Atrial pacing at multiple sites in the Wolff-Parkinson-White syndrome.
Identifieur interne : 000589 ( Main/Corpus ); précédent : 000588; suivant : 000590Atrial pacing at multiple sites in the Wolff-Parkinson-White syndrome.
Auteurs : P. Denes ; C R Wyndham ; F. Amat-Y-Leon ; D. Wu ; R C Dhingra ; R H Miller ; K M RosenSource :
- British Heart Journal [ 0007-0769 ] ; 1977-05.
Abstract
Atrial pacing at multiple sites was used in an attempt to predict the site of pre-excitation in 5 patients with Wolff-Parkinson-White syndrome with 5 different anomalous pathway locations (right anterior, right posterior, septal, left posterior, and left lateral). At least 3 atrial pacing sites were tested in each patient. Pacing sites tested included high right atrium, low lateral right atrium, low septal right atrium, proximal coronary sinus, and distal coronary sinus. Atrial stimulation sites with shortest and longest stimulus-delta intervals could be identified in each patient, the shortest stimulus-delta interval in each case ranging from 60 to 80 ms. The difference between the shortest and longest stimulus-delta interval in each case ranged from 60 to 110 ms. It was suggested that the site with the shortest stimulus-delta interval corresponded to a site close to the atrial insertion of the anomalous pathway. This hypothesis was confirmed in all cases (3 with epicardial mapping and 2 with retrograde atrial activation data). In conclusion, atrial pacing at multiple sites is helpful in predicting the site of anterogradely conducting anomalous pathways, and appears particularly useful for differentiation of right posterior, left posterior, and septal pre-excitation.
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DOI: 10.1136/hrt.39.5.506
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Wu</name></author><author><name sortKey="Dhingra, R C" sort="Dhingra, R C" uniqKey="Dhingra R" first="R C" last="Dhingra">R C Dhingra</name></author><author><name sortKey="Miller, R H" sort="Miller, R H" uniqKey="Miller R" first="R H" last="Miller">R H Miller</name></author><author><name sortKey="Rosen, K M" sort="Rosen, K M" uniqKey="Rosen K" first="K M" last="Rosen">K M Rosen</name></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:E5D8C00EB7FAA3070B46F18A683CC5B322D7CF77</idno><date when="1977-05-01" year="1977">1977-05-01</date><idno type="doi">10.1136/hrt.39.5.506</idno><idno type="url">https://api.istex.fr/document/E5D8C00EB7FAA3070B46F18A683CC5B322D7CF77/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000589</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Atrial pacing at multiple sites in the Wolff-Parkinson-White syndrome.</title><author><name sortKey="Denes, P" sort="Denes, P" uniqKey="Denes P" first="P" last="Denes">P. Denes</name></author><author><name sortKey="Wyndham, C R" sort="Wyndham, C R" uniqKey="Wyndham C" first="C R" last="Wyndham">C R Wyndham</name></author><author><name sortKey="Amat Y Leon, F" sort="Amat Y Leon, F" uniqKey="Amat Y Leon F" first="F" last="Amat-Y-Leon">F. Amat-Y-Leon</name></author><author><name sortKey="Wu, D" sort="Wu, D" uniqKey="Wu D" first="D" last="Wu">D. Wu</name></author><author><name sortKey="Dhingra, R C" sort="Dhingra, R C" uniqKey="Dhingra R" first="R C" last="Dhingra">R C Dhingra</name></author><author><name sortKey="Miller, R H" sort="Miller, R H" uniqKey="Miller R" first="R H" last="Miller">R H Miller</name></author><author><name sortKey="Rosen, K M" sort="Rosen, K M" uniqKey="Rosen K" first="K M" last="Rosen">K M Rosen</name></author></analytic><monogr></monogr><series><title level="j">British Heart Journal</title><title level="j" type="abbrev">Br Heart J</title><idno type="ISSN">0007-0769</idno><idno type="eISSN">1468-201X</idno><imprint><publisher>BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><date type="published" when="1977-05">1977-05</date><biblScope unit="volume">39</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="506">506</biblScope></imprint><idno type="ISSN">0007-0769</idno></series><idno type="istex">E5D8C00EB7FAA3070B46F18A683CC5B322D7CF77</idno><idno type="DOI">10.1136/hrt.39.5.506</idno><idno type="href">heartjnl-39-506.pdf</idno><idno type="PMID">861093</idno><idno type="local">heartjnl;39/5/506</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0007-0769</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Atrial pacing at multiple sites was used in an attempt to predict the site of pre-excitation in 5 patients with Wolff-Parkinson-White syndrome with 5 different anomalous pathway locations (right anterior, right posterior, septal, left posterior, and left lateral). At least 3 atrial pacing sites were tested in each patient. Pacing sites tested included high right atrium, low lateral right atrium, low septal right atrium, proximal coronary sinus, and distal coronary sinus. Atrial stimulation sites with shortest and longest stimulus-delta intervals could be identified in each patient, the shortest stimulus-delta interval in each case ranging from 60 to 80 ms. The difference between the shortest and longest stimulus-delta interval in each case ranged from 60 to 110 ms. It was suggested that the site with the shortest stimulus-delta interval corresponded to a site close to the atrial insertion of the anomalous pathway. This hypothesis was confirmed in all cases (3 with epicardial mapping and 2 with retrograde atrial activation data). In conclusion, atrial pacing at multiple sites is helpful in predicting the site of anterogradely conducting anomalous pathways, and appears particularly useful for differentiation of right posterior, left posterior, and septal pre-excitation.