ATRIAL FIBRILLATION AND ATRIAL VULNERABILITY IN THE WOLFF-PARKINSON-WHITE SYNDROME
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概要
- 論文の詳細を見る
To explore the etiology of paroxysmal atrial fibrillation (AF) in the Wolff-Parkinson-White (WPW) syndrome, we examined the rates of AF episodes and performed electrophysiologic studies in 58 patients with WPW syndrome. They were classified into three patient groups depending on the property of antegrade conduction over accessory pathways: manifest WPW, intermittent WPW, and concealed WPW. Atrial vulnerability was defined as the inducibility of AF or repetitive atrial responses. The three groups were: 24 patients in manifest WPW, aged 42±15 yrs. 38% with AF; 12 patients in intermittent WPW, aged 40±15 yrs, 25% with AF; 22 patients in concealed WPW, aged 44±16 yrs. 9% with AF. There were no significant differences in the mean age between the groups. The incidences of atrial vulnerability detected in electrophysiologic studies in each group were 54%, 42%, and 27% respectively. The incidence of AF was well correlated with that of atrial vulnerability (p<0.01). The effective refractory periods (ERP) of the atrium and the retrograde ERP of the accessory pathway did not differ significantly between the three groups. Atrial conduction delay was more prominent in manifest WPW than in concealed WPW. The incidence of AF and atrial vulnerability was highest in the manifest WPW group, intermediate in the intermittent WPW group, and lowest in those patients with concealed WPW. The difference in incidence between the manifest WPW group and the concealed WPW group was significant (p<0.05). There-fore, the property of antegrade conduction over accessory pathways may be replated to the genesis of AF in the WPW syndrome.
- 社団法人日本循環器学会の論文
- 1991-03-20
著者
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Yamamoto Toshio
Second Department Of Internal Medicine Saitama Medical School
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Asano Yukio
Second Department of Internal Medicine, Saitama Medical School
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Saito Jun-ichi
Second Department Of Internal Medicine Saitama Medical School
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Dohi Yutaka
The Second Department of Internal Medicine Saitama Medical School
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Dohi Yutaka
Second Department Of Internal Medicine
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MATSUMOTO KAZUO
The Second Division, Department of Internal Medicine, Saitama Medical School
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Matsumoto Kazuo
Department Of Cardiology Saitama Medical University International Medical Center
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Matsumoto Kazuo
Department Of Cardiology Saitatama International Medical Center Saitama Medical Univeristy
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KANEKO KEIKO
Second Department of Internal Medicine
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ASANO YUKIO
The Second Department of Internal Medicine, Saitama Medical School
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KANEKO KEIKO
The Second Department of Internal Medicine, Saitama Medical School
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SAITO JUN-ICHI
The Second Department of Internal Medicine, Saitama Medical School
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YAMAMOTO TOSHIO
The Second Department of Internal Medicine, Saitama Medical School
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Matsumoto Kazuo
The Second Division Department Of Internal Medicine Saitama Medical School
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Asano Yukio
Second Department Of Internal Medicine Saitama Medical School
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Matsumoto Kazuo
Second Department Of Internal Medicine Saitama Medical School
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Matsumoto Kazuo
Department Of Cardiology Saitama Medical School
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Matsumoto Kazuo
The Second Department Of Internal Medicine Saitama Medical School
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Matsumoto Kazuo
Department Of Cardiology Saitama Medical University International Medical Center Saitama Medical Uni
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