Demonstration of Phase-3 and Phase-4 Retrograde Block in a Second Concealed Accessory Pathway After an Initial Successful Radiofrequency Ablation of a 'Normal' Concealed Accessory Pathway

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概要

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• We report a patient with concealed Wolff-Parkinson-White syndrome who, following catheter ablation, demonstrated phase-3 and phase-4 retrograde block in a concealed accessory pathway. After an initial 'apparently successful' ablation, retrograde conduction was through the atrioventricular node during constant ventricular pacing. Ventricular extrastimulus testing was performed at a basic drive cycle length of 600 ms. Unexpectedly, ventricular extrastimuli at coupling intervals of 440-380 ms were conducted retrogradely over an accessory pathway, consistent with a phase-3 and phase-4 retrograde block in the accessory pathway. Residual accessory pathway conduction was eliminated in a single ablation session.

• 社団法人日本循環器学会の論文
• 2000-01-20

著者

• Kawara Tokuhiro

  Department of Biofunctional Informatics, Graduate School of Health Care Sciences, Tokyo Medical and

• Azegami Koji

  Department of Cardiology, Yokohama City Minato Red Cross Hospital

• AZEGAMI Koji

  Heart Center

• Suzuki Fumio

  Fukujuji Hospital

• Suzuki Fumio

  関西外国語大学

• Kurabayashi Manabu

  First Department Of Internal Medicine Tokyo Medical And Dental University School Of Medicine

• Asami Kohichi

  Department Of Cardiovascular Medecine Tokyo Medical And Dental University

• Motokawa Katsuhiko

  Department of Cardiovascular Medecine,Tokyo Medical and Dental University

• Hirao Kenzo

  First Department of Internal Medicine

• Horikawa Tomoe

  First Department of Internal Medicine

• Motokawa Katsuhiko

  First Department of Internal Medicine

• Suzuki Fumio

  First Department of Internal Medicine

• Hiejima Kazumasa

  Department of Allied Health Sciences, and School of Medicine, Tokyo Medical and Dental University

• Ashikawa Hidenobu

  First Department of Internal Medicine, Tokyo Medical and Dental University School of Medicine

• Suzuki Fumio

  Department Of Cardiovascular Medecine Tokyo Medical And Dental University

• Hiejima Kazumasa

  Department Of Allied Health Sciences And School Of Medicine Tokyo Medical And Dental University

• Hiejima Kazumasa

  Department Of Allied Health Sciences Tokyo Medical And Dental University School Of Medicine

• Hiejima Kazumasa

  Tokyo Medical And Dental University 1st Department Of Internal Medicine

• Kawara Tokuhiro

  Department Of Allied Health Sciences Tokyo Medical And Dental University School Of Medicine

• Ashikawa Hidenobu

  First Department Of Internal Medicine Tokyo Medical And Dental University School Of Medicine

• Motokawa Katsuhiko

  Department Of Cardiovascular Medecine Tokyo Medical And Dental University

• Motokawa Katsuhiko

  Tokyo Medical And Dental University

• Asami Kohichi

  Heart Center Yokohama City Bay Red Cross Hospital

• Harada Tomoo

  Department Of Cardiovascular Medecine Tokyo Medical And Dental University

• Harada Tomoo

  The 1st Dept. of Internal Medicine

• Azegami Koji

  Department Of Cardiology Yokohama City Minato Red Cross Hospital

• Suzuki Fumio

  Mitsubishi Electric Corporation

• Suzuki Fumio

  Department Of Regulatory Radiobiology Research Institute For Radiation Biology And Medicine Hiroshim

• Hirao Kenzo

  Division Of Cardiology Heart Institute Chiba-nishi General Hospital

• Hiejima Kazumasa

  School Of Allied Health Science Tokyo Medical And Dental University

• Hirao Kenzo

  東京医科歯科大学 第1内科

• Hirao Kenzo

  Department Of Cardiology Tokyo Medical And Dental University

• Suzuki Fumio

  Division Of Cardiology Kawaguchi Kohgyo General Hospital

• Suzuki Fumio

  Tokyo Med. And Dental Univ.

• Azegami Kouji

  Yokohama City Minato Red Cross Hospital

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