用户名: 密码: 验证码:
Improvement of atrioventricular conduction following catheter ablation of atrioventricular nodal reentry tachycardia in a patient with a prolonged PR interval
详细信息    查看全文
  • 作者:Seigo Yamashita (1)
    Teiichi Yamane (1)
    Seiichiro Matsuo (1)
    Keiichi Ito (1)
    Ryohsuke Narui (1)
    Mika Hioki (1)
    Shin-ichi Tanigawa (1)
    Michifumi Tokuda (1)
    Keiichi Inada (1)
    Taro Date (1)
    Ken-ichi Sugimoto (1)
    Michihiro Yoshimura (1)
  • 关键词:Atrioventricular nodal reentry tachycardia ; Catheter ablation ; Slow pathway ; Prolonged PR interval
  • 刊名:Heart and Vessels
  • 出版年:2013
  • 出版时间:January 2013
  • 年:2013
  • 卷:28
  • 期:1
  • 页码:120-125
  • 参考文献:1. Sakamoto T, Fujiki A, Nakatani Y, Sakabe M, Mizumaki K, Inoue H (2010) Narrow QRS ventricular tachycardia from the posterior mitral annulus without involvement of the His-Purkinje system in a patient with prior inferior myocardial infarction. Heart Vessels 25:170-73 CrossRef
    2. Hioki M, Matsuo S, Yamane T, Tokutake KI, Ito K, Narui R, Tanigawa SI, Yamashita S, Tokuda M, Inada K, Date T, Yoshimura M (2011) Adenosine-induced atrial tachycardia and multiple foci initiating atrial fibrillation eliminated by catheter ablation using a non-contact mapping system. Heart Vessels. doi:10.1007/s00380-011-0159-8
    3. Jackman WM, Beckman KJ, McClelland JH, Wang X, Friday KJ, Roman CA, Moulton KP, Twidale N, Hazlitt HA, Prior MI (1992) Treatment of supraventricular tachycardia due to atrioventricular nodal reentry, by radiofrequency catheter ablation of slow-pathway conduction. N Engl J Med 327:313-18 CrossRef
    4. Haissaguerre M, Gaita F, Fischer B, Commenges D, Montserrat P, d’Ivernois C, Lemetayer P, Warin JF (1992) Elimination of atrioventricular nodal reentrant tachycardia using discrete slow potentials to guide application of radiofrequency energy. Circulation 85:2162-175 CrossRef
    5. Jazayeri MR, Hempe SL, Sra JS, Dhala AA, Blanck Z, Deshpande SS, Avitall B, Krum DP, Gilbert CJ, Akhtar M (1992) Selective transcatheter ablation of the fast and slow pathways using radiofrequency energy in patients with atrioventricular nodal reentrant tachycardia. Circulation 85:1318-328 CrossRef
    6. Kay GN, Epstein AE, Dailey SM, Plumb VJ (1992) Selective radiofrequency ablation of the slow pathway for the treatment of atrioventricular nodal reentrant tachycardia. Evidence for involvement of perinodal myocardium within the reentrant circuit. Circulation 85:1675-688 CrossRef
    7. Ridgen LB, Kein LS, Mitrani RD, Zipes DP, Miles WM (1995) Increased risk of heart block following with marked PR interval prolongation during sinus rhythm. Pacing Clin Electrophysiol 18:II-918 (abstract)
    8. Li YG, Gr?nefeld G, Bender B, Machura C, Hohnloser SH (2001) Risk of development of delayed atrioventricular block after slow pathway modification in patients with atrioventricular nodal reentrant tachycardia and a pre-existing prolonged PR interval. Eur Heart J 22:89-5 CrossRef
    9. Reithmann C, Remp T, Oversohl N, Steinbeck G (2006) Ablation for atrioventricular nodal reentrant tachycardia with a prolonged PR interval during sinus rhythm: the risk of delayed higher-degree atrioventricular block. J Cardiovasc Electrophysiol 17:973-79 CrossRef
    10. Tokuda M, Yamane T, Matsuo S, Ito K, Narui R, Hioki M, Tanigawa SI, Nakane T, Yamashita S, Inada K, Shibayama K, Miyanaga S, Yoshida H, Miyazaki H, Date T, Sugimoto KI, Yoshimura M. (2011) Different strategies for performing pulmonary vein isolation in patients with pulmonary vein rhythm. Heart Vessels. doi:10.1007/s00380-010-0113-1
