Epicardial-endocardial breakthrough during stable atrial macroreentry: Evidence from ultra-high-resolution 3-dimensional mapping.
Identifieur interne : 000D23 ( PubMed/Checkpoint ); précédent : 000D22; suivant : 000D24Epicardial-endocardial breakthrough during stable atrial macroreentry: Evidence from ultra-high-resolution 3-dimensional mapping.
Auteurs : Bhupesh Pathik [Australie] ; Geoffrey Lee [Australie] ; Frédéric Sacher [France] ; Michel Haïssaguerre [France] ; Pierre Jaïs [France] ; Grégoire Massoullié [France] ; Nicolas Derval [France] ; Prashanthan Sanders [Australie] ; Peter Kistler [Australie] ; Jonathan M. Kalman [Australie]Source :
- Heart rhythm [ 1556-3871 ] ; 2017.
Abstract
Evidence for epicardial-endocardial breakthrough (EEB) is derived from mapping inferences in patients with atrial fibrillation who may also have focal activations.
DOI: 10.1016/j.hrthm.2017.04.043
PubMed: 28479513
Affiliations:
- Australie, France
- Aquitaine, Nouvelle-Aquitaine, Victoria (État)
- Bordeaux, Melbourne
- Université de Melbourne
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Department of Cardiology, Alfred Hospital, Melbourne, Victoria, Australia; Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia; Department of Cardiology, Alfred Hospital, Melbourne, Victoria, Australia; Baker IDI Heart and Diabetes Institute, Melbourne, Victoria</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Kalman, Jonathan M" sort="Kalman, Jonathan M" uniqKey="Kalman J" first="Jonathan M" last="Kalman">Jonathan M. 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Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Cardiology, Royal Melbourne Hospital, Parkville, Victoria, Australia; Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Lee, Geoffrey" sort="Lee, Geoffrey" uniqKey="Lee G" first="Geoffrey" last="Lee">Geoffrey Lee</name><affiliation wicri:level="4"><nlm:affiliation>Department of Cardiology, Royal Melbourne Hospital, Parkville, Victoria, Australia; Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Cardiology, Royal Melbourne Hospital, Parkville, Victoria, Australia; Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Sacher, Frederic" sort="Sacher, Frederic" uniqKey="Sacher F" first="Frédéric" last="Sacher">Frédéric Sacher</name><affiliation wicri:level="3"><nlm:affiliation>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Haissaguerre, Michel" sort="Haissaguerre, Michel" uniqKey="Haissaguerre M" first="Michel" last="Haïssaguerre">Michel Haïssaguerre</name><affiliation wicri:level="3"><nlm:affiliation>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Jais, Pierre" sort="Jais, Pierre" uniqKey="Jais P" first="Pierre" last="Jaïs">Pierre Jaïs</name><affiliation wicri:level="3"><nlm:affiliation>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Massoullie, Gregoire" sort="Massoullie, Gregoire" uniqKey="Massoullie G" first="Grégoire" last="Massoullié">Grégoire Massoullié</name><affiliation wicri:level="3"><nlm:affiliation>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Derval, Nicolas" sort="Derval, Nicolas" uniqKey="Derval N" first="Nicolas" last="Derval">Nicolas Derval</name><affiliation wicri:level="3"><nlm:affiliation>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux</wicri:regionArea><placeName><region type="region">Nouvelle-Aquitaine</region><region type="old region">Aquitaine</region><settlement type="city">Bordeaux</settlement></placeName></affiliation></author><author><name sortKey="Sanders, Prashanthan" sort="Sanders, Prashanthan" uniqKey="Sanders P" first="Prashanthan" last="Sanders">Prashanthan Sanders</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Heart Rhythm Disorders, Royal Adelaide Hospital, University of Adelaide, Adelaide, South Australia, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Heart Rhythm Disorders, Royal Adelaide Hospital, University of Adelaide, Adelaide, South Australia</wicri:regionArea><wicri:noRegion>South Australia</wicri:noRegion></affiliation></author><author><name sortKey="Kistler, Peter" sort="Kistler, Peter" uniqKey="Kistler P" first="Peter" last="Kistler">Peter Kistler</name><affiliation wicri:level="4"><nlm:affiliation>Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia; Department of Cardiology, Alfred Hospital, Melbourne, Victoria, Australia; Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia; Department of Cardiology, Alfred Hospital, Melbourne, Victoria, Australia; Baker IDI Heart and Diabetes Institute, Melbourne, Victoria</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author><author><name sortKey="Kalman, Jonathan M" sort="Kalman, Jonathan M" uniqKey="Kalman J" first="Jonathan M" last="Kalman">Jonathan M. Kalman</name><affiliation wicri:level="4"><nlm:affiliation>Department of Cardiology, Royal Melbourne Hospital, Parkville, Victoria, Australia; Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia. Electronic address: jon.kalman@mh.org.au.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Cardiology, Royal Melbourne Hospital, Parkville, Victoria, Australia; Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria</wicri:regionArea><orgName type="university">Université de Melbourne</orgName><placeName><settlement type="city">Melbourne</settlement><region type="état">Victoria (État)</region></placeName></affiliation></author></analytic><series><title level="j">Heart rhythm</title><idno type="eISSN">1556-3871</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Evidence for epicardial-endocardial breakthrough (EEB) is derived from mapping inferences in patients with atrial fibrillation who may also have focal activations.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28479513</PMID><DateCreated><Year>2017</Year><Month>05</Month><Day>08</Day></DateCreated><DateRevised><Year>2017</Year><Month>08</Month><Day>01</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1556-3871</ISSN><JournalIssue CitedMedium="Internet"><Volume>14</Volume><Issue>8</Issue><PubDate><Year>2017</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Heart rhythm</Title><ISOAbbreviation>Heart Rhythm</ISOAbbreviation></Journal><ArticleTitle>Epicardial-endocardial breakthrough during stable atrial macroreentry: Evidence from ultra-high-resolution 3-dimensional mapping.</ArticleTitle><Pagination><MedlinePgn>1200-1207</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S1547-5271(17)30576-3</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.hrthm.2017.04.043</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Evidence for epicardial-endocardial breakthrough (EEB) is derived from mapping inferences in patients with atrial fibrillation who may also have focal activations.</AbstractText><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The purpose of this study was to investigate whether EEB could be discerned during stable right atrial (RA) macroreentry using high-density high-spatial resolution 3-dimensional mapping.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Macroreentry was diagnosed using 3-dimensional mapping and entrainment. Bipolar maps were reviewed for EEB defined as (1) presence of focal endocardial activation with radial spread unaccounted for by an endocardial wavefront and (2) present with the same timing on every tachycardia cycle. The EEB site was always in proximity to a line of endocardial conduction slowing or block. Distance and conduction velocity from the line of block to the EEB site was calculated. Electrograms at EEB sites were individually analyzed for morphology and to confirm direction of activation. Entrainment was performed at EEB sites.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Twenty-six patients were studied. Fourteen examples of EEB were seen: 11 at the posterior RA (4 at the superior portion of the posterior wall and 7 at the inferior section) and 1 each at the cavotricuspid isthmus postablation, RA septum, and inferolateral RA. The mean area of the EEB site was 0.6 ± 0.2 cm(2). A mean of 79.5% ± 18.6% of unipolar electrograms at the EEB site demonstrated an rS morphology. The mean distance and conduction velocity from the line of endocardial block to the EEB site at the posterior RA was 13.6 ± 2.3 mm and 59.3 ± 12.3 cm/s, respectively. In 4 patients, entrainment demonstrated that EEB sites were within the circuit and in 1 of these patients critical to arrhythmia maintenance. Activation maps during tachycardia and coronary sinus pacing demonstrated EEB at the same anatomic site.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">EEB sites were demonstrated in stable atrial macroreentry supported by systematic entrainment confirmation and demonstration of the same phenomenon during pacing.