Computer-assisted intraoperative mapping of the entire ventricular epicardium in the wolff-parkinson-white syndrome
Identifieur interne : 000599 ( Main/Corpus ); précédent : 000598; suivant : 000600Computer-assisted intraoperative mapping of the entire ventricular epicardium in the wolff-parkinson-white syndrome
Auteurs : Humberto J. Vidaillet Jr. ; James E. Lowe ; Lawrence D. German ; Peng-Sheng Chen ; G. Stephen Greer ; Marcel R. Gilbert ; William M. Smith ; Seth J. Worley ; Raymond E. IdekerSource :
- The American Journal of Cardiology [ 0002-9149 ] ; 1986.
Abstract
Intraoperative mapping with a hand-held, roving electrode requires a sustained rhythm lasting 5 to 10 minutes. To overcome this limitation, a computerized mapping system that records from 60 epicardial electrodes simultaneously was used to study 16 patients with Wolff-Parkinson-White syndrome. A sock containing 6 rows of electrodes arranged concentrically from base to apex was placed over the ventricles. The total time from placing the sock to analyzing the most basal row of electrode recordings was 5 minutes. A 39 × 44-mm plaque containing 56 electrodes was then placed across the atrioventricular (AV) groove for detailed simultaneous mapping of the ventricle and atrium in the preexcited region identified from the most basal row of sock electrodes. During plaque placement and recording, the remaining sock recordings were analyzed and a complete isochronal epicardial map was drawn. The plaque recordings were then analyzed. This technique rapidly detects early activation at the AV groove as do other computer systems using only a band of electrodes around the AV groove. Also, complete epicardial mapping supplied important additional information. One patient with a posterior paraseptal accessory pathway had ventricular epicardial breakthrough below the strip recorded by the AV band. When more than 1 early activation site was present along the AV groove, complete maps allowed multiple pathways to be differentiated from normal activation fronts ascending from the bundle branches. Complete epicardial maps allowed the study of rapidly changing or short-lived electrical events including isolated premature impulses, initiation and termination of reciprocating tachycardia by pacing, entrainment and changing degrees of fusion created by pacing during reciprocating tachycardia, and ventricular responses during atrial fibrillation. Thus, computer-assisted mapping of the entire ventricular epicardium offers specific advantages over both hand-held probe mapping and computer mapping using only an AV band of electrodes.
Url:
DOI: 10.1016/S0002-9149(86)80016-9
Links to Exploration step
ISTEX:08BECD65CD683929886B7315B7AC7D13083B7994Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Computer-assisted intraoperative mapping of the entire ventricular epicardium in the wolff-parkinson-white syndrome</title><author><name sortKey="Vidaillet Jr, Humberto J" sort="Vidaillet Jr, Humberto J" uniqKey="Vidaillet Jr H" first="Humberto J." last="Vidaillet Jr.">Humberto J. Vidaillet Jr.</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Lowe, James E" sort="Lowe, James E" uniqKey="Lowe J" first="James E." last="Lowe">James E. Lowe</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="German, Lawrence D" sort="German, Lawrence D" uniqKey="German L" first="Lawrence D." last="German">Lawrence D. German</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Chen, Peng Sheng" sort="Chen, Peng Sheng" uniqKey="Chen P" first="Peng-Sheng" last="Chen">Peng-Sheng Chen</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Stephen Greer, G" sort="Stephen Greer, G" uniqKey="Stephen Greer G" first="G." last="Stephen Greer">G. Stephen Greer</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Gilbert, Marcel R" sort="Gilbert, Marcel R" uniqKey="Gilbert M" first="Marcel R." last="Gilbert">Marcel R. Gilbert</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Smith, William M" sort="Smith, William M" uniqKey="Smith W" first="William M." last="Smith">William M. Smith</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Worley, Seth J" sort="Worley, Seth J" uniqKey="Worley S" first="Seth J." last="Worley">Seth J. Worley</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Ideker, Raymond E" sort="Ideker, Raymond E" uniqKey="Ideker R" first="Raymond E." last="Ideker">Raymond E. Ideker</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:08BECD65CD683929886B7315B7AC7D13083B7994</idno><date when="1986" year="1986">1986</date><idno type="doi">10.1016/S0002-9149(86)80016-9</idno><idno type="url">https://api.istex.fr/document/08BECD65CD683929886B7315B7AC7D13083B7994/fulltext/pdf</idno><idno type="wicri:Area/Main/Corpus">000599</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Computer-assisted intraoperative mapping of the entire ventricular epicardium in the wolff-parkinson-white syndrome</title><author><name sortKey="Vidaillet Jr, Humberto J" sort="Vidaillet Jr, Humberto J" uniqKey="Vidaillet Jr H" first="Humberto J." last="Vidaillet Jr.">Humberto J. Vidaillet Jr.</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Lowe, James E" sort="Lowe, James E" uniqKey="Lowe J" first="James E." last="Lowe">James E. Lowe</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="German, Lawrence D" sort="German, Lawrence D" uniqKey="German L" first="Lawrence D." last="German">Lawrence D. German</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Chen, Peng Sheng" sort="Chen, Peng Sheng" uniqKey="Chen P" first="Peng-Sheng" last="Chen">Peng-Sheng Chen</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Stephen Greer, G" sort="Stephen Greer, G" uniqKey="Stephen Greer G" first="G." last="Stephen Greer">G. Stephen Greer</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Gilbert, Marcel R" sort="Gilbert, Marcel R" uniqKey="Gilbert M" first="Marcel R." last="Gilbert">Marcel R. Gilbert</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Smith, William M" sort="Smith, William M" uniqKey="Smith W" first="William M." last="Smith">William M. Smith</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Worley, Seth J" sort="Worley, Seth J" uniqKey="Worley S" first="Seth J." last="Worley">Seth J. Worley</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author><author><name sortKey="Ideker, Raymond E" sort="Ideker, Raymond E" uniqKey="Ideker R" first="Raymond E." last="Ideker">Raymond E. Ideker</name><affiliation><mods:affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="ISSN">0002-9149</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1986">1986</date><biblScope