| ECG criteria for accurate localization of left anterolateral and posterolateral accessory pathways. | |
MedLine Citation:
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PMID: 23035773 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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METHODS: The ECGs from patients who underwent ablation of a left-sided AP between 2001 and 2008 were evaluated for the relationship of QRS amplitudes in limb leads II and III. A LAL-AP was defined by successful ablation between 12 and 3 o'clock on the MA, as seen in left anterior oblique (LAO) fluoroscopic projection. A LPL-AP was defined by successful ablation between 3 and 6 o'clock in the LAO projection. RESULTS: In 249 consecutive patients undergoing AP ablation, 23 met the prespecified inclusion criteria: manifest preexcitation due to single AP, ablated successfully in a LAL or LPL location. The ratio of dominant QRS amplitude in lead II to lead III was ≥ 1 in 10/11 patients with LAL-AP, compared with 3/12 patients with a LPL-AP (P = 0.002). Using these criteria, two blinded reviewers predicted a LAL or LPL location with 87% accuracy and 100% interobserver agreement. CONCLUSIONS: We report new ECG criteria that can be used to accurately predict the anterior and posterior location of a left lateral AP. Such localization may facilitate procedural planning. |
Authors:
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Joshua D Moss; Edward P Gerstenfeld; Rajat Deo; Mathew D Hutchinson; David J Callans; Francis E Marchlinski; Sanjay Dixit |
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Publication Detail:
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Type: Journal Article Date: 2012-10-04 |
Journal Detail:
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Title: Pacing and clinical electrophysiology : PACE Volume: 35 ISSN: 1540-8159 ISO Abbreviation: Pacing Clin Electrophysiol Publication Date: 2012 Dec |
Date Detail:
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Created Date: 2012-12-11 Completed Date: 2013-05-27 Revised Date: 2013-12-03 |
Medline Journal Info:
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Nlm Unique ID: 7803944 Medline TA: Pacing Clin Electrophysiol Country: United States |
Other Details:
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Languages: eng Pagination: 1444-50 Citation Subset: IM |
Copyright Information:
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©2012, The Authors. Journal compilation ©2012 Wiley Periodicals, Inc. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Accessory Atrioventricular Bundle
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physiopathology*,
surgery* Algorithms Catheter Ablation* Electrocardiography* Female Fluoroscopy Humans Male ROC Curve Treatment Outcome Wolff-Parkinson-White Syndrome / physiopathology*, surgery* |
| Grant Support | |
ID/Acronym/Agency:
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K23 DK089118/DK/NIDDK NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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