Nonpharmacologic treatment of common atrial flutter guided by transient entrainment
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概要
- 論文の詳細を見る
We attempted nonpharmacologic treatment for common atrial flutter in 7 patients, with direct current catheter ablation (CA) in 5 cases and cryoablation in 2 cases under the guidance of transient entrainment. Transient entrainment during common atrial flutter by pacing from the mid or low lateral right atrium (LLRA) revealed a long conduction time between the LLRA and the orifice of the coronary sinus (CSo) (73% to 121% of flutter cycle length). In 2 cases, fragmented electrograms were recorded at the low right atrial septum with durations of 150 msec and 155 msec, respectively. Because these fragmented electrograms were transiently entrained by rapid atrial pacing in the same manner as other atrial electrograms and were recorded in an area of long conduction, we believe that fragmented electrograms represent critical slow conduction. In 5 cases, CA was directed at this area. Three cases were successfully treated with 3 to 4 DC shocks of 100 J (follow up periods of 11.3, 4.5 and 3 months). Two cases which received I to 2 DC shocks of 100 J had recurrence of atrial flutter 6 and 4.7 months later, respectively. Two cases which showed atrial septal defect received surgical treatment. They were successfully treated with extended cryoablation in this same area (follow up periods of 26 and 9.2 months). In conclusion, extended ablation of an area of fragmented electrograms using transient entrainment may be an effective treatment for common atrial flutter.
- 社団法人日本循環器学会の論文
- 1993-03-20
著者
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OGAWA Kyoichi
Department of Cardiovascular Surgery, Hyogo Brain and Heart Center
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Yokota Yoshiyuki
Division Of Cardiovascular And Respiratory Medicine Kobe University Graduate School Of Medicine
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Yasaka Yoshinori
Division Of Cardiovascular And Respiratory Medicine Kobe University Graduate School Of Medicine
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Inoh Tsutomu
Kobe University School Of Medicine First Department Of Internal Medicine
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FUJIMOTO TOSHINORI
Brain and Heart Center at Himeji, Department of Cardiology
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ITOH SHIGEKI
Brain and Heart Center at Himeji, Department of Cardiology
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TAKAOKA KATSUHISA
Brain and Heart Center at Himeji, Department of Cardiology
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KUROGANE HIROYUKI
Brain and Heart Center at Himeji, Department of Cardiology
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YOSHIDA YUTAKA
Brain and Heart Center at Himeji, Department of Cardiology
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KAWAMURA TSUYOSH
Department of Cardiovascular Surgery
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INOUE TOMOO
Kobe University, School of Medicine, First Department of Internal Medicine
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YOKOYAMA MITSUHIRO
Kobe University, School of Medicine, First Department of Internal Medicine
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Ito Shigeki
Himeji Cardiovascular Center
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KUROZUMI Hiroaki
The 1st Department of Internal Medicine. Kobe University School of Medicine
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Ito Shigeki
The Department Of Cardiology Himeji Cardiovascular Center
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Ogawa Kyoichi
Cardio-vascular Surgery Hyogo Brain And Heart Center
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Yasaka Yoshinori
Department Of Cardiology Himeji Cardiovascular Center
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Itoh Shigeki
The Department Of Cardiology Himeji Cardiovascular Center
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Yoshida Y
Faculity Of Health Science Kobe University School Of Medicine
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Yoshida Yutaka
Dept. Of Intern.med Kobe Univ. School Of Med.
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Yokoyama Mitsuhiro
Kobe Univ. Graduate School Of Medicine
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FUJIMOTO TOSHINORI
The Department of Cardiology, Himeji Cardiovascular Center
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Kurogane Hiroyuki
The First Department Of Internal Medicine School Of Medicine Kobe University
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ITOH Shigeki
Cardiology Hyogo Brain and Heart Center at Himeji
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Kurogane Hiroyuki
Department Of Cardiology Miki City Hospital
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Kurogane Hiroyuk
Cardiology Hyogo Brain and Heart Center
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Yoshida Yutaka
The First Department Of Internal Medicine Kobe University School Of Medicine
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Fujimoto Toshinori
The First Department Of Internal Medicine Kobe University School Of Medicine
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Fujimoto Toshinori
The Department Of Cardiology Himeji Cardiovascular Center
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Inoue Tomoo
From The First Department Of Internal Medicine Kobe University School Of Medicine
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Yoshida Yutaka
Dept. Of Intern. Med. Div. I. Kobe Univ. School Of Med.
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Yokoyama Mitsuhiro
Kobe University School Of Medicine First Department Of Internal Medicine
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Inoue Tomoo
Kobe University School Of Medicine First Department Of Internal Medicine
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Ogawa Kyoichi
Department Of Cardiovascular Surgery
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Yoshida Y
1gunma Univ.
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Yoshida Yutaka
Hyogo Brain and Heart Center at Himeji
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Takaoka Katsuhisa
Brain And Heart Center At Himeji Department Of Cardiology
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Inoue Tomoo
First Department Of Internal Medicine. Kobe University School Of Medicine
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Kurozumi Hiroaki
The 1st Department Of Internal Medicine Kobe University Shool Of Medicine
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Itoh Shigeki
Dept. Of Cardiology Himeji Cardiovascular Center
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Kurozumi Hiroaki
The First Department Of Internal Medicine Kobe University School Of Medicine
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Fujimoto Toshimori
Cardiology Hyogo Brain And Heart Center
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Yasaka Yosninori
The 1st Department Of Internal Medicine Kobe University School Of Medicine
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