unit="volume">58</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="940">940</biblScope><biblScope unit="page" to="948">948</biblScope></imprint><idno type="ISSN">0002-9149</idno></series><idno type="istex">08BECD65CD683929886B7315B7AC7D13083B7994</idno><idno type="DOI">10.1016/S0002-9149(86)80016-9</idno><idno type="PII">S0002-9149(86)80016-9</idno><idno type="ArticleID">86800169</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0002-9149</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Intraoperative mapping with a hand-held, roving electrode requires a sustained rhythm lasting 5 to 10 minutes. To overcome this limitation, a computerized mapping system that records from 60 epicardial electrodes simultaneously was used to study 16 patients with Wolff-Parkinson-White syndrome. A sock containing 6 rows of electrodes arranged concentrically from base to apex was placed over the ventricles. The total time from placing the sock to analyzing the most basal row of electrode recordings was 5 minutes. A 39 × 44-mm plaque containing 56 electrodes was then placed across the atrioventricular (AV) groove for detailed simultaneous mapping of the ventricle and atrium in the preexcited region identified from the most basal row of sock electrodes. During plaque placement and recording, the remaining sock recordings were analyzed and a complete isochronal epicardial map was drawn. The plaque recordings were then analyzed. This technique rapidly detects early activation at the AV groove as do other computer systems using only a band of electrodes around the AV groove. Also, complete epicardial mapping supplied important additional information. One patient with a posterior paraseptal accessory pathway had ventricular epicardial breakthrough below the strip recorded by the AV band. When more than 1 early activation site was present along the AV groove, complete maps allowed multiple pathways to be differentiated from normal activation fronts ascending from the bundle branches. Complete epicardial maps allowed the study of rapidly changing or short-lived electrical events including isolated premature impulses, initiation and termination of reciprocating tachycardia by pacing, entrainment and changing degrees of fusion created by pacing during reciprocating tachycardia, and ventricular responses during atrial fibrillation. Thus, computer-assisted mapping of the entire ventricular epicardium offers specific advantages over both hand-held probe mapping and computer mapping using only an AV band of electrodes.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Humberto J. Vidaillet, Jr. MD</name><affiliations><json:string>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</json:string></affiliations></json:item><json:item><name>James E. Lowe MD</name><affiliations><json:string>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</json:string></affiliations></json:item><json:item><name>Lawrence D. German MD</name><affiliations><json:string>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</json:string></affiliations></json:item><json:item><name>Peng-Sheng Chen MD</name><affiliations><json:string>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</json:string></affiliations></json:item><json:item><name>G. Stephen Greer MD</name><affiliations><json:string>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</json:string></affiliations></json:item><json:item><name>Marcel R. Gilbert MD</name><affiliations><json:string>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</json:string></affiliations></json:item><json:item><name>William M. Smith PhD</name><affiliations><json:string>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</json:string></affiliations></json:item><json:item><name>Seth J. Worley MD</name><affiliations><json:string>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</json:string></affiliations></json:item><json:item><name>Raymond E. Ideker MD, PhD</name><affiliations><json:string>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>arrhythmias and conduction disturbances</value></json:item></subject><articleId><json:string>86800169</json:string></articleId><language><json:string>eng</json:string></language><abstract>Intraoperative mapping with a hand-held, roving electrode requires a sustained rhythm lasting 5 to 10 minutes. To overcome this limitation, a computerized mapping system that records from 60 epicardial electrodes simultaneously was used to study 16 patients with Wolff-Parkinson-White syndrome. A sock containing 6 rows of electrodes arranged concentrically from base to apex was placed over the ventricles. The total time from placing the sock to analyzing the most basal row of electrode recordings was 5 minutes. A 39 × 44-mm plaque containing 56 electrodes was then placed across the atrioventricular (AV) groove for detailed simultaneous mapping of the ventricle and atrium in the preexcited region identified from the most basal row of sock electrodes. During plaque placement and recording, the remaining sock recordings were analyzed and a complete isochronal epicardial map was drawn. The plaque recordings were then analyzed. This technique rapidly detects early activation at the AV groove as do other computer systems using only a band of electrodes around the AV groove. Also, complete epicardial mapping supplied important additional information. One patient with a posterior paraseptal accessory pathway had ventricular epicardial breakthrough below the strip recorded by the AV band. When more than 1 early activation site was present along the AV groove, complete maps allowed multiple pathways to be differentiated from normal activation fronts ascending from the bundle branches. Complete epicardial maps allowed the study of rapidly changing or short-lived electrical events including isolated premature impulses, initiation and termination of reciprocating tachycardia by pacing, entrainment and changing degrees of fusion created by pacing during reciprocating tachycardia, and ventricular responses during atrial fibrillation. Thus, computer-assisted mapping of the entire ventricular epicardium offers specific advantages over both hand-held probe mapping and computer mapping using only an AV band of electrodes.