Noninvasive Characterization of Intra-Atrial Reentrant Tachyarrhythmias After Surgical Repair of Congenital Heart Diseases(Arrhythmia/Electrophysiology)
スポンサーリンク
概要
- 論文の詳細を見る
Background: Intra-atrial reentrant tachyarrhythmia (IART) after surgical repair for congenital heart diseases (CHD) has not been noninvasively characterized. Methods and Results: The 28 patients after surgery for CHD and 14 patients without surgery were investigated by 87-lead body surface mapping (BSM), 12-lead electrocardiogram (ECG), 20-lead signal averaged ECG (SAECG) and endocardial electroanatomical mapping (CARTO) during clockwise (CW: n=9) or counterclockwise (CCW: n=5) incisional atrial tachycardia (Incision-AT), CCW (n=23) or CW (n=4) cavotricuspid isthmusdependent atrial flutter (CTI-AFL), and double-loop reentry (n=4). On the BSM, the isopotential map pattern and its locus of the minimum potential could differentiate the reentrant circuits, and the activation map revealed the reentrant circuits, which were highly coincident with those obtained from CARTO. On the 12-lead ECG, negative-positive polarity in the inferior leads or a discordant pattern in the precordial leads was observed in all cases of CTI-AFL, but 3/14 Incision-AT, positive polarity in lead V_1 was observed in all cases of CCW, but none of CW CTI-AFL, positive polarity in lead I was observed in all cases of CW, but none of CCW Incision-AT. Conclusions: Flutter-wave isopotential map and its activation sequence from the BSM predict reentrant circuits of IART after surgery for CHD. Flutter-wave polarity on the 12-lead ECG could differentiate these reentrant patterns.
- 社団法人日本循環器学会の論文
- 2009-02-20
著者
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Okamura Hideo
Division of Cardiology, National Cardiovascular Center
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Noda Takashi
Division of Cardiology, National Cardiovascular Center
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Satomi Kazuhiro
Division of Cardiology, National Cardiovascular Center
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Shimizu Wataru
Division of Cardiology, National Cardiovascular Center
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Suyama Kazuhiro
Division of Cardiology, National Cardiovascular Center
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Kurita Takashi
Division of Cardiology, National Cardiovascular Center
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Aihara Naohiko
Division of Cardiology, National Cardiovascular Center
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Kamakura Shiro
Division of Cardiology, National Cardiovascular Center
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Aihara Naohiko
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Nozawa Takashi
富山大学 医学薬学研究部第2内科
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Nozawa T
Second Department Of Internal Medicine Toyama Medical & Pharmaceutical University
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Odakura Hironori
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Nakatani Takeshi
Department Of Organ Transplantation National Cardiovascular Center
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Shimizu Wataru
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Nagai Takayuki
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Kamakura Shiro
Department Of Cardiovascular Surgery National Cardiovascular Center
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Shirao K
Department Of Cardiovascular Surgery National Cardiovascular Center
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Satomi Kazuhiro
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Suyama Kazuhiro
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Aihara Naohiko
Department Of Cardiovascular Medicine National Cardiovascular Center
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Aiba Takeshi
Department Of Cardiovascular And Respiratory Medicine Shiga University Of Medical Science
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Ashihara Takashi
Department Of Cardiovascular And Respiratory Medicine Heart Rhythm Center Shiga University Of Medica
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Ashihara Takashi
Department Of Cardiovascular Medicine Shiga University Of Medical Science
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Kasai Satoshi
国立循環器病センター 心臓血管内科
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Kurita Takashi
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Kotake Takeshi
国立循環器病センター 薬剤部
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Takahashi Nobuki
Department Of Clinical Studies And Genetics Radiation Effects Research Foundation
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KAMAKURA Shiro
National Cardiovascular Center
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Okamura Hideo
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Nozawa T
Second Department Of Internal Medicine Graduate School Of Medicine University Of Toyama
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Nitta takashi
ICD committee of the Japanese Heart Rhythm Society
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Nakatani Takeshi
国立循環器病センター 心臓血管
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Komura Satoru
新潟大学 医歯学総合研究科循環器学
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Nozawa Takashi
Department Of Internal Medicine University Of Toyama
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Arafune Tatsuhiko
National Inst. Of Advanced Industrial Sci. And Technol.
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Arafune T
Graduate School Of Frontier Sciences The University Of Tokyo
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Arafune Tatsuhiko
Inst. For Human Sci. & Biomed. Eng. National Inst. Of Advanced Industrial Science And Tech.
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Arafune Tatsuhiko
名古屋大学環境医学研究所
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Nitta Takashi
The NATIVE
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Sase Kazuhiro
Juntendo University Medical School
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Oya Hideo
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Aiba Takeshi
Division Of Cardiology Johns Hopkins University School Of Medicine
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Kato Takeshi
The First Department Of Internal Medicine Nippon Medical School
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Kasai Satoshi
National Cardiovascular Center
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Tahara Nobuhiro
Department Of Internal Medicine Division Of Cardio-vascular Medicine And Cardiovascular Research Ins
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Tahara Nobuhiro
Department Of The Third Internal Medicine Kurume University School Of Medicine
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Ohya Hideo
Internal Medicine National Cardiovascular Center
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Tanizaki Kohei
Department Of Cardiology The Heart Institute Of Japan Tokyo Women's Medical University
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Kitamura Soichiro
Department Of Cardiology National Cardiovascular Center
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Ohya Hideo
Division Of Cardiology National Cardiovascular Center
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Tokuyama Kenichi
Departments Of Intensive Care Unit Chiba Hokusoh Hospital Nippon Medical School
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Nozawa Takashi
Second Department Of Internal Medicine Toyama Medical & Pharmaceutical University
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Nishimura Takashi
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Shimizu Wataru
Division Of Arrhythmia And Electrophysiology Department Of Cardiology National Cerebral And Cardiova
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Nagai Takayuki
Icd Committee Of The Japanese Heart Rhythm Society
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Kitada Shuichi
Department Of Cardiology National Cardiovascular Center
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Aiba Takeshi
Division Of Arrhythmia And Electrophysiology Department Of Cardiology National Cerebral And Cardiova
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Kamakura Shiro
Division Of Cardiology Department Of Internal Medicine National Cardiovascular Center
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Okamura Hideo
Division Of Arrhythmia And Electrophysiology Department Of Cardiovascular Medicine National Cerebral
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Kitada Shuichi
Division Of Cardiology Department Of Medical National Cardiovascular Center
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Toba Ken
Division Of Hematology Niigata University Medical And Dental Hospital
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Kamakura Shiro
Division Of Arrhythmia And Electrophysiology Department Of Cardiovascular Medicine National Cerebral
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Kato Takao
Department Of Disease Control And Homeostasis Graduate School Of Medical Science Kanazawa University
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Shimizu Wataru
Division Of Cardiology Department Of Internal Medicine National Cerebral And Cardiovascular Center H
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Aiba Takeshi
Department Of Cardiovasculardynamics National Cardiovascular Center
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SATOMI Kazuhiro
Division of Arrhythmias and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
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Suyama Kazuhiro
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
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Aihara Naohiko
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
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Satomi Kazuhiro
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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Noda Takashi
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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Satomi Kazuhiro
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
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Kurita Takashi
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, Japan
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Noda Takashi
Division of Arrhythmia and Electrophysiology, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
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