Focal Pseudo-Atrial Fibrillation after Radiofrequency Ablation of Focal Atrial Tachycardia

被引:0
作者
Irie, Tadanobu [1 ]
Kaneko, Yoshiaki [1 ]
Nakajima, Tadashi [1 ]
Saito, Akihiro [1 ]
Ota, Masaki [1 ]
Kato, Toshimitsu [1 ]
Iijima, Takafumi [1 ]
Akiyama, Masahiro [1 ]
Ito, Toshio [1 ]
Manita, Mamoru [1 ]
Kurabayashi, Masahiko [1 ]
机构
[1] Gunma Univ, Grad Sch Med, Dept Med & Biol Sci, 3-39-22 Showa, Maebashi, Gunma 3718511, Japan
关键词
Focal atrial tachycardia; Atrial fibrillation; Radiofrequency ablation;
D O I
10.4020/jhrs.26.199
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Focal pseudo-atrial fibrillation (AF) developed in a 30-year-old woman after radio-frequency (RF) ablation of focal atrial tachycardia (AT) originating from the coronary sinus ostium. Programmed atrial stimulation occasionally induced, accelerated or terminated AT, and a spiky prepotential preceded the earliest atrial electrogram at the AT focus. After the first RF application, repetitive bursts of accelerated tachycardia developed, mimicking AF on the surface ECG. An additional RF application where the spiky prepotential was observed, eliminated the focal pseudo-AF.
引用
收藏
页码:199 / 203
页数:5
相关论文
共 12 条
[1]   EFFECTS OF TEMPERATURE ON CYCLE LENGTH-DEPENDENT CHANGES AND RESTITUTION OF ACTION-POTENTIAL DURATION IN GUINEA-PIG VENTRICULAR MUSCLE [J].
BJORNSTAD, H ;
TANDE, PM ;
LATHROP, DA ;
REFSUM, H .
CARDIOVASCULAR RESEARCH, 1993, 27 (06) :946-950
[2]   TEMPERATURE-INDUCED TRANSITORY AND STEADY-STATE CHANGES IN THE CALCIUM CURRENT OF GUINEA-PIG VENTRICULAR MYOCYTES [J].
CAVALIE, A ;
MCDONALD, TF ;
PELZER, D ;
TRAUTWEIN, W .
PFLUGERS ARCHIV-EUROPEAN JOURNAL OF PHYSIOLOGY, 1985, 405 (03) :294-296
[3]   The anatomic basis of connections between the coronary sinus musculature and the left atrium in humans [J].
Chauvin, M ;
Shah, DC ;
Haïssaguerre, M ;
Marcellin, L ;
Brechenmacher, C .
CIRCULATION, 2000, 101 (06) :647-652
[4]   Effects of rapid atrial pacing on the arrhythmogenic activity of single cardiomyocytes from pulmonary veins - Implication in initiation of atrial fibrillation [J].
Chen, YJ ;
Chen, SA ;
Chen, YC ;
Yeh, HL ;
Chan, P ;
Chang, MS ;
Lin, CI .
CIRCULATION, 2001, 104 (23) :2849-2854
[5]   Temperature regulates the arrhythmogenic activity of pulmonary vein cardiomyocytes [J].
Chen, YJ ;
Chen, YC ;
Chan, P ;
Lin, CI ;
Chen, SA .
JOURNAL OF BIOMEDICAL SCIENCE, 2003, 10 (05) :535-543
[6]   A focal source of atrial fibrillation treated by discrete radiofrequency ablation [J].
Jais, P ;
Haissaguerre, M ;
Shah, DC ;
Chouairi, S ;
Gencel, L ;
Hocini, M ;
Clementy, J .
CIRCULATION, 1997, 95 (03) :572-576
[7]   P-wave morphology in focal atrial tachycardia - Development of an algorithm to predict the anatomic site of origin [J].
Kistler, Peter M. ;
Roberts-Thomson, Kurt C. ;
Haqqani, Haris M. ;
Fynn, Simon P. ;
Singarayar, Suresh ;
Vohra, Jitendra. K. ;
Morton, Joseph B. ;
Sparks, Paul B. ;
Kalman, Jonathan M. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2006, 48 (05) :1010-1017
[8]   Focal atrial tachycardia from the ostium of the coronary sinus - Electrocardiographic and electrophysiological characterization and radlofrequency ablation [J].
Kistler, PM ;
Fynn, SP ;
Haqqani, H ;
Stevenson, IH ;
Vohra, JK ;
Morton, JB ;
Sparks, PB ;
Kalman, JM .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2005, 45 (09) :1488-1493
[9]   Atrial tachycardia originating from a single site with exit block mimicking atrial fibrillation eliminated with radiofrequency applications [J].
Mecca, AL ;
Guo, HS ;
Telfer, A ;
Olshansky, B .
JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 1998, 9 (10) :1100-1108
[10]   ACCELERATION OF ATRIAL ECTOPIC TACHYCARDIA AS A GUIDE TO SUCCESSFUL RADIOFREQUENCY ABLATION [J].
PERRY, JC ;
FENRICH, AL ;
LEGRAS, MD ;
DENFIELD, SW ;
MARLOW, D ;
FRIEDMAN, RA .
PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1993, 16 (10) :2007-2011