</abstract><qualityIndicators><score>7.652</score><pdfVersion>1.3</pdfVersion><pdfPageSize>612 x 828 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>1</keywordCount><abstractCharCount>2037</abstractCharCount><pdfWordCount>4652</pdfWordCount><pdfCharCount>28825</pdfCharCount><pdfPageCount>9</pdfPageCount><abstractWordCount>292</abstractWordCount></qualityIndicators><title>Computer-assisted intraoperative mapping of the entire ventricular epicardium in the wolff-parkinson-white syndrome</title><pii><json:string>S0002-9149(86)80016-9</json:string></pii><genre><json:string>research-article</json:string></genre><serie><pages><first>124</first></pages><genre></genre><language><json:string>unknown</json:string></language><title>Proc 38th Annu Conf Eng Med Biol</title></serie><host><volume>58</volume><pii><json:string>S0002-9149(86)X8001-1</json:string></pii><pages><last>948</last><first>940</first></pages><issn><json:string>0002-9149</json:string></issn><issue>10</issue><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><title>The American Journal of Cardiology</title><publicationDate>1986</publicationDate></host><categories><wos><json:string>CARDIAC & CARDIOVASCULAR SYSTEMS</json:string></wos></categories><publicationDate>1986</publicationDate><copyrightDate>1986</copyrightDate><doi><json:string>10.1016/S0002-9149(86)80016-9</json:string></doi><id>08BECD65CD683929886B7315B7AC7D13083B7994</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/08BECD65CD683929886B7315B7AC7D13083B7994/fulltext/pdf</uri></json:item><json:item><original>true</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/08BECD65CD683929886B7315B7AC7D13083B7994/fulltext/txt</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/08BECD65CD683929886B7315B7AC7D13083B7994/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/08BECD65CD683929886B7315B7AC7D13083B7994/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Computer-assisted intraoperative mapping of the entire ventricular epicardium in the wolff-parkinson-white syndrome</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>ELSEVIER</p></availability><date>1986</date></publicationStmt><notesStmt><note>This study was supported in part by SCOR in Ischemic Heart Disease Grant HL-17670, Research Grants HL-33637 and HL-28429, and Training Grant HL07063 from the National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, and by a grant-in-aid from the AMP Foundation, Harrisburg, Pennsylvania. Dr. Worley is a Squibb Cardiovascular Fellow.</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Computer-assisted intraoperative mapping of the entire ventricular epicardium in the wolff-parkinson-white syndrome</title><author><persName><forename type="first">Humberto J.</forename><surname>Vidaillet, Jr.</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation></author><author><persName><forename type="first">James E.</forename><surname>Lowe</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation></author><author><persName><forename type="first">Lawrence D.</forename><surname>German</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation></author><author><persName><forename type="first">Peng-Sheng</forename><surname>Chen</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation></author><author><persName><forename type="first">G.</forename><surname>Stephen Greer</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation></author><author><persName><forename type="first">Marcel R.</forename><surname>Gilbert</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation></author><author><persName><forename type="first">William M.</forename><surname>Smith</surname></persName><roleName type="degree">PhD</roleName><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation></author><author><persName><forename type="first">Seth J.</forename><surname>Worley</surname></persName><roleName type="degree">MD</roleName><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation></author><author><persName><forename type="first">Raymond E.</forename><surname>Ideker</surname></persName><roleName type="degree">MD, PhD</roleName><note type="biography">Address for reprints: Raymond E. Ideker, MD, PhD, Box 3140, Duke University Medical Center, Durham, North Carolina 27710.</note><affiliation>Address for reprints: Raymond E. Ideker, MD, PhD, Box 3140, Duke University Medical Center, Durham, North Carolina 27710.</affiliation><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation></author></analytic><monogr><title level="j">The American Journal of Cardiology</title><title level="j" type="abbrev">AJC</title><idno type="pISSN">0002-9149</idno><idno type="PII">S0002-9149(86)X8001-1</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1986"></date><biblScope unit="volume">58</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="940">940</biblScope><biblScope unit="page" to="948">948</biblScope></imprint></monogr><idno type="istex">08BECD65CD683929886B7315B7AC7D13083B7994</idno><idno type="DOI">10.1016/S0002-9149(86)80016-9</idno><idno type="PII">S0002-9149(86)80016-9</idno><idno type="ArticleID">86800169</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1986</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Intraoperative mapping with a hand-held, roving electrode requires a sustained rhythm lasting 5 to 10 minutes. To overcome this limitation, a computerized mapping system that records from 60 epicardial electrodes simultaneously was used to study 16 patients with Wolff-Parkinson-White syndrome. A sock containing 6 rows of electrodes arranged concentrically from base to apex was placed over the ventricles. The total time from placing the sock to analyzing the most basal row of electrode recordings was 5 minutes. A 39 × 44-mm plaque containing 56 electrodes was then placed across the atrioventricular (AV) groove for detailed simultaneous mapping of the ventricle and atrium in the preexcited region identified from the most basal row of sock electrodes. During plaque placement and recording, the remaining sock recordings were analyzed and a complete isochronal epicardial map was drawn. The plaque recordings were then analyzed. This technique rapidly detects early activation at the AV groove as do other computer systems using only a band of electrodes around the AV groove. Also, complete epicardial mapping supplied important additional information. One patient with a posterior paraseptal accessory pathway had ventricular epicardial breakthrough below the strip recorded by the AV band. When more than 1 early activation site was present along the AV groove, complete maps allowed multiple pathways to be differentiated from normal activation fronts ascending from the bundle branches. Complete epicardial maps allowed the study of rapidly changing or short-lived electrical events including isolated premature impulses, initiation and termination of reciprocating tachycardia by pacing, entrainment and changing degrees of fusion created by pacing during reciprocating tachycardia, and ventricular responses during atrial fibrillation. Thus, computer-assisted mapping of the entire ventricular epicardium offers specific advantages over both hand-held probe mapping and computer mapping using only an AV band of electrodes.</p></abstract><textClass><keywords scheme="keyword"><list><head>Article category</head><item><term>arrhythmias and conduction disturbances</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1986-05-24">Registration</change><change when="1986-05-16">Modified</change><change when="1986">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier doc found" wicri:toSee="Elsevier, no converted or simple article"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 5.0.1//EN//XML" URI="art501.dtd" name="istex:docType"></istex:docType><istex:document><article version="5.0" xml:lang="en" docsubtype="fla"><item-info><jid>AJC</jid><aid>86800169</aid><ce:pii>S0002-9149(86)80016-9</ce:pii><ce:doi>10.1016/S0002-9149(86)80016-9</ce:doi><ce:copyright type="unknown" year="1986"></ce:copyright><ce:doctopics><ce:doctopic><ce:text>arrhythmias and conduction disturbances</ce:text></ce:doctopic></ce:doctopics></item-info><head><ce:article-footnote><ce:label>*</ce:label><ce:note-para>This study was supported in part by SCOR in Ischemic Heart Disease Grant HL-17670, Research Grants HL-33637 and HL-28429, and Training Grant HL07063 from the National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, and by a grant-in-aid from the AMP Foundation, Harrisburg, Pennsylvania. Dr. Worley is a Squibb Cardiovascular Fellow.</ce:note-para></ce:article-footnote><ce:title>Computer-assisted intraoperative mapping of the entire ventricular epicardium in the wolff-parkinson-white syndrome</ce:title><ce:author-group><ce:author><ce:degrees>MD</ce:degrees><ce:given-name>Humberto J.</ce:given-name><ce:surname>Vidaillet</ce:surname><ce:suffix>Jr.</ce:suffix></ce:author><ce:author><ce:degrees>MD</ce:degrees><ce:given-name>James E.</ce:given-name><ce:surname>Lowe</ce:surname></ce:author><ce:author><ce:degrees>MD</ce:degrees><ce:given-name>Lawrence D.</ce:given-name><ce:surname>German</ce:surname></ce:author><ce:author><ce:degrees>MD</ce:degrees><ce:given-name>Peng-Sheng</ce:given-name><ce:surname>Chen</ce:surname></ce:author><ce:author><ce:degrees>MD</ce:degrees><ce:given-name>G.</ce:given-name><ce:surname>Stephen Greer</ce:surname></ce:author><ce:author><ce:degrees>MD</ce:degrees><ce:given-name>Marcel R.</ce:given-name><ce:surname>Gilbert</ce:surname></ce:author><ce:author><ce:degrees>PhD</ce:degrees><ce:given-name>William M.</ce:given-name><ce:surname>Smith</ce:surname></ce:author><ce:author><ce:degrees>MD</ce:degrees><ce:given-name>Seth J.</ce:given-name><ce:surname>Worley</ce:surname></ce:author><ce:author><ce:degrees>MD, PhD</ce:degrees><ce:given-name>Raymond E.</ce:given-name><ce:surname>Ideker</ce:surname><ce:cross-ref refid="cor1"><ce:sup loc="post">1</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="aff1"><ce:textfn>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</ce:textfn></ce:affiliation><ce:correspondence id="cor1"><ce:label>1</ce:label><ce:text>Address for reprints: Raymond E. Ideker, MD, PhD, Box 3140, Duke University Medical Center, Durham, North Carolina 27710.</ce:text></ce:correspondence></ce:author-group><ce:date-received day="1" month="4" year="1986"></ce:date-received><ce:date-revised day="16" month="5" year="1986"></ce:date-revised><ce:date-accepted day="24" month="5" year="1986"></ce:date-accepted><ce:abstract id="ab1" class="author" xml:lang="en"><ce:abstract-sec><ce:simple-para view="all" id="simple-para.0010">Intraoperative mapping with a hand-held, roving electrode requires a sustained rhythm lasting 5 to 10 minutes. To overcome this limitation, a computerized mapping system that records from 60 epicardial electrodes simultaneously was used to study 16 patients with Wolff-Parkinson-White syndrome. A sock containing 6 rows of electrodes arranged concentrically from base to apex was placed over the ventricles. The total time from placing the sock to analyzing the most basal row of electrode recordings was 5 minutes. A 39 × 44-mm plaque containing 56 electrodes was then placed across the atrioventricular (AV) groove for detailed simultaneous mapping of the ventricle and atrium in the preexcited region identified from the most basal row of sock electrodes. During plaque placement and recording, the remaining sock recordings were analyzed and a complete isochronal epicardial map was drawn. The plaque recordings were then analyzed. This technique rapidly detects early activation at the AV groove as do other computer systems using only a band of electrodes around the AV groove. Also, complete epicardial mapping supplied important additional information. One patient with a posterior paraseptal accessory pathway had ventricular epicardial breakthrough below the strip recorded by the AV band. When more than 1 early activation site was present along the AV groove, complete maps allowed multiple pathways to be differentiated from normal activation fronts ascending from the bundle branches. Complete epicardial maps allowed the study of rapidly changing or short-lived electrical events including isolated premature impulses, initiation and termination of reciprocating tachycardia by pacing, entrainment and changing degrees of fusion created by pacing during reciprocating tachycardia, and ventricular responses during atrial fibrillation. Thus, computer-assisted mapping of the entire ventricular epicardium offers specific advantages over both hand-held probe mapping and computer mapping using only an AV band of electrodes.</ce:simple-para></ce:abstract-sec></ce:abstract></head><tail view="all"><ce:bibliography view="all" id="bibliography.0010"><ce:section-title>References</ce:section-title><ce:bibliography-sec id="bibliography-sec.0010"><ce:bib-reference id="bib1"><ce:label>1.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Cobb</ce:surname><ce:given-name>FR</ce:given-name></sb:author><sb:author><ce:surname>Blumenschein</ce:surname><ce:given-name>SD</ce:given-name></sb:author><sb:author><ce:surname>Sealy</ce:surname><ce:given-name>WC</ce:given-name></sb:author><sb:author><ce:surname>Boineau</ce:surname><ce:given-name>JP</ce:given-name></sb:author><sb:author><ce:surname>Wagner</ce:surname><ce:given-name>GS</ce:given-name></sb:author><sb:author><ce:surname>Wallace</ce:surname><ce:given-name>AG</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Successful surgical interruption of the bundle of Kent in a patient with Wolff-Parkinson-White syndrome</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Circulation</sb:maintitle></sb:title><sb:volume-nr>38</sb:volume-nr></sb:series><sb:date>1968</sb:date></sb:issue><sb:pages><sb:first-page>1018</sb:first-page><sb:last-page>1029</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib2"><ce:label>2.