSN:  1099-5129     ISO Abbreviation:  Europace     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-08-30     Completed Date:  2008-01-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  781-4     Citation Subset:  IM    
Affiliation:
Awakigahara Hospital, Miyazaki, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Anatomy / methods
Bundle of His / physiopathology*,  surgery
Bundle-Branch Block / physiopathology
Catheter Ablation / methods*
Electrocardiography / methods*
Electrochemistry / methods
Electrophysiologic Techniques, Cardiac
Endocardium / pathology
Heart Ventricles / physiopathology
Humans
Male
Pressure
Ventricular Fibrillation / physiopathology,  therapy*
Ventricular Premature Complexes / physiopathology,  therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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