Relation Between Transverse Conduction Capability and the Anatomy of the Crista Terminalis in Patients With Atrial Flutter and Atrial Fibrillation : Analysis by Intracardiac Echocardiography
スポンサーリンク
概要
- 論文の詳細を見る
Although crista terminalis (CT) has been identified as the barrier to transverse conduction during typical atrial flutter (AFL), the relation between transverse conduction capabilities and anatomy of the CT remains unclear. The aim of the study was to evaluate that relation using intracardiac echocardiography (ICE). Ten patients with typical AFL (group AFL), 7 patients with paroxysmal atrial fibrillation (PAF) (group AF) and 8 patients without PAF or AFL (group N) underwent electrophysiologic testing. Using ICE images, the maximum diameter of the short axis of the CT (dCT) was measured and mapping and pacing catheters were positioned precisely. From extrastimulation delivered 1-2 cm anteriorly (free wall) or posteriorly (posterior wall) to the CT, the effective refractory period (CT-ERP) was determined as the longest coupling interval that resulted in split potentials at the mapping catheter positioned along the CT, a finding consistent with a transverse conduction block at the CT. The dCT was greater in group AFL than in groups AF and N (5.0★0.8 vs 4.3★0.7, p<0.05 and 4.2★0.4 mm, p<0.01, respectively). The CT-ERP was longer during pacing from the posterior wall than from the free wall (307★68 vs 266★29 ms, p<0.05) as a whole group. The CT-ERP for the posterior wall pacing was longer in group AFL than in group N (339★80 vs 255★13, p<0.05). CT-ERP did not correlate with dCT; however, dCT was greater in patients with split potentials at the CT than in patients without them (4.9★0.8 vs 4.1★0.5 mm, p<0.05). Therefore, the transverse conduction block of CT was more likely to occur in a thick CT. A limited transverse conduction capability of the CT is related to its thickness and might contribute to the development of typical AFL.
- 社団法人日本循環器学会の論文
- 2002-11-20
著者
-
Mizumaki Koichi
Second Department Of Internal Medicine University Of Toyama
-
Fujiki Akira
Second Department Of Internal Medicine University Of Toyama
-
Fujiki Akira
The Second Department Of Internal Medicine
-
MIZUMAKI Koichi
The Second Department of Inetranal Medicine, Toyama Medical and Pharmaceutical University
-
Sakurai Kenji
The Second Department Of Internal Medicine University Of Toyama
-
Sakabe Masao
The Second Department of Internal Medicine, Graduate School of Medicine, University of Toyama
-
Nagasawa Hidehiko
The Second Department of Internal Medicine, Faculty of Medicine, University of Toyama
-
Miwa Kunihisa
The Second Department Of Internal Medicine Toyama Medical And Pharmaceutical University
-
Nishida Kunihiro
The Second Department Of Internal Medicine Graduate School Of Medicine University Of Toyama
-
Nagasawa Hidehiko
The Second Department Of Internal Medicine Faculty Of Medicine University Of Toyama
-
Inoue Hiroshi
The Second Department Of Internal Medicine University Of Tokyo
-
Sakurai Kenji
The Second Department Of Internal Medicine Toyama Medical And Pharmaceutical University
-
Inoue Hiroshi
The Second Department Of Internal Medicine
関連論文
- Morphological Properties of Atrial Fibrillation Waves in Patients with Left Ventricular Dysfunction : Spectral Analysis of Atrial Fibrillation Waves in Dilated Cardiomyopathy
- Long-Term Follow-up of Changes in Fibrillation Waves in Patients With Persistent Atrial Fibrillation : Spectral Analysis of Surface ECG
- Dose-Response Effects of Bepridil in Patients With Persistent Atrial Fibrillation Monitored With Transtelephonic Electrocardiograms : A Multicenter, Randomized, Placebo-Controlled, Double-Blind Study (J-BAF Study)
- Predicting the Efficacy of Antiarrhythmic Agents for Interrupting Persistent Atrial Fibrillation According to Spectral Analysis of the Fibrillation Waves on the Surface ECG
