Incidence and characteristics of transient St-segment elevation during transseptal puncture
| Autor: | Carla Septimio Margalho, Livia Teixeira Martins e Silva, José Sobral Neto, Jairo Macedo da Rocha, E. Oliveira, Renato David da Silva, Ayrton Klier Péres, Henrique Maia, Liélia Malaquias da Cunha Araújo, Samuel M. P. da Silva, Ricardo F. C. de Miranda, Paula Damasco do Vale, Wanessa C. Cunha, Tamer Najar Seixas |
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| Rok vydání: | 2021 |
| Předmět: |
Coronary angiography
medicine.medical_specialty business.industry Radiofrequency ablation medicine.medical_treatment Incidence (epidemiology) Catheter ablation Surgery law.invention Junctional bradycardia Atropine law Physiology (medical) medicine ST segment Cardiology and Cardiovascular Medicine business medicine.drug |
| Zdroj: | Journal of Interventional Cardiac Electrophysiology. 63:425-430 |
| ISSN: | 1572-8595 1383-875X |
| DOI: | 10.1007/s10840-021-01022-x |
| Popis: | Delineate retrospectively and prospectively the incidence and characteristics of transient ST-segment elevation during transseptal puncture. The study retrospectively evaluated 307 patients from January 1, 2015, to December 31, 2017, and prospectively evaluated 231 patients from January 1, 2018, to July 31, 2019. The presence of ST-segment elevation was significantly higher in the prospective sample than in the retrospective sample (5.2% vs. 1.3%, p 2 mm and the presence of symptoms. In these patients, coronary angiography showed no alterations. Atropine was administered to one patient who presented with junctional bradycardia after the puncture. This medication reversed the situation. ST-segment elevation is a short-term phenomenon that can occur during transseptal catheterization without clinically evident symptoms. The catheter ablation procedure can be safely concluded despite the occurrence of the phenomenon. |
| Databáze: | OpenAIRE |
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