Termination of Spontaneous Atrial Flutter by Transesophageal Pacing
Identifieur interne : 000810 ( Istex/Corpus ); précédent : 000809; suivant : 000811Termination of Spontaneous Atrial Flutter by Transesophageal Pacing
Auteurs : David C. Chung ; Charles R. Kerr ; Jocelyn CooperSource :
- Pacing and Clinical Electrophysiology [ 0147-8389 ] ; 1987-09.
English descriptors
- KwdEn :
Abstract
Transesophageal atrial pacing using the constant‐rate technique was performed in 26 patients presenting with spontaneous atrial flutter (atrial cycle length between 180 and 270 ms). All but one patient had been treated with one or more antiarrhythmic agents (digoxin, quinidine, procainamide, propranolol, verapamil, diltiazem, and propafenone) within the previous 12 hours. Transesophageal atrial pacing at cycle lengths between 80 and 180 ms was successful in terminating atrial flutter in 22 patients: immediate reversion to sinus rhythm in 16, following transient sinus pause in one, following a brief period of atrial fibrillation in three, and following longer periods of atrial fibrillation in another two. No post‐conversion ventricular arrhythmia and no other complications were observed. All patients experienced only a mild burning discomfort during the procedure. It is concluded that atrial pacing via the esophagus is a safe and noninvasive technique of terminating spontaneous atrial flutter. The effectiveness of this technique is comparable to endocardial or epicardial atrial pacing.
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DOI: 10.1111/j.1540-8159.1987.tb06134.x
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ISTEX:852FC0DD66BFC5562D41EF0D7F930A55AAE73AA7Le document en format XML
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Kerr</name><affiliation><mods:affiliation>Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, B.C., Canada</mods:affiliation></affiliation></author><author><name sortKey="Cooper, Jocelyn" sort="Cooper, Jocelyn" uniqKey="Cooper J" first="Jocelyn" last="Cooper">Jocelyn Cooper</name><affiliation><mods:affiliation>Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, B.C., Canada</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:852FC0DD66BFC5562D41EF0D7F930A55AAE73AA7</idno><date when="1987" year="1987">1987</date><idno type="doi">10.1111/j.1540-8159.1987.tb06134.x</idno><idno type="url">https://api-v5.istex.fr/document/852FC0DD66BFC5562D41EF0D7F930A55AAE73AA7/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000810</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000810</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Termination of Spontaneous Atrial Flutter by Transesophageal Pacing</title><author><name sortKey="Chung, David C" sort="Chung, David C" uniqKey="Chung D" first="David C." last="Chung">David C. Chung</name><affiliation><mods:affiliation>Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, B.C., Canada</mods:affiliation></affiliation><affiliation><mods:affiliation>Address for reprints: Dr. David C. Chung, University Hospital, P.O. Box 5339. Station A. London, Ontario, Canada N6A 5A5.</mods:affiliation></affiliation></author><author><name sortKey="Kerr, Charles R" sort="Kerr, Charles R" uniqKey="Kerr C" first="Charles R." last="Kerr">Charles R. 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All but one patient had been treated with one or more antiarrhythmic agents (digoxin, quinidine, procainamide, propranolol, verapamil, diltiazem, and propafenone) within the previous 12 hours. Transesophageal atrial pacing at cycle lengths between 80 and 180 ms was successful in terminating atrial flutter in 22 patients: immediate reversion to sinus rhythm in 16, following transient sinus pause in one, following a brief period of atrial fibrillation in three, and following longer periods of atrial fibrillation in another two. No post‐conversion ventricular arrhythmia and no other complications were observed. All patients experienced only a mild burning discomfort during the procedure. It is concluded that atrial pacing via the esophagus is a safe and noninvasive technique of terminating spontaneous atrial flutter. The effectiveness of this technique is comparable to endocardial or epicardial atrial pacing.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>DAVID C. CHUNG</name><affiliations><json:string>Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, B.C., Canada</json:string><json:string>Address for reprints: Dr. David C. Chung, University Hospital, P.O. Box 5339. Station A. London, Ontario, Canada N6A 5A5.</json:string></affiliations></json:item><json:item><name>CHARLES R. KERR</name><affiliations><json:string>Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, B.C., Canada</json:string></affiliations></json:item><json:item><name>JOCELYN COOPER</name><affiliations><json:string>Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, B.C., Canada</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>arrhythmia</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>atrial flutter</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>transesophageal pacing</value></json:item></subject><articleId><json:string>PACE1147</json:string></articleId><language><json:string>eng</json:string></language><originalGenre><json:string>article</json:string></originalGenre><abstract>Transesophageal atrial pacing using the constant‐rate technique was performed in 26 patients presenting with spontaneous atrial flutter (atrial cycle length between 180 and 270 ms). All but one patient had been treated with one or more antiarrhythmic agents (digoxin, quinidine, procainamide, propranolol, verapamil, diltiazem, and propafenone) within the previous 12 hours. Transesophageal atrial pacing at cycle lengths between 80 and 180 ms was successful in terminating atrial flutter in 22 patients: immediate reversion to sinus rhythm in 16, following transient sinus pause in one, following a brief period of atrial fibrillation in three, and following longer periods of atrial fibrillation in another two. No post‐conversion ventricular arrhythmia and no other complications were observed. All patients experienced only a mild burning discomfort during the procedure. It is concluded that atrial pacing via the esophagus is a safe and noninvasive technique of terminating spontaneous atrial flutter. 