- Learning From Clinical Randomized Trials : Individualized Therapy is Important in the Management of Atrial Fibrillation
- Relation of Fibrillatory Wave Amplitude With Hemostatic Abnormality and Left Atrial Appendage Dysfunction in Patients With Chronic Nonrheumatic Atrial Fibrillation
- -0980-EFFECTS OF ACUTE ISCHEMIA ON ANISOTROPIC CONDUCTION IN CANINE VENTRICULAR MUSCLE : THE 54th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- -0455-EFFECTS OF CHRONOTROPIC RESPONSIVE CARDIAC PACING ON VENTILATORY RESPONSE TO EXERCISE IN PATIENTS WITH CHRONOTROPIC INCOMPETENCE
- -0406-ATRIAL EPICARDIAL MAPPING DURING THE INDUCTION OF ATRIAL FIBRILLATION WITH VAGUS NERVE STIMULATION AND PREMATURE ATRIAL STIMULATION IN THE DOG
- ELECTROPHYSIOLOGICAL PROPERTIES OF BRADYCARDIA-DEPENDENT ACCESSORY PATHWAY BLOCK : AUTOMATICITY AND CONDUCTION BLOCK : Arrhythmias : 53 Annual Scientific Meeting, Japanese Circulation Society
- -64- HOLTER RECORDINGS AND ELECTROPHY-SIOLOGIC FINDINGS IN PATIENTS WITH PAROXYSMAL ATRIOVENTRICULAR BLOCK : Arrhythmias : FREE COMMUNICATIONS(I) : PROCEEDINGS OF THE 51th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY
- OJ-352 Increased Oxidative Stress with Elevated Serum Thioredoxin in Patients with Atrial Fibrillation(Arrhythmia, diagnosis/pathophysiology/EPS-4 (A) OJ59,Oral Presentation (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circula
- P396 ELECTROPHYSIOLOGICAL MECHANISMS OF FRAGMENTED ELECTRICAL ACTIVITY DURING ATRIAL FIBRILLATION : OBSERVATIONS FROM VAGALLY INDUCED CANINE ATRIAL FIBRILLATION AND OPEN HEART SURGERY
- 0593 CONDUCTION AT THE NARROW ISTHMUS DURING ATRIAL FLUTTER : OBSERVATIONS FROM CATHTER ABLATION AND OPEN HEART SURGERY
- OE-272 Antifibrillatory Effects of Testosterone in Rat Atria : Role of Calcium Handling Proteins(Arrhythmia, basic-2, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- FRS-012 Regional Inhomogeneity in Activation of Sarcoendoplasmic Reticulum Ca-ATPase in Left Ventricle : A Basis for Diastolic Asynchrony(Cardiac Function "Ventricular Mechanics and Calcium Handling", The 71st Annual Scientific Meeting of the Japanese Cir
- OE-141 Different Hemodynamic and Autonomic Nervous Response to Head-up Tilt between Postural Tachycardia Syndrome and Neurally Mediated Syncope(OE24,Autonomic Nervous System (H),Oral Presentation (English),The 73rd Annual Scientific Meeting of The Japanes
- PJ-608 Junctional Rhythm Unassociated with Retrograde Atrial Conduction during Ablation in Atypical Atrioventricular Nodal Reentrant Tachycardia(Arrhythmia, therapy(26)(A),Poster Session(Japanese),The 72nd Annual Scientific Meeting of the Japanese Circula
- PE-250 Different Characteristics between Spontaneous and Induced Ventricular Fibrillation in Patients with Brugada Syndrome(Arrhythmia, diagnosis/Pathophysiology/EPS(07)(A),Poster Session(English),The 72nd Annual Scientific Meeting of the Japanese Circula
- OJ-130 Bradycardia-Dependent Augmentation of J-Wave Elevation in Patients with Idiopathic Ventricular Fibrillation (ECG / Body surface potential mapping / Holter(02)(A),Oral Presentation (Japanese),The 72nd Annual Scientific Meeting of the Japanese Circul
- PJ-087_Circadian Changes in Fibrillation Cycle Length in Persistent Atrial Fibrillation(ECG/Body surface potential mapping/Holter-6, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PJ-045 Comparative Effects of Amiodarone, Sotalol and Bepridil on QT Intervals at Various Heart Rates(Arrhythmia, diagnosis/pathophysiology/EPS-10, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- PE-115 Atypical Atrioventricular Nodal Reentrant Tachycardia with Retrograde Intermediate Pathway(Arrhythmia, diagnosis/pathophysiology/EPS-08, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OE-382 Circadian Changes in ST/RR and QT/RR Relationship During Daily Life in Patients with Brugada Syndrome(ECG/Body surface potential mapping/Holter-1, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OE-268 Bepridil Suppresses Atrial Fibrillation with its Reverse-Remodeling Effect Against the Electrical Remodeling in a Long-Term Canine Atrial Tachypacing Model(Arrhythmia, basic-2, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- Pharmacological Cardioversion of Persistent Atrial Fibrillation With and Without a History of Drug-Resistant Paroxysmal Atrial Fibrillation
