Modes of Initiation of Two Types of Atrial Reentry in a Patient with Typical Atrial Flutter: Isthmus-dependent Micro-reentry versus Macro-reentry

Autor: Makoto Noda, MD, Fumio Suzuki, MD, Kazunori Sezaki, MD, Tetsuya Katsuno, MD, Michio Usui, MD, Mitsuaki Isobe, MD
Jazyk: angličtina
Rok vydání: 2005
Předmět:
Zdroj: Journal of Arrhythmia, Vol 21, Iss 3, Pp 422-426 (2005)
Druh dokumentu: article
ISSN: 1880-4276
DOI: 10.1016/S1880-4276(05)80030-4
Popis: We studied the modes of initiation of two types of atria] reentrant tachycardias (i.e., microreentry isthmus tachycardia and counterclockwise atrial flutter) in a 39-year-old male with typical atrial flutter. Rapid atrial pacing from proximal coronary sinus at a cycle length of 220 msec initiated micro-reentry isthmus tachycardia (non-sustained), while rapid atrial pacing at a cycle length of 210 msec initiated sustained atrial flutter circulating counterclockwise around the tricuspid annulus. It was suggested that initiation of the counterclockwise atrial flutter was associated with a pacing-induced conduction block in the entire width of the isthmus, whereas initiation of the micro-reentry isthmus tachycardia was associated with a pacing-induced conduction block in a limited segment of the isthmus (i.e., partial isthmus block).
Databáze: Directory of Open Access Journals