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Electrocardiographic characteristics and catheter ablation of parahissian accessory pathways.

Identifieur interne : 001622 ( PubMed/Curation ); précédent : 001621; suivant : 001623

Electrocardiographic characteristics and catheter ablation of parahissian accessory pathways.

Auteurs : M. Haissaguerre [France] ; F. Marcus ; F. Poquet ; L. Gencel ; P. Le Métayer ; J. Clémenty

Source :

Circulation [ 0009-7322 ] ; 1994.

RBID : pubmed:8087922

English descriptors

KwdEn :
- Adolescent, Adult, Bundle of His (physiopathology), Bundle of His (surgery), Catheter Ablation, Child, Electrocardiography, Female, Humans, Male, Predictive Value of Tests, Sensitivity and Specificity, Wolff-Parkinson-White Syndrome (physiopathology), Wolff-Parkinson-White Syndrome (surgery).
MESH :
- physiopathology : Bundle of His, Wolff-Parkinson-White Syndrome.
- surgery : Bundle of His, Wolff-Parkinson-White Syndrome.
- Adolescent, Adult, Catheter Ablation, Child, Electrocardiography, Female, Humans, Male, Predictive Value of Tests, Sensitivity and Specificity.

Abstract

Accessory pathways may be located in close proximity to the His bundle, resulting in a high risk of heart block during attempted surgical or electrical interruption of these pathways. This study reports the prevalence, ECG characteristics, and results of catheter ablation of parahissian accessory pathways. They were defined on the basis of both the presence of a high amplitude (> 0.1 mV) of His bundle potential at the ablation site and an exclusion of anteroseptal or midseptal location of the accessory pathway.