- Bradycardia-Dependent ECG Changes in Brugada Syndrome
- PJ-616 Efficacy and Safety of a Combination of Bepridil and Amiodarone in Patients with Drug-refractory Atrial Fibrillation(Arrhythmia, therapy-18 (A) PJ104,Poster Session (Japanese),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulati
- PE-144 Relation of Interleukin-6 and C-reactive Protein to Recurrence of Atrial Fibrillation After Chemical Cardioversion with Bepridil and Aprindine(Arrhythmia, therapy-9 (A) PE24,Poster Session (English),The 70th Anniversary Annual Scientific Meeting of
- OE-086 Effects of Taking Meal on ST-RR Relationship in Patients with Brugada Syndrome(ECG/Body surface potential mapping/Holter-1 (A) OE15,Oral Presentation (English),The 70th Anniversary Annual Scientific Meeting of the Japanese Circulation Society)
- 4 Relationship between Circadian Changes in ST Elevation and Autonomic Nervous Activity in Daily Life of Patients with Brugada Syndrome(Brugada Syndrome:From Cell to Bedside,Plenary Session 2 (PL2) (A),The 70th Anniversary Annual Scientific Meeting of the
- Nonlinear Mixed Effects Model Analysis of the Pharmacokinetics of Routinely Administered Bepridil in Japanese Patients with Arrhythmias(Biopharmacy)
- Analysis of CYP2D6 Genotype in Relation to Bepridil Pharmacokinetics in Patients with Persistent Atrial Fibrillation(Arrhythmia, Pharmacological Therapy 2 (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Baroreceptor Reflex in Brugada Syndrome : Different ECG Responses Between Patients With and Without Ventricular Fibrillation(ECG/Body Surface Potential Mapping/Holter 2 (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- Different Repolarization Dynamics Between Monomorphic and Polymorphic Ventricular Tachycardia Originated From Right Ventricular Outflow Tract(ECG/Body Surface Potential Mapping/Holter 1 (A), The 69th Annual Scientific Meeting of the Japanese Circulation S
- Drug-Induced Changes in Fibrillation Cycle Length and Organization Index Can Predict Chemical Cardioversion of Long-Lasting Atrial Fibrillation With Bepridil Alone or in Combination With Aprindine
- d,l-Sotalol Reverses Abbreviated Atrial Refractoriness and Prevents Promotion of Atrial Fibrillation in a Canine Model With Left Ventricular Dysfunction Induced by Atrial Tachypacing
- PJ-428 Evaluation of Atrial versus Ventricular Effects of Bepridil in Patients with Persistent Atrial Fibrillation Using Frequency Analysis of Fibrillation Waves(PJ072,Atrial/Supraventricular Arrhythmia (Clinical/Treatment) 2 (A),Poster Session (Japanese)
- PJ-426 D,I-Sotalol Reverses Atrial Electrical Remodeling and Prevents Atrial Fibrillation Promotion without Affecting Down-regulated L-type Ca2+ Channel mRNA Expression(PJ072,Atrial/Supraventricular Arrhythmia (Clinical/Treatment) 2 (A),Poster Session (Ja
- PJ-012 Electrophysiological and Anatomical Differences in Retrograde Slow Pathway between Fast-slow and Slow-slow Form of Atypical Atrioventricular Nodal Reentry(PJ002,Atrial/Supraventricular Arrhythmia (Clinical/Pathophysiology) (A),Poster Session (Japan
- OE-125 Effects of Bepridil on Repolarization Dynamics and Ventricular Fibrillation in Patients with Brugada Syndrome(OE21,ECG/Body Surface Potential Mapping/Holter 2 (A),Oral Presentation (English),The 73rd Annual Scientific Meeting of The Japanese Circul
- PE-143 Usefulness of Combination Therapy with Bepridil and Amiodarone for Drug-Refractory Atrial Fibrillation in Patients with and without Left Ventricular Dysfunction(Arrhythmia, therapy(07)(A),Poster Session(English),The 72nd Annual Scientific Meeting o
