Electrophysiological Characteristics and Radiofrequency Ablation of Accessory Pathways With Slow Conductive Properties
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概要
- 論文の詳細を見る
Background Atrioventricular accessory pathways (AP) with unusually long ventriculo-atrial (VA) conduction times are present in a significant subset of patients with the Wolff-Parkinson-White (WPW) syndrome, not including patients with the permanent form of atrioventricular junctional reciprocating tachycardia. Methods and Results We compared the electrophysiological characteristics and outcomes after radiofrequency (RF) ablation in 34 patients with the WPW syndrome, a VA interval >80ms, and paroxysmal tachycardia with an RP/PR ratio <1 (the slow group), vs 80 patients with WPW syndrome and a VA interval <80ms (the fast group). AP were found in the posteroseptal region significantly more often in the slow than in the fast group. In addition, the decremental conductive properties of the AP were more common in the slow than in the fast group. Catheter ablation of AP was highly successful in both groups, although ablation required a greater number of RF applications and longer procedure times in the slow group, especially for AP with decremental conductive properties. Conclusions A posteroseptal AP location was more common in AP associated with long conduction times than in AP with typical conductive properties. Both types of AP were successfully ablated, although the slow group required longer procedures and more RF energy deliveries.
- 社団法人日本循環器学会の論文
- 2004-11-20
著者
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Kaneko Yoshiaki
Department of Medicine and Biological Science, Gunma University Graduate School of Medicine
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Kurabayashi Masahiko
Department of Medicine and Biological Science, Gunma University Graduate School of Medicine
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Wen Ming-shien
Second Sectionof Cardiology Chang Gung Memorial Hospital
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Yeh San-jou
Second Sectionof Cardiology Chang Gung Memorial Hospital
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Manita Mamoru
Department of Medicine and Biological Science, Gunma University Graduate School of Medicine
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Kaneko Yoshiaki
Department Of Medicine And Biological Science Gunma University Graduate School Of Medicine
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Kurabayashi Masahiko
Department Of Medicine And Biological Science Gunma University Graduate School Of Medicine
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Manita Mamoru
Department Of Medicine And Biological Science Gunma University Graduate School Of Medicine
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Kurabayashi Masahiko
Department Of Cardiovascular Medicine Gunma University School Of Medicine
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Wang Chun-Chieh
Second Sectionof Cardiology, Chang Gung Memorial Hospital
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Lin Fun-Chung
Second Sectionof Cardiology, Chang Gung Memorial Hospital
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Wu Delon
Second Sectionof Cardiology, Chang Gung Memorial Hospital
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Kaneko Yoshiaki
Department Of Cardiology The Heart Institute Of Japan Tokyo Women's Medical College
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Wu Delon
Second Sectionof Cardiology Chang Gung Memorial Hospital
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Wu Delon
Second Section Of Cardiology Chang Gung Memorial Hospital Chang Gung University College Of Medicine
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Lin Fun-chung
Second Sectionof Cardiology Chang Gung Memorial Hospital
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Lin Fun-chung
Second Section Of Cardiology Chang Gung Memorial Hospital Chang Gung University College Of Medicine
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Manita Mamoru
Department Of Clinical Laboratory Medicine Gunma University Graduate School Of Medicine
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Wang Chun-chieh
Second Section Of Cardiology Department Of Internal Medicine Linkou Medical Center
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Wang Chun-chieh
Second Sectionof Cardiology Chang Gung Memorial Hospital
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Kurabayashi Masahiko
Department Of Cardiology Kanazawa Medical University
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Wen Ming-shien
Second Section Of Cardiology Department Of Internal Medicine Heart Failure Center Chang Gung Memorial Hospital Linkou And Chang Gung University College Of Medicine
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