    11. Knight BP, Zivin A, Souza J, Flemming M, Pelosi F, Goyal R, Man C, Strickberger SA, Morady F (1999) A technique for the rapid diagnosis of atrial tachycardia in the electrophysiology laboratory. J Am Coll Cardiol 33:775-81 CrossRef
    12. Miller JM, Rosenthal ME, Gottlieb CD, Vassallo JA, Josephson ME (1991) Usefulness of the delta HA interval to accurately distinguish atrioventricular nodal reentry from orthodromic septal bypass tract tachycardias. Am J Cardiol 68:1037-044 CrossRef
    13. Tai CT, Chen SA, Chiang CE, Chang MS (1999) Characteristics and radiofrequency catheter ablation of septal accessory atrioventricular pathways. Pacing Clin Electrophysiol 22:500-11 CrossRef
    14. Natale A, Greenfield RA, Geiger MJ, Newby KH, Kent V, Wharton JM, Kearney MM, Brandon MJ, Zimerman L (1997) Safety of slow pathway ablation in patients with long PR interval: further evidence of fast and slow pathway interaction. Pacing Clin Electrophysiol 20:1698-703 CrossRef
    15. Liu Y, Zeng W, Delmar M, Jalife J (1993) Ionic mechanisms of electronic inhibition and concealed conduction in rabbit atrioventricular nodal myocytes. Circulation 88:1634-646 CrossRef
    16. Soejima K, Akaishi M, Mitamura H, Ogawa S, Sakurada H, Okazaki H, Motomiya T, Hiraoka M (1997) Increase in heart rate after radiofrequency catheter ablation is mediated by parasympathetic nervous withdrawal and related to site of ablation. J Electrocardiol 30:239-46 CrossRef
    17. Kocovic DZ, Harada T, Shea JB, Soroff D, Friedman PL (1993) Alterations of heart rate and of heart rate variability after radiofrequency catheter ablation of supraventricular tachycardia. Delineation of parasympathetic pathways in the human heart. Circulation 88:1671-681 CrossRef
    18. Sunagawa K, Kawada T, Nakahara T (1998) Dynamic nonlinear vago-sympathetic interaction in regulating heart rate. Heart Vessels 13:157-74 CrossRef
    19. Sra JS, Jazayeri MR, Blanck Z, Deshpande S, Dhala AA, Akhtar M (1994) Slow pathway ablation in patients with atrioventricular node reentrant tachycardia and a prolonged PR interval. J Am Coll Cardiol 24:1064-068 CrossRef
    20. Pasquié JL, Scalzi J, Macia JC, Leclercq F, Grolleau-Raoux R (2006) Long-term safety and efficacy of slow pathway ablation in patients with atrioventricular nodal re-entrant tachycardia and pre-existing prolonged PR interval. Europace 8:129-33 CrossRef
  • 作者单位:Seigo Yamashita (1)
    Teiichi Yamane (1)
    Seiichiro Matsuo (1)
    Keiichi Ito (1)
    Ryohsuke Narui (1)
    Mika Hioki (1)
    Shin-ichi Tanigawa (1)
    Michifumi Tokuda (1)
    Keiichi Inada (1)
    Taro Date (1)
    Ken-ichi Sugimoto (1)
    Michihiro Yoshimura (1)

    1. Department of Cardiology, The Jikei University of Medicine, 3-25-8 Nishi-shinbashi, Minato-ku, Tokyo, 105-8461, Japan
  • ISSN:1615-2573
文摘
We herein present the case of a 60-year-old male with narrow QRS tachycardia who had a remarkable PR prolongation during sinus rhythm. The tachycardia was diagnosed as a slow–fast atrioventricular nodal reentry tachycardia. Slow pathway ablation was performed after the confirmation of the presence of an antegrade fast pathway. Following the elimination of the slow pathway, the PR and atrio-His intervals became shortened from 470 and 420 to 170 and 120?ms, respectively. Moreover, the improvement of atrioventricular conduction after the slow pathway ablation lasted for at least 34?months.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700