- Thoracic Aortic Plaque Enhances Hypercoagulability in Patients With Nonrheumatic Atrial Fibrillation
- Distinct visualization of descending aorta in the lateral chest x-ray as a predictor for restenosis after stent implantation
- Prolonged Activation of Hemostatic Markers Following Conversion of Atrial Flutter to Sinus Rhythm
- Elevated Levels of Fibrin Monomer as a Predictor of Thromboembolism in Patients with Atrial Fibrillation
- Maintenance of Sinus Rhythm and Recovery of Atrial Mechanical Function After Cardioversion With Bepridil or in Combination With Aprindine in Long-Lasting Persistent Atrial Fibrillation
- PJ-196 Pharmacological Cardioversion Based on Reverse Remodeling Can Maintain Sinus Rhythm Better than Electrical Cardioversion in Patients with Long-Lasting Atrial Fibrillation(Arrhythmia, Pharmacological Therapy 2 (A) : PJ33)(Poster Session (Japanese))
- OJ-370 Relation of Echocardiographic Variables to Hemostatic Markers Associated with Cardioversion in Patients with Atrial Fibrillation(Thromboembolism/Thrombolysis 3 (IHD) : OJ45)(Oral Presentation (Japanese))
- Radiofrequency Ablation at the Coronary Sinus Ostium Interrupts the Vagal Efferent Input to the Atrioventricular Node in the Canine Heart
- P135 PROGNOSITIC ASSESSMENT OF OLD MYOCARDIAL INFARCTION
- -1245- RESPONSE OF HEART RATE VARIABILITY TO UPRIGHT TILT IN RELATION TO HEART RATE(PROCEEDINGS OF THE 59th ANNUAL SCIENTIFIC MEETING OF THE JAPANESE CIRCULATION SOCIETY)
- EFFECTS OF VAGUS NERVE STIMULATION ON ATRIAL VULNERABILITY IN CANINE STERILE PERICARDITIS
- COMPARISON OF AUTONOMIC NERVOUS ACTIVITIES BEFORE THE ONSET OF VENTRICULAR TACHYCARDIA WITH AND WITHOUT ORGANIC HEART DISEASE
- CHANGES IN LEFT VENTRICULAR DIMENSIONS AND AUTONOMIC BALANCES DURING HEAD-UP TILT : DIFFERENTIAL RESPONSES IN PATIENTS WITH ISOPROTERENOL-DEPENDENT AND INDEPENDENT VASOVAGAL SYNCOPE
- FREQUENCY DOMAIN ANALYSIS OF HEART RATE VARIABILITY IN PATIENTS WITH LONG QT SYNDROME : RELATION BETWEEN THE AUTONOMIC NERVOUS SYSTEM ACTIVITY AND QT INTERVAL
- LONG-TERM CLINICAL COURSE OF PAROXYSMAL ATRIAL FIBRILLATION
- TWO DIFFERENT MECHANISMS OF CANINE ATRIAL FIBRILLATION:VAGAL STIMULATION AND PERICARDITIS
- EVALUATION OF ATRIAL VULNERABILITY WITH WAVE LENGTH AND DISPERSION OF ATRIAL REFRACTORINESS
- Relation between atrial fibrillation cycle length and left ventricular ejection fraction
- Repolarization abnormality in idiopathic ventricular fibrillation with respect to QT-RR relation
- Effects of a Novel Class III Antiarrhythmic Agent, NIP-142, on Canine Atrial Fibrillation and Flutter
- Effects of a new antiarrhythmic drug, NIP-142, on atrial flutter in the dog
- Thromboembolic Risk in Patients With Paroxysmal Atrial Fibrillation : A Comparison With Chronic Atrial Fibrillation
- Complex Atrial Reentrant Circuits Evaluated by Entrainment Mapping Using a Multielectrode Basket Catheter
- Attenuating Effects of Anti-Arrhythmic Agents on Changes in Fibrillation Cycle Length in Very Early Phase Paroxysmal Atrial Fibrillation : Spectral Analysis of Fibrillation Waves in Surface ECG
- Effects of Unilateral Stellate Ganglion Block on the Spectral Characteristics of Heart Rate Variability
- EFFECTS OF UNILATERAL STELLATE GANGLION BLOCKADE ON SPECTRAL CHARACTERISTICS OF HEART RATE VARIABILITY BEFORE AND DURING HEAD-UP TILT
- OE-226 Effects of RR Interval on ECG Morphology in Patients with Brugada Syndrome(Arrhythmia, Diagnosis/Pathophysiology/EPS 10 (A) : OE28)(Oral Presentation (English))
- Characteristics of High Aged (≥70 Years) Asymptomatic Patients with Brugada-Type ECG
- Pharmacological Conversion of Long Lasting Atrial Fibrillation by Bepridil with Respect to Fibrillation Wave Characteristics
