Clinical Significance of Prolonged P Wave Width After Right Atrial Appendage Pacing in Sick Sinus Syndrome
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概要
- 論文の詳細を見る
The present study investigated both the clinical significance of atrial fibrillation (AF) before right atrial appendage (RAA) pacing and the influence of prolonged P wave on AF occurrence in RAA-paced patients with sick sinus syndrome (SSS). Fifty-seven patients (age 68±10 years; 19 men, 38 women) with SSS who underwent RAA pacing were divided into 2 groups: 23 patients without AF before pacing (I+II; Rubenstein I or II) and 34 patients with AF before pacing (III; Rubenstein III). The P wave duration in intrinsic rhythm and with RAA pacing were measured on the standard electrocardiography in leads II and V_1 with the use of a digitizing tablet. Group III was further subdivided into 2 groups: 20 patients (IIIb) with a paced P wave > 130ms in both leads II and V_1 and the other 14 patients (IIIa). The duration of the intrinsic P wave in leads II and V_1 was significantly greater in group III than in group I+II (119±20 vs 108±21 ms, p=0.0417, 106±16 vs 95±21 ms, p=0.0258, respectively). During the follow-up of 40±21 months, AF recurrence was significantly higher in group IIIb than in groups IIIa and I+II (17/20 vs 5/14 vs 2/23 p<0.0001). A few occurrences of AF were observed by conventional RAA pacing in patients without AF before pacing. However, SSS with AF before pacing caused a significant intra-atrial conduction disturbance and a high incidence of AF recurrence after implantation of RAA pacing, especially in patients with a prolonged paced P wave, in whom new pacing modalities may be needed to shorten paced P wave duration and prevent AF. (Circ J 2003; 67: 485-489)
- 社団法人日本循環器学会の論文
- 2003-05-20
著者
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Kasanuki Hiroshi
Department of Cardiology, Tokyo Women's Medical University
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Mizuno Masayuki
Department of Cardiology, Saitama Cardiovascular and Respiratory Center
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OTA Yoshimi
Department of Medical Technology, School of Health Sciences, Faculty of Medicine, Niigata University
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Shiga Tsuyoshi
筑波大学 人間総合科学研究科循環器内科
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Seki Toshiro
Department Of Medicine Institute Of Clinical Endocrinology Tokyo Women's Medical University
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Endoh Yasuhiro
Department of Cardiology, Saiseikai Kurihashi Hospital
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Nakamura Ayako
Department of Cardiology, Saiseikai Kurihashi Hospital
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Suzuki Tsuyoshi
Department of Cardiology, Saiseikai Kurihashi Hospital
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Takara Ayako
Department of Cardiology, Saiseikai Kurihashi Hospital
-
Sumiyoshi Tetsuya
Department Of Medicine Institute Of Clinical Endocrinology Tokyo Women's Medical University
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Takara Ayako
Saiseikai Kurihashi Hospital
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Takara Ayako
Department Of Cardiology Saiseikai Kurihashi Hospital
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Endoh Yasuhiro
Department Of Cardiology Saisei-kai Kurihashi Hospital
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Endoh Yoko
Saiseikai Kurihashi Hospital
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Endoh Yasuhiro
Department Of Cardiology Saiseikai Kurihashi Hospital
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Nakamura Ayako
Department Of Cardiology Tokyo Women's Medical University
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Ota Yoshimi
Department Of Cardiology Saiseikai Kurihashi Hospital
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Shiga Tsuyoshi
Department Of Cardiology Tokyo Women's Medical University
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Shiga Tsuyoshi
Department Of Cardiology Tokyo Wemen's Medical University
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Nakamura Ayako
Department Of Cardiology Saiseikai Kurihashi Hospital
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Shiga Tsuyoshi
Department Of Cardiology The Heart Institute Of Japan Tokyo Women's Medical University
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Mizuno Masayuki
Department Of Cardiology Saiseikai Kurihashi Hospital
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Sumiyoshi Tetsuya
Tokyo Women's Medical College
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Kasanuki Hiroshi
Department Of Cardiology The Heart Institute Of Japan
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Suzuki Tsuyoshi
Department Of Cancer Immunotherapy Osaka University Graduate School Of Medicine
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Shiga Tsuyoshi
Dep. Of Cardiology Sakakibara Heart Inst. Japan Res. Promotion Soc. For Cardiovascular Diseases
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Oota Yoshimi
Department Of Cardiology Saiseikai Kurihashi Hospital
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Seki Toshiro
Department Of Cardiology Tokyo Women's Medical University
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Hirosawa Koshichiro
Tokyo Women's Medical College
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Suzuki Tsuyoshi
Department Of Cardiology Saiseikai Kurihashi Hospital
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Suzuki Tsuyoshi
Department of Applied Chemistry, Yamanashi University
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