Coronary Sinus Activation Pattern in the Differential Diagnosis of Regular Atrial Tachyarrhythmias During Catheter Ablation of Atrial Fibrillation
| Autor: | Eun Sun Jin, Kee Joon Choi, HyungOh Choi, Ki-Hun Kim, Yoo Ri Kim, Doo Il Kim, You Ho Kim, Dong Kie Kim, Gi-Byoung Nam, Sung Hwan Kim, Sang Hoon Seol |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Tachycardia medicine.medical_specialty medicine.medical_treatment Tachycardia Sinoatrial Nodal Reentry Catheter ablation Diagnosis Differential Electrocardiography Internal medicine Atrial Fibrillation medicine Humans Heart Atria Prospective Studies Atrial tachycardia Coronary sinus Aged medicine.diagnostic_test business.industry Cardiac Pacing Artificial Coronary Sinus Disease Management Atrial fibrillation General Medicine Middle Aged medicine.disease Catheter Ablation Cardiology Mitral Valve Female medicine.symptom Differential diagnosis Cardiology and Cardiovascular Medicine business Algorithms Atrial flutter |
| Zdroj: | Circulation Journal. 77:619-625 |
| ISSN: | 1347-4820 1346-9843 |
| Popis: | Background: Prompt diagnosis and management of atrial tachyarrhythmias (ATAs) during catheter ablation of atrial fibrillation (AF) is still challenging. Methods and Results: In 88 patients undergoing catheter ablation of AF, 128 regular ATAs were induced or converted from AF. The coronary sinus activation time (CSAT) around the mitral annulus (MA) was measured as the difference in activation time between the most proximal and distal poles of the coronary sinus (CS) electrodes. Entrainment pacing was performed around the MA, roof area, or cavotricuspid isthmus (CTI) depending on the CSAT result. Mechanisms of tachycardias included macro-reentry around the MA (perimitral atrial flutter [PM-AFL], n=63), roof-dependent AFL (Roof-AFL, n=14), CTI-dependent AFL (CTI-AFL, n=25), and atrial tachycardia (AT, n=26). When the CSAT was ≥45ms, the MA activation sequence was sequential, either proximal to distal or distal to proximal. When the CSAT was |
| Databáze: | OpenAIRE |
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