- Relation Between Transverse Conduction Capability and the Anatomy of the Crista Terminalis in Patients With Atrial Flutter and Atrial Fibrillation : Analysis by Intracardiac Echocardiography
- Anatomical relation between the crista terminalis and the location of a transverse conduction block in patients with typical atrial flutter
- Daytime and Nighttime Onset of Paroxysmal Atrial Fibrillation : Waveform Analysis of Surface ECG
- Dynamic changes in the QT-RR relationship during head-up tilt in patients with vasovagal syncope
- Comparison of Spontaneous and Drug-induced Termination of Paroxysmal Atrial Fibrillation : Spectral Analysis of Fibrillation Waves from Surface ECG
- Spontaneous Onset of Torsade de Pointes in Long-QT Syndrome and the Role of Sympathovagal Imbalance
- Spectral Characteristics of Human Atrial Fibrillation Waves of the Right Atrial Free Wall With Respect to the Duration of Atrial Fibrillation and Effect of Class I Antiarrhythmic Drugs
- 神経調節性失神(neurally mediated syncope)の機序
- PJ-403 Inappropriately short QT interval at slower heart can differentiate patients with idiopathic ventricular fibrillation form asymptomatic Brugada syndrome(ECG/Body Surface Potential Mapping/Holler 5 (A) : PJ67)(Poster Session (Japanese))
- PJ-193 Bepridil regularizes ventricular response during atrial fibrillation in accordance with prolongation of fibrillation cycle length(Arrhythmia, Pharmacological Therapy 2 (A) : PJ33)(Poster Session (Japanese))
- OJ-084 Enalapril prevents atrial fibrillation through suppression of fibrosis and connexin43 expression with shortening of excitable gap in tachycardia-mediated canine cardiomyopathy(Arrhythmia, Basic 1 (A) : OJ10)(Oral Presentation (Japanese))
- Role of Fibrillation Cycle Length in Spontaneous and Drug-Induced Termination of Human Atrial Fibrillation : Spectral Analysis of Fibrillation Waves From Surface Electrocardiogram
- Effects of Angiotensin-Converting Enzyme Inhibitor on Canine Model of Long Term Pacing-Induced Atrial Fibrillation with Intact Atrioventricular Conduction
- Difference in Quality of Life between Rate and Rhythm Control Therapy for Persistent Atrial Fibrillation
- Vagal Activity Modulates Spontaneous Augmentation of ST Elevation in Brugada Syndrome
- Canine Model of the Brugada Syndrome Using Regional Epicardial Cooling of the Right Ventricular Outflow
- Changes in Autonomic Nervous Activity After Catheter Ablation of Right Ventricular Outflow Tract Tachycardia
- 0638 QT/RR SLOPE IN IDIOPATHIC LONG QT SYNDROME AND COMPARISON WITH THE EFFECT OF CLASS III ANTIARRHYTHMIC DRUG (SEMATILIDE) IN NORMAL SUBJECTS
- A New Pharmacological Strategy for Conversion of Long-lasting Persistent Atrial Fibrillation(Morning Lecture 3 (ML3) (A))(Special Program)
- Pharmacological Therapy for Fibrillations
- Electrophysiological Mechanisms of Conversion of Typical to Atypical Atrioventricular Nodal Reentrant Tachycardia Occurring After Radiofrequency Catheter Ablation of the Slow Pathway
- 0589 EARLIEST ATRIAL EXCITATON SITE DURING ATRIOVENTRICULAR NODAL REENTRANT TACYCARDIA : DIFFERENCES IN RESPONSE TO RADIOFREQUENCY CATHETR ABLATION
- Pharmacological Cardioversion of Long-Lasting Atrial Fibrillation(Atrial Fibrillation)
- Guidelines for Risks and Prevention of Sudden Cardiac Death (JCS 2010) : Digest Version
- Anticoagulation Control Quality Affects the D-Dimer Levels of Atrial Fibrillation Patients
- Different Dynamic Aspects of the Repolarization Morphology between LQT1 and LQT2 Forms of Congenital Long QT Syndrome
- Different Bradycardia-Dependent Augmentation of J-Wave Elevation between Idiopathic Ventricular Fibrillation and Wolff-Parkinson-White Syndrome with Early Repolarization
- Essential Pathway of Reentry in the Canine Model of Atrial Flutte. Analysis Using Radiofrequency Ablation.:Analysis Using Radiofrequency Ablation
- Successful Radiofrequency Catheter Ablation of Incessant Ventricular Tachycardia with a Delta Wave-like Beginning of the QRS Complex.