Document Detail


High-Amplitude Pace Mapping Increases Safety of Radiofrequency Catheter Ablation of Parahisian Ectopic Foci.
MedLine Citation:
PMID:  22978723     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background: The objective of the study is to assess the efficacy of high-amplitude pace mapping in terms of the atrioventricular (AV) block risk after radiofrequency catheter ablation (RCA) of parahisian ectopic foci. Methods: Twenty patients aged 38 ± 14 years with no structural heart disease underwent RCA of parahisian ectopic foci. All the patients were randomized into two groups: Group I (n = 11) had RCA performed in the region defined as ectopic focus by electrophysiology study and Group II (n = 9) had high-amplitude pacing performed in the region of "perfect" mapping. RCA was done only at the sites where high-amplitude pacing revealed the absence of His bundle capture. Results: In group I, the efficacy of RCA was 54.5% and it was 100% in group II (P = 0.0195). Group II had no complications; in group I there were 27% of AV blocks (P = 0.0893). The late recurrence of ectopic activity was comparable in both groups: 3 (27%) and 2 (22%), respectively (P = 0.7953). In all the cases of recurrent ectopic activity and in all the cases of ineffective primary procedure, group I had effective reablation procedures performed using high-amplitude pace mapping. The overall efficacy in terms of repeated procedures was 90%. Conclusion: High-amplitude pace mapping increases primary and secondary efficacy of parahisian ectopic foci RCA and decreases the risk of AV block development. (PACE 2012;00:1-6).
Authors:
Sergey E Mamchur; Mikhail Y Kurilin
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-14
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  -     ISSN:  1540-8159     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
©2012, The Authors. Research Institute for complex issues of Cardiovascular.
Affiliation:
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russian Federation.
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