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Sealy</ce:surname><ce:given-name>WC</ce:given-name></sb:author><sb:author><ce:surname>Wallace</ce:surname><ce:given-name>AJ</ce:given-name></sb:author><sb:author><ce:surname>Ramming</ce:surname><ce:given-name>KP</ce:given-name></sb:author><sb:author><ce:surname>Gallagher</ce:surname><ce:given-name>JJ</ce:given-name></sb:author><sb:author><ce:surname>Svenson</ce:surname><ce:given-name>RH</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>An improved operation for the definitive treatment of the Wolff-Parkinson-White syndrome</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Ann Thorac Surg</sb:maintitle></sb:title><sb:volume-nr>17</sb:volume-nr></sb:series><sb:date>1974</sb:date></sb:issue><sb:pages><sb:first-page>107</sb:first-page><sb:last-page>113</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib3"><ce:label>3.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Wellens</ce:surname><ce:given-name>HJJ</ce:given-name></sb:author><sb:author><ce:surname>Janse</ce:surname><ce:given-name>MJ</ce:given-name></sb:author><sb:author><ce:surname>van Dam</ce:surname><ce:given-name>RT</ce:given-name></sb:author><sb:author><ce:surname>van Capelle</ce:surname><ce:given-name>FJL</ce:given-name></sb:author><sb:author><ce:surname>Meijne</ce:surname><ce:given-name>NG</ce:given-name></sb:author><sb:author><ce:surname>Mellink</ce:surname><ce:given-name>HM</ce:given-name></sb:author><sb:author><ce:surname>Durrer</ce:surname><ce:given-name>D</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Epicardial mapping and surgical treatment in Wolff-Parkinson-White syndrome type A</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Am Heart J</sb:maintitle></sb:title><sb:volume-nr>88</sb:volume-nr></sb:series><sb:date>1974</sb:date></sb:issue><sb:pages><sb:first-page>69</sb:first-page><sb:last-page>78</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib4"><ce:label>4.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Cox</ce:surname><ce:given-name>L</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Surgery for cardiac arrhythmias</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Curr Probl Cardiol</sb:maintitle></sb:title><sb:volume-nr>84</sb:volume-nr></sb:series><sb:date>1983</sb:date></sb:issue><sb:pages><sb:first-page>1</sb:first-page><sb:last-page>60</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib5"><ce:label>5.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Guiradon</ce:surname><ce:given-name>GM</ce:given-name></sb:author><sb:author><ce:surname>Klein</ce:surname><ce:given-name>GJ</ce:given-name></sb:author><sb:author><ce:surname>Jones</ce:surname><ce:given-name>D</ce:given-name></sb:author><sb:author><ce:surname>Kerr</ce:surname><ce:given-name>CR</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Surgical treatment of Wolff-Parkinson-White syndrome</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Can J Surg</sb:maintitle></sb:title><sb:volume-nr>26</sb:volume-nr></sb:series><sb:date>1983</sb:date></sb:issue><sb:pages><sb:first-page>147</sb:first-page><sb:last-page>149</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib6"><ce:label>6.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Lowe</ce:surname><ce:given-name>JE</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Surgical treatment of the Wolff-Parkinson-White syndrome</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Cardiac Surg</sb:maintitle></sb:title><sb:volume-nr>1</sb:volume-nr></sb:series><sb:date>1986</sb:date></sb:issue><sb:pages><sb:first-page>117</sb:first-page><sb:last-page>134</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib7"><ce:label>7.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Gallagher</ce:surname><ce:given-name>JJ</ce:given-name></sb:author><sb:author><ce:surname>Kassel</ce:surname><ce:given-name>J</ce:given-name></sb:author><sb:author><ce:surname>Sealy</ce:surname><ce:given-name>WC</ce:given-name></sb:author><sb:author><ce:surname>Pritchett</ce:surname><ce:given-name>ELC</ce:given-name></sb:author><sb:author><ce:surname>Wallace</ce:surname><ce:given-name>AG</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Epicardial mapping in the Wolff-Parkinson-White syndrome</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Circulation</sb:maintitle></sb:title><sb:volume-nr>57</sb:volume-nr></sb:series><sb:date>1978</sb:date></sb:issue><sb:pages><sb:first-page>854</sb:first-page><sb:last-page>866</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib8"><ce:label>8.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Kramer</ce:surname><ce:given-name>JB</ce:given-name></sb:author><sb:author><ce:surname>Corr</ce:surname><ce:given-name>PB</ce:given-name></sb:author><sb:author><ce:surname>Cox</ce:surname><ce:given-name>JL</ce:given-name></sb:author><sb:author><ce:surname>Witkowski</ce:surname><ce:given-name>FX</ce:given-name></sb:author><sb:author><ce:surname>Cain</ce:surname><ce:given-name>ME</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Simultaneous computer mapping to facilitate intraoperative localization of accessory pathways in patients with Wolff-Parkinson-White syndrome</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Am J Cardiol</sb:maintitle></sb:title><sb:volume-nr>56</sb:volume-nr></sb:series><sb:date>1985</sb:date></sb:issue><sb:pages><sb:first-page>571</sb:first-page><sb:last-page>576</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib9"><ce:label>9.</ce:label><ce:other-ref><ce:textref>Worley SJ, Ideker RE, Mastrototaro J, Smith WM, Vidaillet HJ Jr, Chen P-S, Lowe JE. A new sock electrode for recording epicardial activation from the human heart: one size fits all. PACE, in press.</ce:textref></ce:other-ref></ce:bib-reference><ce:bib-reference id="bib10"><ce:label>10.