The Application of Holter ECG-Based T-Wave Alternans in Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy
スポンサーリンク
概要
- 論文の詳細を見る
<B>Background:</B> Arhythmogenic right ventricular dysplasia (ARVD) carries the risk of ventricular arrhythmias and sudden cardiac death (SCD). The modified moving average microvolt T-wave alternans (MMA TWA) has been explored to predict arrhythmic events and mortality in ischemic heart disease. However, the clinical application of TWA in ARVD remains unclear. <B>Methods:</B> The cohort enrolled consecutive 33 patients with ARVD based on the new Task Force (TF) criteria. The Holter ECG-based MMA TWA was obtained and TWA≥65 µV was defined as positive. Regarding the demographic, electrocardiographic, structural, and invasive electrophysiological characteristics, several factors were explored to predict mortality and malignant ventricular arrhythmias. <B>Results:</B> During a mean follow-up duration of 18.09±12.59 months (1–53 months), a total of 10 (30.3%) patients developed events, including 3 patients (30%) with SCD and 7 (70%) non-sustained or sustained ventricular arrhythmias. Ten patients underwent an implantable cardioverter defibrillator placement for secondary prevention. There were no differences in baseline characteristics and invasive electrophysiological results, except more patients with positive TWA in the event group. On multivariate analysis, independent predictors of events included positive TWA (P=0.011, OR: 11.677, CI: 1.77∼77.09) and daily ventricular extrasystole percentage (P=0.047, OR: 1.101, CI: 1.001∼1.21). <B>Conclusion:</B> The MMA TWA could predict the risk of ventricular arrhythmia and mortality in patients with ARVD in addition to the TF criteria.
著者
-
Chen Shih-ann
Division Of Cardiology Department Of Medicine And National Yang-ming University School Of Medicine A
-
Hu Yu-feng
Division Of Cardiology Department Of Medicine Taipei Veterans General Hospital
-
Chang Shih-lin
Division Of Cardiology Department Of Medicine Hualein Tzu-chi General Hospital
-
Li Cheng-hung
Division Of Cardiology Taipei Veterans General Hospital
-
Lin Yenn-jiang
Division Of Cardiology Department Of Medicine National Yang-ming University School Of Medicine Taipe
-
Chao Tze-fan
Division Of Cardiology Taipei Veterans General Hospital
-
Lo Li-Wei
Division of Cardiology and Cardiovascular Research Center, National Yang-Ming University, School of Medicine, and Taipei Veterans General Hospital, Taipei Municipal Gan-Dau Hospital
-
Chung Fa-Po
Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital
-
Chao Tze-Fan
Division of Cardiology and Cardiovascular Research Center, National Yang-Ming University, School of Medicine, and Taipei Veterans General Hospital, Taipei Municipal Gan-Dau Hospital
-
Chung Fa-Po
Division of Cardiology and Cardiovascular Research Center, National Yang-Ming University, School of Medicine, and Taipei Veterans General Hospital, Taipei Municipal Gan-Dau Hospital
-
Chen Shih-Ann
Division of Cardiology and Cardiovascular Research Center, National Yang-Ming University, School of Medicine, and Taipei Veterans General Hospital, Taipei Municipal Gan-Dau Hospital
-
Chang Shih-Lin
Division of Cardiology and Cardiovascular Research Center, National Yang-Ming University, School of Medicine, and Taipei Veterans General Hospital, Taipei Municipal Gan-Dau Hospital
-
Hu Yu-Feng
Division of Cardiology and Cardiovascular Research Center, National Yang-Ming University, School of Medicine, and Taipei Veterans General Hospital, Taipei Municipal Gan-Dau Hospital
-
Lin Yenn-Jiang
Division of Cardiology and Cardiovascular Research Center, National Yang-Ming University, School of Medicine, and Taipei Veterans General Hospital, Taipei Municipal Gan-Dau Hospital
