Noninvasive Localization of Accessory Pathways in Patients with Wolff-Parkinson-White Syndrome with the Use of Myocardial Doppler Imaging
Identifieur interne : 001D59 ( Main/Exploration ); précédent : 001D58; suivant : 001D60Noninvasive Localization of Accessory Pathways in Patients with Wolff-Parkinson-White Syndrome with the Use of Myocardial Doppler Imaging
Auteurs : Anja Tuchnitz [Allemagne] ; Claus Schmitt [Allemagne] ; Helene Von Bibra [Allemagne] ; Michael A. E. Schneider [Allemagne] ; Andreas Plewan [Allemagne] ; Albert Schömig [Allemagne]Source :
- Journal of the American Society of Echocardiography [ 0894-7317 ] ; 1999.
Abstract
This study sought to examine the diagnostic accuracy of noninvasive prediction of accessory pathway localization in patients with manifest Wolff-Parkinson-White syndrome with the use of myocardial Doppler imaging as a new noninvasive mapping procedure. Myocardial Doppler imaging measures myocardial velocities and therefore can determine the site of earliest ventricular activation in patients with accessory bypass tracts. Twenty-five patients with manifest preexcitation were studied with the use of pulsed wave and M-mode myocardial Doppler imaging for the evaluation of the shortest electromechanical time interval in 9 basal myocardial segments. The new diagnostic test was compared with 3 electrocardiographic algorithms. An invasive mapping procedure served as reference standard. Abnormally short electromechanical time intervals were found in preexcited segments (27 ± 12 ms vs 64 ± 27 ms). Myocardial Doppler imaging correctly localized 84% of the accessory pathways and electrocardiographic algorithms only 48% to 60% of cases. Noninvasive prediction of accessory pathway localization by myocardial Doppler imaging is accurate and proved to be superior to prediction based on electrocardiographic algorithms. (J Am Soc Echocardiogr 1999;12:32-40)
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DOI: 10.1016/S0894-7317(99)70170-7
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Myocardial Doppler imaging measures myocardial velocities and therefore can determine the site of earliest ventricular activation in patients with accessory bypass tracts. Twenty-five patients with manifest preexcitation were studied with the use of pulsed wave and M-mode myocardial Doppler imaging for the evaluation of the shortest electromechanical time interval in 9 basal myocardial segments. The new diagnostic test was compared with 3 electrocardiographic algorithms. An invasive mapping procedure served as reference standard. Abnormally short electromechanical time intervals were found in preexcited segments (27 ± 12 ms vs 64 ± 27 ms). Myocardial Doppler imaging correctly localized 84% of the accessory pathways and electrocardiographic algorithms only 48% to 60% of cases. Noninvasive prediction of accessory pathway localization by myocardial Doppler imaging is accurate and proved to be superior to prediction based on electrocardiographic algorithms. (J Am Soc Echocardiogr 1999;12:32-40)</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Bavière</li><li>District de Haute-Bavière</li></region><settlement><li>Munich</li></settlement><orgName><li>Université technique de Munich</li></orgName></list><tree><country name="Allemagne"><region name="Bavière"><name sortKey="Tuchnitz, Anja" sort="Tuchnitz, Anja" uniqKey="Tuchnitz A" first="Anja" last="Tuchnitz">Anja Tuchnitz</name></region><name sortKey="Plewan, Andreas" sort="Plewan, Andreas" uniqKey="Plewan A" first="Andreas" last="Plewan">Andreas Plewan</name><name sortKey="Schmitt, Claus" sort="Schmitt, Claus" uniqKey="Schmitt C" first="Claus" last="Schmitt">Claus Schmitt</name><name sortKey="Schneider, Michael A E" sort="Schneider, Michael A E" uniqKey="Schneider M" first="Michael A. E." last="Schneider">Michael A. E. Schneider</name><name sortKey="Schomig, Albert" sort="Schomig, Albert" uniqKey="Schomig A" first="Albert" last="Schömig">Albert Schömig</name><name sortKey="Von Bibra, Helene" sort="Von Bibra, Helene" uniqKey="Von Bibra H" first="Helene" last="Von Bibra">Helene Von Bibra</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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