Novel Classification of Non-Coronary Cusp Type in Focal Atrial Tachycardia Originating from Near the His Bundle

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概要

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• We assessed the electrophysiologic characteristics of focal atrial tachycardia originating from near the His bundle (FAT-HB) successfully ablated from the non-coronary cusp (NCC-AT). <B>Method:</B> This study included 7 patients with NCC-AT. <B>Results:</B> We divided these 7 patients into 3 groups according to activation time from the atrial electrogram of the His bundle area (HisA) to P-wave onset (Po) (HisA-Po) during NCC-AT: group 1, HisA-Po=5 ms (n=2, 29%); group 2, HisA-Po≥30 ms (n=4, 57%); and group 3, HisA-Po≥22 ms (n=1, 14%). Activation time from the successful ablation site (success-site) to Po during NCC-AT and the mean distance from the success-site to the site of HisA was 72.5 ms/13 mm in group 1, 55±17 ms/5.5 mm in group 2, 42 ms/5 mm in group 3. Despite the longer distance in group 1, the HisA-Po in group 1 was shorter than that in group 2 or 3. <B>Conclusions:</B> The NCC-AT in group 2 is thought to be a subtype of FAT-HB; however, the NCC-AT in group 1, with a slower conduction velocity and/or longer distance from the origin to the exit site, might be a different type from that of FAT-HB.

著者

• Sugiyama Koji

  Department of Cardiology, Yokohama City Minato Red Cross Hospital

• Yamauchi Yasuteru

  Department Of Cardiology Musashino Red Cross Hospital

• Sasano Tetsuo

  Department Of Bio-informational Pharmacology Medical Research Institute Tokyo Medical And Dental Uni

• Kawabata Mihoko

  Department Of Cardiology Bokutou Metropolitan Hospital

• Yagishita Atsuhiko

  Department of Cardiology, Mitsui Memorial Hospital

• Isobe Mitsuaki

  Departement Of Cardiovascular Medicine Tokyo Medical And Dental University

• Nitta Junichi

  Department Of Cardiology Musashino Red Cross Hospital

• Nakamura Tomofumi

  Department Of Cardiology Ohme Municipal General Hospital

• HIRAO Kenzo

  Heart Rhythm Center, Tokyo Medical and Dental University

• Tanaka Yasuaki

  Heart Rhythm Center, Tokyo Medical and Dental University

• Hachiya Hitoshi

  Heart Rhythm Center, Tokyo Medical and Dental University

• Nitta Junichi

  Department of Cardiovascular Medicine, Tokyo Medical and Dental University

• Sugiyama Koji

  Department of Cardiovascular Medicine, Tokyo Medical and Dental University

• HIRAO Kenzo

  Heart Rhythm Center Tokyo Medical and Dental University

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