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Chung, University Hospital, P.O. Box 5339. Station A. London, Ontario, Canada N6A 5A5.</affiliation></author><author xml:id="author-2"><persName><forename type="first">CHARLES R.</forename><surname>KERR</surname></persName><note type="biography">Dr. Kerr is a scholar of the Medical Research Council of Canada.</note><affiliation>Dr. Kerr is a scholar of the Medical Research Council of Canada.</affiliation><affiliation>Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, B.C., Canada</affiliation></author><author xml:id="author-3"><persName><forename type="first">JOCELYN</forename><surname>COOPER</surname></persName><affiliation>Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, B.C., Canada</affiliation></author></analytic><monogr><title level="j">Pacing and Clinical Electrophysiology</title><idno type="pISSN">0147-8389</idno><idno type="eISSN">1540-8159</idno><idno type="DOI">10.1111/(ISSN)1540-8159</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1987-09"></date><biblScope unit="volume">10</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="1147">1147</biblScope><biblScope unit="page" to="1153">1153</biblScope></imprint></monogr><idno type="istex">852FC0DD66BFC5562D41EF0D7F930A55AAE73AA7</idno><idno type="DOI">10.1111/j.1540-8159.1987.tb06134.x</idno><idno type="ArticleID">PACE1147</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1987</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Transesophageal atrial pacing using the constant‐rate technique was performed in 26 patients presenting with spontaneous atrial flutter (atrial cycle length between 180 and 270 ms). All but one patient had been treated with one or more antiarrhythmic agents (digoxin, quinidine, procainamide, propranolol, verapamil, diltiazem, and propafenone) within the previous 12 hours. Transesophageal atrial pacing at cycle lengths between 80 and 180 ms was successful in terminating atrial flutter in 22 patients: immediate reversion to sinus rhythm in 16, following transient sinus pause in one, following a brief period of atrial fibrillation in three, and following longer periods of atrial fibrillation in another two. No post‐conversion ventricular arrhythmia and no other complications were observed. All patients experienced only a mild burning discomfort during the procedure. It is concluded that atrial pacing via the esophagus is a safe and noninvasive technique of terminating spontaneous atrial flutter. The effectiveness of this technique is comparable to endocardial or epicardial atrial pacing.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>keywords</head><item><term>arrhythmia</term></item><item><term>atrial flutter</term></item><item><term>transesophageal pacing</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1987-09">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api-v5.istex.fr/document/852FC0DD66BFC5562D41EF0D7F930A55AAE73AA7/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1540-8159</doi><issn type="print">0147-8389</issn><issn type="electronic">1540-8159</issn><idGroup><id type="product" value="PACE"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="PACING CLINICAL ELECTROPHYSIOLOGY">Pacing and Clinical Electrophysiology</title></titleGroup></publicationMeta><publicationMeta level="part" position="09005"><doi origin="wiley">10.1111/pace.1987.10.issue-5</doi><numberingGroup><numbering type="journalVolume" number="10">10</numbering><numbering type="journalIssue" number="5">5</numbering></numberingGroup><coverDate startDate="1987-09">September 1987</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="0114700" status="forIssue"><doi origin="wiley">10.1111/j.1540-8159.1987.tb06134.x</doi><idGroup><id type="unit" value="PACE1147"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="tocHeading1">ORIGINAL MANUSCRIPTS</title></titleGroup><eventGroup><event type="firstOnline" date="2006-06-30"></event><event type="publishedOnlineFinalForm" date="2006-06-30"></event><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:2.3.2 mode:FullText source:HeaderRef result:HeaderRef" date="2010-03-02"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-06"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.1.7 mode:FullText,remove_FC" date="2014-11-03"></event></eventGroup><numberingGroup><numbering type="pageFirst" number="1147">1147</numbering><numbering type="pageLast" number="1153">1153</numbering></numberingGroup><correspondenceTo>Address for reprints: Dr. David C. Chung, University Hospital, P.O. Box 5339. Station A. London, Ontario, Canada N6A 5A5.</correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:PACE.PACE1147.pdf"></link></linkGroup></publicationMeta><contentMeta><unparsedEditorialHistory>Received May 22, 1986; revision received October 27, 1986; accepted January 12. 1987.</unparsedEditorialHistory><countGroup><count type="referenceTotal" number="15"></count><count type="linksCrossRef" number="6"></count></countGroup><titleGroup><title type="main">Termination of Spontaneous Atrial Flutter by Transesophageal Pacing</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" noteRef="#fn1" corresponding="yes"><personName><givenNames>DAVID C.</givenNames><familyName>CHUNG</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a1" noteRef="#fn2"><personName><givenNames>CHARLES R.