PERSISTENT INAPPROPRIATE SINUS TACHYCARDIA AFTER RADIOFREQUENCY CURRENT CATHETER MODIFICATION OF THE ATRIOVENTRICULAR NODE

被引:57
作者
EHLERT, FA
GOLDBERGER, JJ
BROOKS, R
MILLER, S
KADISH, AH
机构
[1] NORTHWESTERN UNIV, SCH MED,DEPT MED,DIV CARDIOL,CARDIOL SECT, WESLEY 524, 205 E SUPERIOR ST, CHICAGO, IL 60611 USA
[2] LUTHERAN GEN HOSP, DIV CARDIOL, PK RIDGE, IL 60068 USA
关键词
D O I
10.1016/0002-9149(92)90872-V
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Atrioventricular (AV) junctional reentrant tachycardia (JRT) is the most frequent cause of paroxysmal supraventricular tachycardia.1 Recently, radiofrequency current delivered through a transvenous catheter was used to modify AV nodal properties so that AVJRT is no longer inducible while preserving normal AV nodal conduction. 2-4 This technique has produced high success rates with relatively few complications. In this report, we present a previously unreported complication observed in 3 patients undergoing AV node modification using radiofrequency current: persistent, inappropriate and symptomatic sinus tachycardia. © 1992.
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页码:1092 / 1095
页数:4
相关论文
共 11 条
[1]  
BORGGREFE M, 1988, CIRCULATION S2, V78, P305
[2]   DIAGNOSIS AND CURE OF THE WOLFF-PARKINSON-WHITE SYNDROME OR PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIAS DURING A SINGLE ELECTROPHYSIOLOGIC TEST [J].
CALKINS, H ;
SOUSA, J ;
ELATASSI, R ;
ROSENHECK, S ;
DEBUITLEIR, M ;
KOU, WH ;
KADISH, AH ;
LANGBERG, JJ ;
MORADY, F .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (23) :1612-1618
[3]   THE DISTRIBUTION OF SYMPATHETIC-NERVE FIBERS IN THE AV NODE AND AV BUNDLE OF THE BOVINE HEART [J].
FORSGREN, S .
HISTOCHEMICAL JOURNAL, 1986, 18 (11-12) :625-638
[4]   MORPHOLOGICAL AND ELECTROPHYSIOLOGICAL CORRELATES OF ATRIOVENTRICULAR NODAL RESPONSE TO INCREASED VAGAL ACTIVITY [J].
IMAIZUMI, S ;
MAZGALEV, T ;
DREIFUS, LS ;
MICHELSON, EL ;
MIYAGAWA, A ;
BHARATI, S ;
LEV, M .
CIRCULATION, 1990, 82 (03) :951-964
[5]   AUTONOMIC BLOCKADE BY PROPRANOLOL AND ATROPINE TO STUDY INTRINSIC MYOCARDIAL FUNCTION IN MAN [J].
JOSE, AD ;
TAYLOR, RR .
JOURNAL OF CLINICAL INVESTIGATION, 1969, 48 (11) :2019-&
[6]   SUPRAVENTRICULAR TACHYCARDIA - MECHANISMS AND MANAGEMENT [J].
JOSEPHSON, ME ;
KASTOR, JA .
ANNALS OF INTERNAL MEDICINE, 1977, 87 (03) :346-358
[7]   CATHETER MODIFICATION OF THE ATRIOVENTRICULAR JUNCTION WITH RADIOFREQUENCY ENERGY FOR CONTROL OF ATRIOVENTRICULAR NODAL REENTRY TACHYCARDIA [J].
LEE, MA ;
MORADY, F ;
KADISH, A ;
SCHAMP, DJ ;
CHIN, MC ;
SCHEINMAN, MM ;
GRIFFIN, JC ;
LESH, MD ;
PEDERSON, D ;
GOLDBERGER, J ;
CALKINS, H ;
DEBUITLEIR, M ;
KOU, WH ;
ROSENHECK, S ;
SOUSA, J ;
LANGBERG, JJ .
CIRCULATION, 1991, 83 (03) :827-835
[8]  
LEITCH J, 1990, Cardiology Clinics, V8, P465
[9]   CHOLINERGIC INTERVENTION IN INTRACARDIAC AUTONOMIC NERVES IN ATRIOVENTRICULAR JUNCTIONAL AREA [J].
MOTOMURA, S ;
IIJIMA, T ;
TAIRA, N .
AMERICAN JOURNAL OF PHYSIOLOGY, 1980, 239 (02) :H181-H188
[10]  
Randall W. C., 1990, CARDIAC ELECTROPHYSI, P291