PubMed: 8087922

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Le document en format XML

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<author><name sortKey="Haissaguerre, M" sort="Haissaguerre, M" uniqKey="Haissaguerre M" first="M" last="Haissaguerre">M. Haissaguerre</name>
<affiliation wicri:level="1"><nlm:affiliation>Hôpital Cardiologique du Haut-Lévêque, Bordeaux-Pessac, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Hôpital Cardiologique du Haut-Lévêque, Bordeaux-Pessac</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Marcus, F" sort="Marcus, F" uniqKey="Marcus F" first="F" last="Marcus">F. Marcus</name>
</author>
<author><name sortKey="Poquet, F" sort="Poquet, F" uniqKey="Poquet F" first="F" last="Poquet">F. Poquet</name>
</author>
<author><name sortKey="Gencel, L" sort="Gencel, L" uniqKey="Gencel L" first="L" last="Gencel">L. Gencel</name>
</author>
<author><name sortKey="Le Metayer, P" sort="Le Metayer, P" uniqKey="Le Metayer P" first="P" last="Le Métayer">P. Le Métayer</name>
</author>
<author><name sortKey="Clementy, J" sort="Clementy, J" uniqKey="Clementy J" first="J" last="Clémenty">J. Clémenty</name>
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<author><name sortKey="Haissaguerre, M" sort="Haissaguerre, M" uniqKey="Haissaguerre M" first="M" last="Haissaguerre">M. Haissaguerre</name>
<affiliation wicri:level="1"><nlm:affiliation>Hôpital Cardiologique du Haut-Lévêque, Bordeaux-Pessac, France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Hôpital Cardiologique du Haut-Lévêque, Bordeaux-Pessac</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Marcus, F" sort="Marcus, F" uniqKey="Marcus F" first="F" last="Marcus">F. Marcus</name>
</author>
<author><name sortKey="Poquet, F" sort="Poquet, F" uniqKey="Poquet F" first="F" last="Poquet">F. Poquet</name>
</author>
<author><name sortKey="Gencel, L" sort="Gencel, L" uniqKey="Gencel L" first="L" last="Gencel">L. Gencel</name>
</author>
<author><name sortKey="Le Metayer, P" sort="Le Metayer, P" uniqKey="Le Metayer P" first="P" last="Le Métayer">P. Le Métayer</name>
</author>
<author><name sortKey="Clementy, J" sort="Clementy, J" uniqKey="Clementy J" first="J" last="Clémenty">J. Clémenty</name>
</author>
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<series><title level="j">Circulation</title>
<idno type="ISSN">0009-7322</idno>
<imprint><date when="1994" type="published">1994</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Bundle of His (physiopathology)</term>
<term>Bundle of His (surgery)</term>
<term>Catheter Ablation</term>
<term>Child</term>
<term>Electrocardiography</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Predictive Value of Tests</term>
<term>Sensitivity and Specificity</term>
<term>Wolff-Parkinson-White Syndrome (physiopathology)</term>
<term>Wolff-Parkinson-White Syndrome (surgery)</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Bundle of His</term>
<term>Wolff-Parkinson-White Syndrome</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Bundle of His</term>
<term>Wolff-Parkinson-White Syndrome</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Catheter Ablation</term>
<term>Child</term>
<term>Electrocardiography</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Predictive Value of Tests</term>
<term>Sensitivity and Specificity</term>
</keywords>
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</teiHeader>
<front><div type="abstract" xml:lang="en">Accessory pathways may be located in close proximity to the His bundle, resulting in a high risk of heart block during attempted surgical or electrical interruption of these pathways. This study reports the prevalence, ECG characteristics, and results of catheter ablation of parahissian accessory pathways. They were defined on the basis of both the presence of a high amplitude (> 0.1 mV) of His bundle potential at the ablation site and an exclusion of anteroseptal or midseptal location of the accessory pathway.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">8087922</PMID>
<DateCreated><Year>1994</Year>
<Month>10</Month>
<Day>18</Day>
</DateCreated>
<DateCompleted><Year>1994</Year>
<Month>10</Month>
<Day>18</Day>
</DateCompleted>
<DateRevised><Year>2004</Year>
<Month>11</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Print">0009-7322</ISSN>
<JournalIssue CitedMedium="Print"><Volume>90</Volume>
<Issue>3</Issue>
<PubDate><Year>1994</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Circulation</Title>
<ISOAbbreviation>Circulation</ISOAbbreviation>
</Journal>
<ArticleTitle>Electrocardiographic characteristics and catheter ablation of parahissian accessory pathways.</ArticleTitle>
<Pagination><MedlinePgn>1124-8</MedlinePgn>
</Pagination>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Accessory pathways may be located in close proximity to the His bundle, resulting in a high risk of heart block during attempted surgical or electrical interruption of these pathways. This study reports the prevalence, ECG characteristics, and results of catheter ablation of parahissian accessory pathways. They were defined on the basis of both the presence of a high amplitude (> 0.1 mV) of His bundle potential at the ablation site and an exclusion of anteroseptal or midseptal location of the accessory pathway.</AbstractText>
<AbstractText Label="METHODS AND RESULTS" NlmCategory="RESULTS">Eight patients with a parahissian accessory pathway were identified among 582 consecutive patients who underwent radiofrequency ablation of an accessory pathway. They were six males and two females with a mean age of 21 +/- 9 years. During maximal preexcitation, the ECG showed a positive delta wave in leads I, II, and a VF in all patients: six had a negative delta wave in leads V1 and V2 instead of the positivity usually observed in anteroseptal accessory pathways. This pattern had a sensitivity of 75%, a specificity of 96%, a positive predictive value of 86%, and a negative predictive value of 93% for a parahissian location in comparison with a group of 28 patients with anteroseptal accessory pathways. At the successful ablation site, the mean amplitude of the His bundle potential was 0.2 +/- 0.1 (0.12 to 0.4 mV). All accessory pathways were successfully ablated without causing heart block using 5 to 20 W of radiofrequency energy.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Parahissian accessory pathways have a preexcitation pattern that is distinctive from that of anteroseptal accessory pathways. Catheter ablation of these pathways is feasible using low energy with preservation of normal atrioventricular conduction.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Haissaguerre</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Hôpital Cardiologique du Haut-Lévêque, Bordeaux-Pessac, France.</Affiliation>
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<Author ValidYN="Y"><LastName>Marcus</LastName>
<ForeName>F</ForeName>
<Initials>F</Initials>
</Author>
<Author ValidYN="Y"><LastName>Poquet</LastName>
<ForeName>F</ForeName>
<Initials>F</Initials>
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<Author ValidYN="Y"><LastName>Gencel</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
</Author>
<Author ValidYN="Y"><LastName>Le Métayer</LastName>
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<Author ValidYN="Y"><LastName>Clémenty</LastName>
<ForeName>J</ForeName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
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<CitationSubset>AIM</CitationSubset>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002036" MajorTopicYN="N">Bundle of His</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D017115" MajorTopicYN="Y">Catheter Ablation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004562" MajorTopicYN="Y">Electrocardiography</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012680" MajorTopicYN="N">Sensitivity and Specificity</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D014927" MajorTopicYN="N">Wolff-Parkinson-White Syndrome</DescriptorName>
<QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>1994</Year>
<Month>9</Month>
<Day>1</Day>
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<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">8087922</ArticleId>
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Electrocardiographic characteristics and catheter ablation of parahissian accessory pathways.

Electrocardiographic characteristics and catheter ablation of parahissian accessory pathways.

Source :

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki