La maladie de Parkinson en France (serveur d'exploration)

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Is the measurement of accessory pathway refractory period reproducible?

Identifieur interne : 000837 ( PubMed/Curation ); précédent : 000836; suivant : 000838

Is the measurement of accessory pathway refractory period reproducible?

Auteurs : Celine Oliver [France] ; Beatrice Brembilla-Perrot

Source :

RBID : pubmed:22665958

Abstract

Short accessory pathway (AP) effective refractory period (ERP) is one of the risk factors in Wolff-Parkinson-White syndrome (WPW). The purpose of study was to evaluate the reproducibility of APERP measurement during a same electrophysiological study (EPS).

PubMed: 22665958

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pubmed:22665958

Le document en format XML

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<name sortKey="Oliver, Celine" sort="Oliver, Celine" uniqKey="Oliver C" first="Celine" last="Oliver">Celine Oliver</name>
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<nlm:affiliation>Department of cardiology, University Hospital of Brabois, Vandoeuvre, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
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<name sortKey="Brembilla Perrot, Beatrice" sort="Brembilla Perrot, Beatrice" uniqKey="Brembilla Perrot B" first="Beatrice" last="Brembilla-Perrot">Beatrice Brembilla-Perrot</name>
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<div type="abstract" xml:lang="en">Short accessory pathway (AP) effective refractory period (ERP) is one of the risk factors in Wolff-Parkinson-White syndrome (WPW). The purpose of study was to evaluate the reproducibility of APERP measurement during a same electrophysiological study (EPS).</div>
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<AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Short accessory pathway (AP) effective refractory period (ERP) is one of the risk factors in Wolff-Parkinson-White syndrome (WPW). The purpose of study was to evaluate the reproducibility of APERP measurement during a same electrophysiological study (EPS).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">EPS consisted of 2 APERP measurements performed prospectively in 77 patients for a WPW in control state (CS) at a cycle length of 400 ms (n=76) and after isoproterenol (n=56).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In CS, 18 patients (24 %) had the same APERP at both measurements; 41 (54.6 %) had differences from 10 to 40 ms, 17 (22.4 %) had differences > 40 ms. Among 45 patients with initial APERP > 240 ms, 7 had an APERP ≤ 240 ms at 2nd study. Among 31 patients with initial APERP ≤ 240 ms, 5 had an APERP > 240 ms at 2nd study. Pearson's product-moment correlation was 0.75. After isoproterenol, 5 patients (9 %) had the same APERPs; 37 (66 %) had differences from 10 to 40 ms and 14 had differences > 40 ms. Among 38 patients with initial APERP > 200 ms, 12 had an AP ERP ≤ 200 ms at 2nd study. Among 18 patients with initial APERP ≤ 200 ms, 10 had still APERP ≤ 200 ms at 2nd study. Pearson's product-moment correlation was 0.54.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">There are important variations of APERPs during EPS mainly after isoproterenol infusion. Therefore the values of APERPs should be interpreted cautiously.</AbstractText>
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