Activation-Recovery Intervals of 12-Lead Electrocardiograms Before and After Catheter Ablation in Patients With Wolff-Parkinson-White Syndrome

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概要

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• Preexcitation in Wolff-Parkinson-White syndrome (WPW) has been reported to induce long-lasting changes in ventricular recovery properties. However, there has not been a report concerning changes in the activation-recovery interval (ARI) in 12-lead ECGs before and after catheter ablation (CA) in patients with WPW syndrome. The present study compared changes in ARIs from 12-lead ECGs with those from body surface unipolar leads before and after CA to examine whether ARIs from limb leads of 12-lead ECGs provide useful information on changes in recovery properties in addition to the ARIs from precordial leads. The study population consisted of 27 manifest WPW patients with a left-(n=18, group A) or right-sided accessory pathway (n=9, group B). ARIs in leads I, II, and III were strongly correlated with those in unipolar leads over the left lateral, left lower, and right lower chest, respectively. ARIs in leads aV_R, aV_L, and a V_F showed a significant correlation with those in unipolar leads over the right upper, left upper, and lower anterior chest, respectively. These correlations were maintained before and after CA. Furthermore, in group A, ARIs in lead V_1 tended to increase on day 7 post CA compared with before CA and on day 1. In group B, ARIs in lead III significantly decreased on day 7 compared with before CA and on day 1. These findings suggest that ARIs from the limb leads of 12-lead ECGs may represent those from unipolar leads of a particular area over the body surface, and that ARIs from 12-lead ECGs may provide useful quantitative information on changes in recovery properties before and after CA in patients with manifests WPW syndrome.

• 社団法人日本循環器学会の論文
• 2001-03-20

著者

• Yoshida Yukihiko

  Division of Cardiology, Nagoya Daini Red Cross Hospital, Cardiovascular Center

• Yamamoto Takashi

  滋賀医科大学 呼吸循環器内科

• Yoshida Yukihiko

  Division Of Cardiology Nagoya Dai-ni Red Cross Hospital Cardiovascular Center

• Sugiura Hiroki

  Cardiovascular Center Nagoya Daini Red Cross Hospital

• Inden Yasuya

  Division of Cardiology, Nagoya University Graduate School of Medicine

• Yamada Takumi

  名古屋大学 大学院医学系研究科循環器内科

• HIRAI MAKOTO

  Division of Circulation and Respiration, The Research Institute of Environmental Medicine, Nagoya Un

• Sawada Takahisa

  Division of Cardiology and Vascular Regenerative Medicine, Department of Medicine, Kyoto Prefectural

• Shimizu Atsuya

  Division Of Cardiology First Department Of Internal Medicine Nagoya University School Of Medicine

• Iino Shigeo

  Department Of Cardiology Nagoya University Graduate School Of Medicne

• Iino Shigeo

  Department Of Clinical Laboratory Nagoya University Hospital

• Iino Shigeo

  Department Of Cardiology Nagoya Universitu Graduate School Of Medicine

• Nonokawa Makoto

  Department of Cardiology, Nagoya University Graduate School of Medicine

• Nonokawa Makoto

  Division of Cardiology, First Department of Internal Medicine, Nagoya University Graduate School of

• Yokoyama Yumiko

  First Department of Internal Medicine, Nagoya University School of Medicine

• Akahoshi Makoto

  Division of Cardiology, First Department of Internal Medicine, Nagoya University School of Medicine

• Ito Teruo

  Division of Cardiology, First Department of Internal Medicine, Nagoya University School of Medicine

• Yokoyama Yumiko

  Division of Cardiology, Nagoya Daini Red Cross Hospital

• Takada Yasunobu

  Division of Cardiology, First Department of Internal Medicine, Nagoya University School of Medicine

• Iino Shigeo

  Division of Cardiology, First Department of Internal Medicine, Nagoya University School of Medicine

• Kondo Takahisa

  Division of Cardiology, First Department of Internal Medicine, Nagoya University School of Medicine

• Saito Hidehiko

  Division of Cardiology, First Department of Internal Medicine, Nagoya University School of Medicine

• Nonokawa Makoto

  Department Of Cardiology Nagoya University Graduate School Of Medicine

• Sawada Takahisa

  Division Of Cardiology First Department Of Internal Medicine Nagoya University School Of Medicine

• Takada Y

  Department Of Cardiology Nagoya University Graduate School Of Medicine

• Akahoshi Makoto

  Division Of Cardiology First Department Of Internal Medicine Nagoya University School Of Medicine

• Ito Teruo

  Division Of Cardiology Nagoya Daini Red Cross Hospital

• Yokoyama Yumiko

  First Department Of Internal Medicine Nagoya University School Of Medicine

• Iino Shigeo

  Division Of Cardiology First Department Of Internal Medicine Nagoya University School Of Medicine

• Sawada Takahisa

  Division Of Cardiology And Vascular Regenerative Medicine Kyoto Prefectural University School Of Medicine

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