関連論文
- The Impact of Diastolic Dysfunction on the Atrial Substrate Properties and Outcome of Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation
- PJ-205 High-Resolution QS Mapping of Premature Ventricular Ectopy Originating from the Right Ventricular Outflow Tract : A Novel Insight Into Catheter Ablation(Arrhythmia, therapy-17, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OE-218 Discordance of Conduction Block Lines in the Left Atrium in Patients with Atrial Fibrillation : New Insight into Catheter Ablation(Arrhythmia, therapy-03, The 71st Annual Scientific Meeting of the Japanese Circulation Society)
- OE-273 Electrophysiological Characteristics of Complex Fractionated Atrial Electrograms : Novel Insight from Noncontact Mapping(OE46,Atrial Fibrillation/Supraventricular Arrhythmia: Diagnosis 3 (A),Oral Presentation (English),The 73rd Annual Scientific Me
- OE-107 Spatiotemporal Characterization of Complex Fractionated Atrial Electrograms in Patients with the Non-Pulmonary Vein Ectopy Initiating AF/AT(OE18,Atrial Fibrillation/Supraventricular Arrhythmia: Treatment (A),Oral Presentation (English),The 73rd Ann
- 3 Taipei Approach : What are the Predicting Factors for Acute Termination of AF During Catheter Ablation and Long-term Outcomes?(Latest Challenge of Ablation for Chronic Atrial Fibrillation-Where are We Now and Where are We Going?-,Symposium 6 (SY-06) (H)
- PE-031 Electrical Isolation of Arrhythmogenic Superior Vena Cava in Patients with Proxysmal Atrial Fibrillation Guided by Three-Dimensional Mapping and Navigation System(Arrhythmia, therapy-7 (A) PE6,Poster Session (English),The 70th Anniversary Annual Sc
- Focal Atrial Tachycardia
- Differential Pacing Techniques Reveal Discordant Inputs from Right Atrium to Superior Vena Cava : Implication for Isolation of Superior Vena Cava(Arrhythmia, Non-pharmacological Therapy 3 (A), The 69th Annual Scientific Meeting of the Japanese Circulation
- Mechanism of Adenosine Induced Termination of Focal Atrial Tachycardia : New Insights from Noncontact Mapping(Arrhythmia, Non-pharmacological Therapy 6 (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- High Resolution Mapping of Atrial Propagation Pattern : High Crista Terminalis Tachycadia vs Sinus Rhythm(Arrhythmia, Non-pharmacological Therapy 7 (A), The 69th Annual Scientific Meeting of the Japanese Circulation Society)
- OE-216 Shift of Earliest Depolarization Site in Human Sinus Node : New Insights from Three-dimensional Noncontact Mapping(Arrhythmia, Non-Pharmacological Therapy 9 (A) : OE27)(Oral Presentation (English))
- OE-137 Propagation Pattern of Focal Atrial Tachycardia : New Insights from Noncontact Mapping(Arrhythmia, Non-Pharmacological Therapy 8 (A) : OE17)(Oral Presentation (English))
- OE-136 Novel Three-dimensional Topography of Electrical Breakthrough Between Right Atrium and Superior Vena Cava : Implication for Catheter Ablation(Arrhythmia, Non-Pharmacological Therapy 8 (A) : OE17)(Oral Presentation (English))
- Catheter Ablation of Focal Atrial Tachycardia : New Insight from Noncontact Three-Dimensional Mapping
- Three-Dimensional Electroanatomic Mapping Systems in Catheter Ablation of Atrial Fibrillation
- Prediction of Patient Outcome from Acinetobacter baumannii Bacteremia with Sequential Organ Failure Assessment (SOFA) and Acute Physiology and Chronic Health Evaluation (APACHE) II Scores
- Late Diastolic Potential Guided Ventricular Tachycardia Ablation in Patient With Electrical Storms and Ischemic Heart Disease
- Paradoxical Aging Changes of the Atrioventricular Nodal Properties in Patients With Atrioventricular Nodal Re-Entrant Tachycardia