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Smith</ce:surname><ce:given-name>WM</ce:given-name></sb:author><sb:author><ce:surname>Funk</ce:surname><ce:given-name>AL</ce:given-name></sb:author><sb:author><ce:surname>Ideker</ce:surname><ce:given-name>RE</ce:given-name></sb:author><sb:author><ce:surname>Bartram</ce:surname><ce:given-name>FR</ce:given-name></sb:author><sb:author><ce:surname>Talbert</ce:surname><ce:given-name>PV</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>A microcomputer-based multichannel data acquisition system for the study of complex arrhythmias</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:title><sb:maintitle>Computers in Cardiology</sb:maintitle></sb:title><sb:date>1982</sb:date><sb:publisher><sb:name>IEEE Computer Society</sb:name></sb:publisher></sb:edited-book><sb:pages><sb:first-page>131</sb:first-page><sb:last-page>134</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib11"><ce:label>11.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Wolf</ce:surname><ce:given-name>PD</ce:given-name></sb:author><sb:author><ce:surname>Danieley</ce:surname><ce:given-name>ND</ce:given-name></sb:author><sb:author><ce:surname>Ideker</ce:surname><ce:given-name>RE</ce:given-name></sb:author><sb:author><ce:surname>Smith</ce:surname><ce:given-name>WM</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>A digital tape recorder for electrophysiologic waveforms</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:book-series><sb:series><sb:title><sb:maintitle>Proc 38th Annu Conf Eng Med Biol</sb:maintitle></sb:title></sb:series></sb:book-series><sb:date>1985</sb:date></sb:edited-book><sb:pages><sb:first-page>124</sb:first-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib12"><ce:label>12.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Ideker</ce:surname><ce:given-name>RE</ce:given-name></sb:author><sb:author><ce:surname>Smith</ce:surname><ce:given-name>WM</ce:given-name></sb:author><sb:author><ce:surname>Wallace</ce:surname><ce:given-name>AG</ce:given-name></sb:author><sb:author><ce:surname>Kasell</ce:surname><ce:given-name>J</ce:given-name></sb:author><sb:author><ce:surname>Harrsion</ce:surname><ce:given-name>LA</ce:given-name></sb:author><sb:author><ce:surname>Klein</ce:surname><ce:given-name>G</ce:given-name></sb:author><sb:author><ce:surname>Kinicki</ce:surname><ce:given-name>RE</ce:given-name></sb:author><sb:author><ce:surname>Gallagher</ce:surname><ce:given-name>JJ</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>A computerized method for the rapid display of ventricular activation during the intraoperative study of arrhythmias</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Circulation</sb:maintitle></sb:title><sb:volume-nr>59</sb:volume-nr></sb:series><sb:date>1979</sb:date></sb:issue><sb:pages><sb:first-page>449</sb:first-page><sb:last-page>458</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib13"><ce:label>13.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Bartram</ce:surname><ce:given-name>FR</ce:given-name></sb:author><sb:author><ce:surname>Ideker</ce:surname><ce:given-name>RE</ce:given-name></sb:author><sb:author><ce:surname>Smith</ce:surname><ce:given-name>WM</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>A system for the parametric description of the ventricular surface of the heart</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Comput Biomed Res</sb:maintitle></sb:title><sb:volume-nr>14</sb:volume-nr></sb:series><sb:date>1981</sb:date></sb:issue><sb:pages><sb:first-page>533</sb:first-page><sb:last-page>541</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib14"><ce:label>14.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Waldo</ce:surname><ce:given-name>AL</ce:given-name></sb:author><sb:author><ce:surname>Plumb</ce:surname><ce:given-name>VJ</ce:given-name></sb:author><sb:author><ce:surname>Arciniegas</ce:surname><ce:given-name>JG</ce:given-name></sb:author><sb:author><ce:surname>MacLean</ce:surname><ce:given-name>WAH</ce:given-name></sb:author><sb:author><ce:surname>Cooper</ce:surname><ce:given-name>TB</ce:given-name></sb:author><sb:author><ce:surname>Priest</ce:surname><ce:given-name>MF</ce:given-name></sb:author><sb:author><ce:surname>James</ce:surname><ce:given-name>TN</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Transient entrainment and interruption of the atrioventricular bypass pathway type of paroxysmal atrial tachycardia. A model for understanding and identifying reentrant arrhythmias</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Circulation</sb:maintitle></sb:title><sb:volume-nr>67</sb:volume-nr></sb:series><sb:date>1983</sb:date></sb:issue><sb:pages><sb:first-page>73</sb:first-page><sb:last-page>83</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib15"><ce:label>15.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Okumura</ce:surname><ce:given-name>K</ce:given-name></sb:author><sb:author><ce:surname>Henthorn</ce:surname><ce:given-name>RW</ce:given-name></sb:author><sb:author><ce:surname>Epstein</ce:surname><ce:given-name>AE</ce:given-name></sb:author><sb:author><ce:surname>Plumb</ce:surname><ce:given-name>VJ</ce:given-name></sb:author><sb:author><ce:surname>Waldo</ce:surname><ce:given-name>AL</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Further observations on transient entrainment: importance of pacing site and properties of components of the reentry circuit</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Circulation</sb:maintitle></sb:title><sb:volume-nr>72</sb:volume-nr></sb:series><sb:date>1985</sb:date></sb:issue><sb:pages><sb:first-page>1293</sb:first-page><sb:last-page>1307</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib16"><ce:label>16.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Josephson</ce:surname><ce:given-name>ME</ce:given-name></sb:author><sb:author><ce:surname>Harken</ce:surname><ce:given-name>AH</ce:given-name></sb:author><sb:author><ce:surname>Horowitz</ce:surname><ce:given-name>LN</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Endocardial excision: a new surgical technique for the treatment of recurrent ventricular tachycardia</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Circulation</sb:maintitle></sb:title><sb:volume-nr>60</sb:volume-nr></sb:series><sb:date>1979</sb:date></sb:issue><sb:pages><sb:first-page>1430</sb:first-page><sb:last-page>1442</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib17"><ce:label>17.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Miller</ce:surname><ce:given-name>JM</ce:given-name></sb:author><sb:author><ce:surname>Kienzle</ce:surname><ce:given-name>MG</ce:given-name></sb:author><sb:author><ce:surname>Harken</ce:surname><ce:given-name>AH</ce:given-name></sb:author><sb:author><ce:surname>Josephson</ce:surname><ce:given-name>ME</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Subendocardial resection for ventricular tachycardia: predictors of surgical success</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Circulation</sb:maintitle></sb:title><sb:volume-nr>70</sb:volume-nr></sb:series><sb:date>1984</sb:date></sb:issue><sb:pages><sb:first-page>624</sb:first-page><sb:last-page>631</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib18"><ce:label>18.