</div></front></TEI><istex><corpusName>bmj</corpusName><author><json:item><name>P Denes</name></json:item><json:item><name>C R Wyndham</name></json:item><json:item><name>F Amat-y-Leon</name></json:item><json:item><name>D Wu</name></json:item><json:item><name>R C Dhingra</name></json:item><json:item><name>R H Miller</name></json:item><json:item><name>K M Rosen</name></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Research Article</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Atrial pacing at multiple sites was used in an attempt to predict the site of pre-excitation in 5 patients with Wolff-Parkinson-White syndrome with 5 different anomalous pathway locations (right anterior, right posterior, septal, left posterior, and left lateral). At least 3 atrial pacing sites were tested in each patient. Pacing sites tested included high right atrium, low lateral right atrium, low septal right atrium, proximal coronary sinus, and distal coronary sinus. Atrial stimulation sites with shortest and longest stimulus-delta intervals could be identified in each patient, the shortest stimulus-delta interval in each case ranging from 60 to 80 ms. The difference between the shortest and longest stimulus-delta interval in each case ranged from 60 to 110 ms. It was suggested that the site with the shortest stimulus-delta interval corresponded to a site close to the atrial insertion of the anomalous pathway. This hypothesis was confirmed in all cases (3 with epicardial mapping and 2 with retrograde atrial activation data). 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At least 3 atrial pacing sites were tested in each patient. Pacing sites tested included high right atrium, low lateral right atrium, low septal right atrium, proximal coronary sinus, and distal coronary sinus. Atrial stimulation sites with shortest and longest stimulus-delta intervals could be identified in each patient, the shortest stimulus-delta interval in each case ranging from 60 to 80 ms. The difference between the shortest and longest stimulus-delta interval in each case ranged from 60 to 110 ms. It was suggested that the site with the shortest stimulus-delta interval corresponded to a site close to the atrial insertion of the anomalous pathway. This hypothesis was confirmed in all cases (3 with epicardial mapping and 2 with retrograde atrial activation data). 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At least 3 atrial pacing sites were tested in each patient. Pacing sites tested included high right atrium, low lateral right atrium, low septal right atrium, proximal coronary sinus, and distal coronary sinus. Atrial stimulation sites with shortest and longest stimulus-delta intervals could be identified in each patient, the shortest stimulus-delta interval in each case ranging from 60 to 80 ms. The difference between the shortest and longest stimulus-delta interval in each case ranged from 60 to 110 ms. It was suggested that the site with the shortest stimulus-delta interval corresponded to a site close to the atrial insertion of the anomalous pathway. This hypothesis was confirmed in all cases (3 with epicardial mapping and 2 with retrograde atrial activation data). In conclusion, atrial pacing at multiple sites is helpful in predicting the site of anterogradely conducting anomalous pathways, and appears particularly useful for differentiation of right posterior, left posterior, and septal pre-excitation.</p></abstract></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Atrial pacing at multiple sites in the Wolff-Parkinson-White syndrome.</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Atrial pacing at multiple sites in the Wolff-Parkinson-White syndrome.</title></titleInfo><name type="personal"><namePart type="given">P</namePart><namePart type="family">Denes</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">C R</namePart><namePart type="family">Wyndham</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">F</namePart><namePart type="family">Amat-y-Leon</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D</namePart><namePart type="family">Wu</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">R C</namePart><namePart type="family">Dhingra</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">R H</namePart><namePart type="family">Miller</namePart><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">K M</namePart><namePart type="family">Rosen</namePart><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article"></genre><originInfo><publisher>BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><dateIssued encoding="w3cdtf">1977-05</dateIssued><dateCreated encoding="w3cdtf">1977-05-01</dateCreated></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Atrial pacing at multiple sites was used in an attempt to predict the site of pre-excitation in 5 patients with Wolff-Parkinson-White syndrome with 5 different anomalous pathway locations (right anterior, right posterior, septal, left posterior, and left lateral). At least 3 atrial pacing sites were tested in each patient. Pacing sites tested included high right atrium, low lateral right atrium, low septal right atrium, proximal coronary sinus, and distal coronary sinus. Atrial stimulation sites with shortest and longest stimulus-delta intervals could be identified in each patient, the shortest stimulus-delta interval in each case ranging from 60 to 80 ms. The difference between the shortest and longest stimulus-delta interval in each case ranged from 60 to 110 ms. It was suggested that the site with the shortest stimulus-delta interval corresponded to a site close to the atrial insertion of the anomalous pathway. This hypothesis was confirmed in all cases (3 with epicardial mapping and 2 with retrograde atrial activation data). In conclusion, atrial pacing at multiple sites is helpful in predicting the site of anterogradely conducting anomalous pathways, and appears particularly useful for differentiation of right posterior, left posterior, and septal pre-excitation.</abstract><relatedItem type="host"><titleInfo><title>British Heart Journal</title></titleInfo><titleInfo type="abbreviated"><title>Br Heart J</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0007-0769</identifier><identifier type="eISSN">1468-201X</identifier><identifier type="PublisherID-hwp">heartjnl</identifier><identifier type="PublisherID-nlm-ta">Heart</identifier><part><date>1977</date><detail type="volume"><caption>vol.</caption><number>39</number></detail><detail type="issue"><caption>no.</caption><number>5</number></detail><extent unit="pages"><start>506</start></extent></part></relatedItem><identifier type="istex">E5D8C00EB7FAA3070B46F18A683CC5B322D7CF77</identifier><identifier type="DOI">10.1136/hrt.39.5.506</identifier><identifier type="href">heartjnl-39-506.pdf</identifier><identifier type="PMID">861093</identifier><identifier type="local">heartjnl;39/5/506</identifier><recordInfo><recordContentSource>BMJ</recordContentSource></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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