Atypical Electrocardiographic Features of Cavotricuspid Isthmus-Dependent Atrial Flutter Occurring during Left Fibrillation Ablation
スポンサーリンク
概要
- 論文の詳細を見る
<B>Background:</B> Patient who have undergone percutaneous catheter ablation for Atrial Fibrillation (AF) may develop cabotricuspid ithmus (CTI)-dependent atrial flutter) AFL), which can occur during left atrial (LA) ablation for AF. The Electrocardiographic (ECG) characteristics of CTI-dependent AFL occurring LA ablation have not been described in detail. The purpose of this study was to describe the ECG feature of CTI-dependent AFL occurring during percutaneous LA catheter ablation for AFL. <B>Methods and Result:</B> Of 29 patients presenting for AF ablation at our institute, 8 patients (28.6%) develop CTI-dependent AFL during ablation for AF. Among these 8 patients, 5 had typical ECG pattern and 3 had atypical ECG patterns. Flutter waves in the inferior leads ware biphasic in 1 patient, down ward in 2 patients. <B>Conclusions:</B> CTI-dependent AFL that occurs after LA ablation for AF often has atypical ECG characteristics. In patients presenting with atrial flutter after LA ablation, entrainment mapping should be performed at the CTI even if the ECG is uncharacteristic of CTI-dependent AFL.
- 日本不整脈学会の論文
著者
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Kofune Masayoshi
Division Of Cardiology Department Of Medicine Nihon University School Of Medicine
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Watanabe Ichiro
Division Of Cardiology Department Of Medicine Nihon University School Of Medicine
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Kasamaki Yuji
Division Of Cardiology Department Of Medicine Nihon University School Of Medicine
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Okubo Kimie
Division of Cardiology, Department of Medicine, Nihon University School of Medicine
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Nagashima Koichi
Division Of Cardiology Department Of Medicine Nihon University School Of Medicine
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Okumura Yasuo
Division Of Cardiology Department Of Cardiovascular Disease Nihon University School Of Medicine
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Nakai Toshiko
Division Of Cardiology Department Of Medicine Nihon University School Of Medicine
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Hirayama Atsushi
Division Of Cardiology Department Of Internal Medicine Nihon University School Of Medicine
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Mano Hiroaki
Division Of Cardiology Department Of Medicine Nihon University School Of Medicine
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SONODA Kazumasa
Division of Cardiology, Department of Medicine, Nihon University School of Medicine
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Okubo Kimie
Division of Cardiology, Nihon University School of Medicine
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Mano Hiroaki
Division of Cardiology, Nihon University School of Medicine
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Kofune Masayoshi
Division of Cardiology, Nihon University School of Medicine
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Okumura Yasuo
Division of Cardiology, Nihon University School of Medicine
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