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Lowe</ce:surname><ce:given-name>JE</ce:given-name></sb:author><sb:author><ce:surname>Sabiston</ce:surname><ce:given-name>DC</ce:given-name><ce:suffix>Jr</ce:suffix></sb:author></sb:authors><sb:title><sb:maintitle>Surgical management of cardiac arrhythmias</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Appl Cardiol</sb:maintitle></sb:title><sb:volume-nr>1</sb:volume-nr></sb:series><sb:date>1986</sb:date></sb:issue><sb:pages><sb:first-page>1</sb:first-page><sb:last-page>38</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib19"><ce:label>19.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Smith</ce:surname><ce:given-name>WM</ce:given-name></sb:author><sb:author><ce:surname>Ideker</ce:surname><ce:given-name>RE</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Computer techniques for epicardial and endocardial mapping</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Prog Cardiovasc Dis</sb:maintitle></sb:title><sb:volume-nr>26</sb:volume-nr></sb:series><sb:date>1983</sb:date></sb:issue><sb:pages><sb:first-page>15</sb:first-page><sb:last-page>31</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib20"><ce:label>20.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Gallagher</ce:surname><ce:given-name>JJ</ce:given-name></sb:author><sb:author><ce:surname>Kasell</ce:surname><ce:given-name>JH</ce:given-name></sb:author><sb:author><ce:surname>Cox</ce:surname><ce:given-name>JL</ce:given-name></sb:author><sb:author><ce:surname>Smith</ce:surname><ce:given-name>WM</ce:given-name></sb:author><sb:author><ce:surname>Ideker</ce:surname><ce:given-name>RE</ce:given-name></sb:author><sb:author><ce:surname>Smith</ce:surname><ce:given-name>WM</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Techniques of intraoperative electrophysiologic mapping</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Am J Cardiol</sb:maintitle></sb:title><sb:volume-nr>49</sb:volume-nr></sb:series><sb:date>1982</sb:date></sb:issue><sb:pages><sb:first-page>221</sb:first-page><sb:last-page>240</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib21"><ce:label>21.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>deBakker</ce:surname><ce:given-name>JMT</ce:given-name></sb:author><sb:author><ce:surname>Janse</ce:surname><ce:given-name>MJ</ce:given-name></sb:author><sb:author><ce:surname>vanCapelle</ce:surname><ce:given-name>FJL</ce:given-name></sb:author><sb:author><ce:surname>Durrer</ce:surname><ce:given-name>D</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Endocardial mapping by simultaneous recording of endocardial electrogram during cardiac surgery for ventricular aneurysm</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>JACC</sb:maintitle></sb:title><sb:volume-nr>2</sb:volume-nr></sb:series><sb:date>1983</sb:date></sb:issue><sb:pages><sb:first-page>947</sb:first-page><sb:last-page>953</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib22"><ce:label>22.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Parson</ce:surname><ce:given-name>I</ce:given-name></sb:author><sb:author><ce:surname>Downar</ce:surname><ce:given-name>E</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Clinical instrumentation for the intra-operative mapping of ventricular arrhythmias</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>PACE</sb:maintitle></sb:title><sb:volume-nr>7</sb:volume-nr></sb:series><sb:date>1984</sb:date></sb:issue><sb:pages><sb:first-page>683</sb:first-page><sb:last-page>692</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib23"><ce:label>23.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Gallagher</ce:surname><ce:given-name>JJ</ce:given-name></sb:author><sb:author><ce:surname>Sealy</ce:surname><ce:given-name>WC</ce:given-name></sb:author><sb:author><ce:surname>Anderson</ce:surname><ce:given-name>RW</ce:given-name></sb:author><sb:author><ce:surname>Kasell</ce:surname><ce:given-name>J</ce:given-name></sb:author><sb:author><ce:surname>Millar</ce:surname><ce:given-name>R</ce:given-name></sb:author><sb:author><ce:surname>Campbell</ce:surname><ce:given-name>RWF</ce:given-name></sb:author><sb:author><ce:surname>Harrison</ce:surname><ce:given-name>L</ce:given-name></sb:author><sb:author><ce:surname>Pritchett</ce:surname><ce:given-name>ELC</ce:given-name></sb:author><sb:author><ce:surname>Wallace</ce:surname><ce:given-name>AG</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Cryosurgical ablation of accessory atrioventricular connections: a method for correction of the pre-excitation syndrome</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Circulation</sb:maintitle></sb:title><sb:volume-nr>55</sb:volume-nr></sb:series><sb:date>1977</sb:date></sb:issue><sb:pages><sb:first-page>471</sb:first-page><sb:last-page>479</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib24"><ce:label>24.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Becker</ce:surname><ce:given-name>AE</ce:given-name></sb:author><sb:author><ce:surname>Anderson</ce:surname><ce:given-name>RH</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>The Wolff-Parkinson-White syndrome and its anatomical substrates</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>Anat Rec</sb:maintitle></sb:title><sb:volume-nr>201</sb:volume-nr></sb:series><sb:date>1981</sb:date></sb:issue><sb:pages><sb:first-page>169</sb:first-page><sb:last-page>177</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib25"><ce:label>25.</ce:label><sb:reference><sb:contribution langtype="en"><sb:authors><sb:author><ce:surname>Allessie</ce:surname><ce:given-name>MA</ce:given-name></sb:author><sb:author><ce:surname>Lammers</ce:surname><ce:given-name>WJEP</ce:given-name></sb:author><sb:author><ce:surname>Bonke</ce:surname><ce:given-name>FIM</ce:given-name></sb:author><sb:author><ce:surname>Hollen</ce:surname><ce:given-name>J</ce:given-name></sb:author></sb:authors><sb:title><sb:maintitle>Experimental evaluation of Moe's multiple wavelet hypothesis of atrial fibrillation</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:editors><sb:editor><ce:surname>Zipes</ce:surname><ce:given-name>DP</ce:given-name></sb:editor><sb:editor><ce:surname>Jalife</ce:surname><ce:given-name>J</ce:given-name></sb:editor></sb:editors><sb:title><sb:maintitle>Cardiac Electrophysiology and Arrhythmias</sb:maintitle></sb:title><sb:date>1985</sb:date><sb:publisher><sb:name>Grune & Stratton</sb:name><sb:location>Orlando, FL</sb:location></sb:publisher></sb:edited-book><sb:pages><sb:first-page>265</sb:first-page><sb:last-page>275</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference></ce:bibliography-sec></ce:bibliography></tail></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Computer-assisted intraoperative mapping of the entire ventricular epicardium in the wolff-parkinson-white syndrome</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Computer-assisted intraoperative mapping of the entire ventricular epicardium in the wolff-parkinson-white syndrome</title></titleInfo><name type="personal"><namePart type="given">Humberto J.