Document Detail

Morphological characteristics of the Holter P-waves associated with pulmonary vein pacing.
MedLine Citation:
PMID:  19945949     Owner:  NLM     Status:  MEDLINE    
AIMS: Identification of arrhythmogenic pulmonary veins (PVs) initiating atrial fibrillation is helpful for catheter ablation. The aim of this study was to examine the possibility to recognize the arrhythmogenic PV using Holter ECG. METHODS AND RESULTS: In 20 patients, P-wave characteristics were studied during pacing from four PVs. Holter ECG was recorded using two leads: the modified CC5 (Lead 1) and NASA (Lead 2), and the P-wave amplitude and duration were evaluated. In Lead 1, P-waves produced by left PV pacing were significantly lower in amplitude than right PV pacing (-3 +/- 75 vs. 86 +/- 43 microV, P < 0.001). In Lead 2, pacing in superior PVs produced P-waves with higher amplitude than inferior PVs (210 +/- 74 vs. 125 +/- 66 muV, P < 0.001). The criteria proposed by the morphological characteristics of P-waves identified putative arrhythmogenic PVs with an accuracy of 78%. CONCLUSION: It might be possible to identify putative arrhythmogenic PVs by modified Holter ECG recording.
Shuji Harata; Yasuya Inden; Masayuki Shimano; Tomohiro Uchikawa; Masahiro Mutoh; Makoto Hirai; Toyoaki Murohara
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Publication Detail:
Type:  Clinical Trial; Journal Article    
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:  12     ISSN:  1532-2092     ISO Abbreviation:  Europace     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-16     Completed Date:  2010-02-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883649     Medline TA:  Europace     Country:  England    
Other Details:
Languages:  eng     Pagination:  124-9     Citation Subset:  IM    
Department of Cardiology, Nagoya University Graduate School of Medicine, 65 Tsurumaicho, Showaku, Nagoya 466-8550, Japan.
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MeSH Terms
Atrial Fibrillation / diagnosis*,  prevention & control*
Cardiac Pacing, Artificial / methods*
Diagnosis, Computer-Assisted / methods*
Electrocardiography, Ambulatory / methods*
Pulmonary Veins*
Reproducibility of Results
Sensitivity and Specificity

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

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