</AbstractText><CopyrightInformation>Copyright © 2017 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Pathik</LastName><ForeName>Bhupesh</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Royal Melbourne Hospital, Parkville, Victoria, Australia; Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Geoffrey</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Royal Melbourne Hospital, Parkville, Victoria, Australia; Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sacher</LastName><ForeName>Frédéric</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haïssaguerre</LastName><ForeName>Michel</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jaïs</LastName><ForeName>Pierre</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Massoullié</LastName><ForeName>Grégoire</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Derval</LastName><ForeName>Nicolas</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Cardiac Electrophysiology, Bordeaux University Hospital, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sanders</LastName><ForeName>Prashanthan</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Centre for Heart Rhythm Disorders, Royal Adelaide Hospital, University of Adelaide, Adelaide, South Australia, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kistler</LastName><ForeName>Peter</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia; Department of Cardiology, Alfred Hospital, Melbourne, Victoria, Australia; Baker IDI Heart and Diabetes Institute, Melbourne, Victoria, Australia.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kalman</LastName><ForeName>Jonathan M</ForeName><Initials>JM</Initials><AffiliationInfo><Affiliation>Department of Cardiology, Royal Melbourne Hospital, Parkville, Victoria, Australia; Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia. Electronic address: jon.kalman@mh.org.au.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>05</Month><Day>04</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Heart Rhythm</MedlineTA><NlmUniqueID>101200317</NlmUniqueID><ISSNLinking>1547-5271</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">3-Dimensional electroanatomic mapping</Keyword><Keyword MajorTopicYN="N">Atrial macro-reentrant circuits</Keyword><Keyword MajorTopicYN="N">Atrial macro-reentry</Keyword><Keyword MajorTopicYN="N">Cavotricuspid isthmus</Keyword><Keyword MajorTopicYN="N">Epicardial-endocardial breakthrough</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2017</Year><Month>03</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>5</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>5</Month><Day>10</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>5</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28479513</ArticleId><ArticleId IdType="pii">S1547-5271(17)30576-3</ArticleId><ArticleId IdType="doi">10.1016/j.hrthm.2017.04.043</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Australie</li><li>France</li></country><region><li>Aquitaine</li><li>Nouvelle-Aquitaine</li><li>Victoria (État)</li></region><settlement><li>Bordeaux</li><li>Melbourne</li></settlement><orgName><li>Université de Melbourne</li></orgName></list><tree><country name="Australie"><region name="Victoria (État)"><name sortKey="Pathik, Bhupesh" sort="Pathik, Bhupesh" uniqKey="Pathik B" first="Bhupesh" last="Pathik">Bhupesh Pathik</name></region><name sortKey="Kalman, Jonathan M" sort="Kalman, Jonathan M" uniqKey="Kalman J" first="Jonathan M" last="Kalman">Jonathan M. Kalman</name><name sortKey="Kistler, Peter" sort="Kistler, Peter" uniqKey="Kistler P" first="Peter" last="Kistler">Peter Kistler</name><name sortKey="Lee, Geoffrey" sort="Lee, Geoffrey" uniqKey="Lee G" first="Geoffrey" last="Lee">Geoffrey Lee</name><name sortKey="Sanders, Prashanthan" sort="Sanders, Prashanthan" uniqKey="Sanders P" first="Prashanthan" last="Sanders">Prashanthan Sanders</name></country><country name="France"><region name="Nouvelle-Aquitaine"><name sortKey="Sacher, Frederic" sort="Sacher, Frederic" uniqKey="Sacher F" first="Frédéric" last="Sacher">Frédéric Sacher</name></region><name sortKey="Derval, Nicolas" sort="Derval, Nicolas" uniqKey="Derval N" first="Nicolas" last="Derval">Nicolas Derval</name><name sortKey="Haissaguerre, Michel" sort="Haissaguerre, Michel" uniqKey="Haissaguerre M" first="Michel" last="Haïssaguerre">Michel Haïssaguerre</name><name sortKey="Jais, Pierre" sort="Jais, Pierre" uniqKey="Jais P" first="Pierre" last="Jaïs">Pierre Jaïs</name><name sortKey="Massoullie, Gregoire" sort="Massoullie, Gregoire" uniqKey="Massoullie G" first="Grégoire" last="Massoullié">Grégoire Massoullié</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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