</namePart><namePart type="family">Vidaillet, Jr.</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">James E.</namePart><namePart type="family">Lowe</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Lawrence D.</namePart><namePart type="family">German</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Peng-Sheng</namePart><namePart type="family">Chen</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">G.</namePart><namePart type="family">Stephen Greer</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Marcel R.</namePart><namePart type="family">Gilbert</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">William M.</namePart><namePart type="family">Smith</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Seth J.</namePart><namePart type="family">Worley</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Raymond E.</namePart><namePart type="family">Ideker</namePart><namePart type="termsOfAddress">MD, PhD</namePart><affiliation>From the Departments of Medicine, Surgery, and Pathology, Duke University Medical Center, Durham, North Carolina, USA</affiliation><description>Address for reprints: Raymond E. Ideker, MD, PhD, Box 3140, Duke University Medical Center, Durham, North Carolina 27710.</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1986</dateIssued><dateValid encoding="w3cdtf">1986-05-24</dateValid><dateModified encoding="w3cdtf">1986-05-16</dateModified><copyrightDate encoding="w3cdtf">1986</copyrightDate></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">Intraoperative mapping with a hand-held, roving electrode requires a sustained rhythm lasting 5 to 10 minutes. To overcome this limitation, a computerized mapping system that records from 60 epicardial electrodes simultaneously was used to study 16 patients with Wolff-Parkinson-White syndrome. A sock containing 6 rows of electrodes arranged concentrically from base to apex was placed over the ventricles. The total time from placing the sock to analyzing the most basal row of electrode recordings was 5 minutes. A 39 × 44-mm plaque containing 56 electrodes was then placed across the atrioventricular (AV) groove for detailed simultaneous mapping of the ventricle and atrium in the preexcited region identified from the most basal row of sock electrodes. During plaque placement and recording, the remaining sock recordings were analyzed and a complete isochronal epicardial map was drawn. The plaque recordings were then analyzed. This technique rapidly detects early activation at the AV groove as do other computer systems using only a band of electrodes around the AV groove. Also, complete epicardial mapping supplied important additional information. One patient with a posterior paraseptal accessory pathway had ventricular epicardial breakthrough below the strip recorded by the AV band. When more than 1 early activation site was present along the AV groove, complete maps allowed multiple pathways to be differentiated from normal activation fronts ascending from the bundle branches. Complete epicardial maps allowed the study of rapidly changing or short-lived electrical events including isolated premature impulses, initiation and termination of reciprocating tachycardia by pacing, entrainment and changing degrees of fusion created by pacing during reciprocating tachycardia, and ventricular responses during atrial fibrillation. Thus, computer-assisted mapping of the entire ventricular epicardium offers specific advantages over both hand-held probe mapping and computer mapping using only an AV band of electrodes.</abstract><note>This study was supported in part by SCOR in Ischemic Heart Disease Grant HL-17670, Research Grants HL-33637 and HL-28429, and Training Grant HL07063 from the National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland, and by a grant-in-aid from the AMP Foundation, Harrisburg, Pennsylvania. Dr. Worley is a Squibb Cardiovascular Fellow.</note><subject><genre>Article category</genre><topic>arrhythmias and conduction disturbances</topic></subject><relatedItem type="host"><titleInfo><title>The American Journal of Cardiology</title></titleInfo><titleInfo type="abbreviated"><title>AJC</title></titleInfo><genre type="Journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">19861101</dateIssued></originInfo><identifier type="ISSN">0002-9149</identifier><identifier type="PII">S0002-9149(86)X8001-1</identifier><part><detail type="volume"><number>58</number><caption>vol.</caption></detail><detail type="issue"><number>10</number><caption>no.</caption></detail><extent unit="issue pages"><start>863</start><end>1054</end></extent><extent unit="pages"><start>940</start><end>948</end></extent></part></relatedItem><identifier type="istex">08BECD65CD683929886B7315B7AC7D13083B7994</identifier><identifier type="DOI">10.1016/S0002-9149(86)80016-9</identifier><identifier type="PII">S0002-9149(86)80016-9</identifier><identifier type="ArticleID">86800169</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata><enrichments><istex:catWosTEI uri="https://api.istex.fr/document/08BECD65CD683929886B7315B7AC7D13083B7994/enrichments/catWos"><teiHeader><profileDesc><textClass><classCode scheme="WOS">CARDIAC & CARDIOVASCULAR SYSTEMS</classCode></textClass></profileDesc></teiHeader></istex:catWosTEI></enrichments></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/ParkinsonV1/Data/Main/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000599 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd -nk 000599 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= ParkinsonV1
|flux= Main
|étape= Corpus
|type= RBID
|clé= ISTEX:08BECD65CD683929886B7315B7AC7D13083B7994
|texte= Computer-assisted intraoperative mapping of the entire ventricular epicardium in the wolff-parkinson-white syndrome
}}
| This area was generated with Dilib version V0.6.23. |  |