- Impact of Pacing and High-Pass Filter Settings on Ventricular Bipolar Electrograms in Implantable Cardioverter Defibrillator Systems : Implication of Predictors for Inappropriate Therapy Caused by Oversensing of Repolarization Electrograms
- Associations Between Renal Function, Atrial Substrate Properties and Outcome of Catheter Ablation in Patients With Paroxysmal Atrial Fibrillation
- Atrial Pacing-Induced Reverse Alternating Wenckebach Periods : A Common Electrophysiologic Phenomenon in Patients with Dual Atrioventricular Nodal Pathways
- Long-Term Follow-Up in Patients with Right Ventricular Outflow Tract Tachycardia and Arrhythmogenic Right Ventricular Cardiomyopathy Who Underwent Catheter Ablation
- Ventricular Cardiomyopathy: Rare Late Occurrence of Rapid Ventricular Tachycardia/Fibrillation
- Long-Term Predictors of Mortality and Malignant Ventricular Arrhythmias in Patients with Right Ventricular Outflow Tract Tachycardia
- 3-D Anatomy by Rotational Angiography Facilitates the Most Real-Time Location of Pulmonary Veins in Relation to Bronchi during Catheter Ablation of Atrial Fibrillation
- The clinical and electroanatomical characteristics of paroxysmal lone atrial fibrillation
- The Application of Holter ECG-Based T-Wave Alternans in Arrhythmogenic Right Ventricular Dysplasia/Cardiomyopathy
- Atrial Tachycardia in a Patient with Complex Structural Heart Disease
- Gender-Related Differences in Patients Who Underwent Catheter Ablation of Atrial Fibrillation
- Long-Term Follow-Up Result of Catheter Ablation in Atrial Fibrillation Initiating from Superior Vena Cava
- Trans-Septal Approach with Electroanatomic Mapping, a Novel Ablation Strategy for Recurrent Left Free Wall Accessory Pathway
- Prolonged Atrium Electromechanical Interval Was Associated with Strokes in Patients with Atrial Fibrillation after Successful Catheter Ablation
- A Novel Finding: Atrial Substrate Properties and Long-Term Results of Catheter Ablation in Chronic Atrial Fibrillation Patients with Left Atrial Spontaneous Echo Contrast
- Effects of Ivabradine on the Pulmonary Vein Electrical Activity and Modulation of Pacemaker Currents and Calcium Homeostasis
- Computed Tomographic Analysis of Left Atrial Mass and Regional Variations of Posterior Wall in Patients with Atrial Fibrillation
- A Novel Finding: The Left Atrial Substrate Property Is a Determinant of Left Atrial Compliance Changes after Catheter Ablation of Atrial Fibrillation
- Catheter Ablation of an Intra-Atrial Reentrant Tachycardia in a Young Adult Fontan Patient With Complex Palliated Congenital Heart Disease
- A Novel Finding:– Impairment of Gastric Myoelectricity After Catheter Ablation of Atrial Fibrillation –
- The Effects of Accumulated Experience on Radiofrequency Ablation of Accessory Pathways.
- Safety and Efficacy of a Modified Catheter-Mediated Ablation of Accessory Pathways.
- Reappraisal of Intermediate-Term Follow-Up of Radiofrequency Ablation of Accessory Atrioventricular Pathways for Treatment of Wolff-Parkinson-White Syndrome.
- A Comparative Study of a Modified Catheter-Mediated Direct Current and Radiofrequency Ablation on Atrioventricular Junction.
- Accessory Atrioventricular Pathways and Atrioventricular Nodal Reentrant Tachycardia in Teenagers. Electrophysiologic Characteristics and Radiofrequency Catheter Ablation.:Electrophysiologic Characteristics and Radiofrequency Catheter Ablation
- Sawtooth Electrocardiographic Pattern With Blocked Cavotricuspid Isthmus:– What Is the Mechanism? –
- Incidence and Risk of Atrial Fibrillation in Sleep-Disordered Breathing Without Coexistent Systemic Disease:– Nationwide Longitudinal Cohort Study –
- Impairment of Gastric Myoelectricity After Catheter Ablation of Atrial Fibrillation