</givenNames><familyName>KERR</familyName></personName></creator><creator creatorRole="author" xml:id="cr3" affiliationRef="#a1"><personName><givenNames>JOCELYN</givenNames><familyName>COOPER</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="CA"><unparsedAffiliation>Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, B.C., Canada</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">arrhythmia</keyword><keyword xml:id="k2">atrial flutter</keyword><keyword xml:id="k3">transesophageal pacing</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p>Transesophageal atrial pacing using the constant‐rate technique was performed in 26 patients presenting with spontaneous atrial flutter (atrial cycle length between 180 and 270 ms). All but one patient had been treated with one or more antiarrhythmic agents (digoxin, quinidine, procainamide, propranolol, verapamil, diltiazem, and propafenone) within the previous 12 hours. Transesophageal atrial pacing at cycle lengths between 80 and 180 ms was successful in terminating atrial flutter in 22 patients: immediate reversion to sinus rhythm in 16, following transient sinus pause in one, following a brief period of atrial fibrillation in three, and following longer periods of atrial fibrillation in another two. No post‐conversion ventricular arrhythmia and no other complications were observed. All patients experienced only a mild burning discomfort during the procedure. It is concluded that atrial pacing via the esophagus is a safe and noninvasive technique of terminating spontaneous atrial flutter. The effectiveness of this technique is comparable to endocardial or epicardial atrial pacing.</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><label>*</label><p>Dr. Chung is a recipient of the Detweiler Fellowship of the Royal College of Physicians and Surgeons of Canada.</p></note><note xml:id="fn2"><label>**</label><p>Dr. Kerr is a scholar of the Medical Research Council of Canada.</p></note><note xml:id="n-fnt-3" numbered="no"><p>This project is supported in part by grants from the British Columbia Heart Foundation and the Medical Research Council of Canada.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Termination of Spontaneous Atrial Flutter by Transesophageal Pacing</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Termination of Spontaneous Atrial Flutter by Transesophageal Pacing</title></titleInfo><name type="personal"><namePart type="given">DAVID C.</namePart><namePart type="family">CHUNG</namePart><affiliation>Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, B.C., Canada</affiliation><description>Dr. Chung is a recipient of the Detweiler Fellowship of the Royal College of Physicians and Surgeons of Canada.</description><affiliation>Address for reprints: Dr. David C. Chung, University Hospital, P.O. Box 5339. Station A. London, Ontario, Canada N6A 5A5.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">CHARLES R.</namePart><namePart type="family">KERR</namePart><affiliation>Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, B.C., Canada</affiliation><description>Dr. Kerr is a scholar of the Medical Research Council of Canada.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">JOCELYN</namePart><namePart type="family">COOPER</namePart><affiliation>Division of Cardiology, Department of Medicine, University of British Columbia, Vancouver, B.C., Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">1987-09</dateIssued><edition>Received May 22, 1986; revision received October 27, 1986; accepted January 12. 1987.</edition><copyrightDate encoding="w3cdtf">1987</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="references">15</extent></physicalDescription><abstract lang="en">Transesophageal atrial pacing using the constant‐rate technique was performed in 26 patients presenting with spontaneous atrial flutter (atrial cycle length between 180 and 270 ms). All but one patient had been treated with one or more antiarrhythmic agents (digoxin, quinidine, procainamide, propranolol, verapamil, diltiazem, and propafenone) within the previous 12 hours. Transesophageal atrial pacing at cycle lengths between 80 and 180 ms was successful in terminating atrial flutter in 22 patients: immediate reversion to sinus rhythm in 16, following transient sinus pause in one, following a brief period of atrial fibrillation in three, and following longer periods of atrial fibrillation in another two. No post‐conversion ventricular arrhythmia and no other complications were observed. All patients experienced only a mild burning discomfort during the procedure. It is concluded that atrial pacing via the esophagus is a safe and noninvasive technique of terminating spontaneous atrial flutter. The effectiveness of this technique is comparable to endocardial or epicardial atrial pacing.</abstract><subject lang="en"><genre>keywords</genre><topic>arrhythmia</topic><topic>atrial flutter</topic><topic>transesophageal pacing</topic></subject><relatedItem type="host"><titleInfo><title>Pacing and Clinical Electrophysiology</title></titleInfo><genre type="journal">journal</genre><identifier type="ISSN">0147-8389</identifier><identifier type="eISSN">1540-8159</identifier><identifier type="DOI">10.1111/(ISSN)1540-8159</identifier><identifier type="PublisherID">PACE</identifier><part><date>1987</date><detail type="volume"><caption>vol.</caption><number>10</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>1147</start><end>1153</end><total>7</total></extent></part></relatedItem><identifier type="istex">852FC0DD66BFC5562D41EF0D7F930A55AAE73AA7</identifier><identifier type="DOI">10.1111/j.1540-8159.1987.tb06134.x</identifier><identifier type="ArticleID">PACE1147</identifier><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Blackwell Publishing Ltd</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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