Retrograde Multiple and Multifiber Accessory Pathway Conduction in the Wolff‐Parkinson‐White Syndrome:
Identifieur interne : 001E65 ( Main/Exploration ); précédent : 001E64; suivant : 001E66Retrograde Multiple and Multifiber Accessory Pathway Conduction in the Wolff‐Parkinson‐White Syndrome:
Auteurs : Yoshito Iesaka ; Teiichi Yamane ; Atsushi Takahashi ; Masahiko Goya ; Shigeyuki Kojima ; Yohkoh Soejima ; Yoshihiro Okamoto ; Hideomi Fujiwara ; Kazutaka Aonuma ; Akihiko Nogami ; Michiaki Hiroe ; Fumiaki Marumo ; Masayasu Hiraoka [Japon]Source :
- Journal of Cardiovascular Electrophysiology [ 1045-3873 ] ; 1998-02.
English descriptors
- KwdEn :
Abstract
Retrograde Multiple Accessory Pathway Precipitating AF. Introduction: The determinants of susceptibility to atrial fibrillation (AF) and the existence of accessory pathway conduction have remained unidentified in the Wolff‐Parkinson‐White (WPW) syndrome. We tested the hypothesis that excitation inputs into the atrium over a retrograde multiple or multifiber accessory pathway during AV reentrant tachycardia (AVRT) could precipitate initiation of AF. Methods and Results: Two hundred fifty consecutive patients with WPW syndrome underwent electrophysiologic study and radiofrequency catheter ablation. The patients were classified into two groups according to the study results: 29 with retrograde multiple or multifiber accessory pathway (MP) and 221 with retrograde single accessory pathway (SP). Compared with the SP patients, the MP patients showed a significantly higher incidence of clinical AF (MP vs SP: 19/29 vs 51/221, P < 0.01), induced AF (12/29 vs 32/221, P < 0.01), and initiated AF during ventricular pacing and AVRT (10/12 vs 17/32, P < 0.05). There were no differences between the two groups in incidence of clinical and induced AVRT (24/29 vs 200/221 and 25/29 vs 206/221, respectively), mean cycle length of induced AVRT, or electrophysiologic parameters of the accessory pathway. AF inducibility during AVRT or ventricular pacing was eliminated by partial ablation in 7 of 10 patients with MP. After total ablation, the incidence of induced AF was similar between the two groups (MP vs SP: 1/29 vs 11/221). Conclusion: The existence of a retrograde multiple or multifiber accessory pathway in patients with WPW syndrome is associated with a higher incidence of clinical and induced AF. Successful ablation of the retrograde multiple or multifiber accessory pathway can eliminate the induction of both AVRT and AF.
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DOI: 10.1111/j.1540-8167.1998.tb00895.x
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Yohkoh" uniqKey="Soejima Y" first="Yohkoh" last="Soejima">Yohkoh Soejima</name></author><author><name sortKey="Okamoto, Yoshihiro" sort="Okamoto, Yoshihiro" uniqKey="Okamoto Y" first="Yoshihiro" last="Okamoto">Yoshihiro Okamoto</name></author><author><name sortKey="Fujiwara, Hideomi" sort="Fujiwara, Hideomi" uniqKey="Fujiwara H" first="Hideomi" last="Fujiwara">Hideomi Fujiwara</name></author><author><name sortKey="Aonuma, Kazutaka" sort="Aonuma, Kazutaka" uniqKey="Aonuma K" first="Kazutaka" last="Aonuma">Kazutaka Aonuma</name></author><author><name sortKey="Nogami, Akihiko" sort="Nogami, Akihiko" uniqKey="Nogami A" first="Akihiko" last="Nogami">Akihiko Nogami</name></author><author><name sortKey="Hiroe, Michiaki" sort="Hiroe, Michiaki" uniqKey="Hiroe M" first="Michiaki" last="Hiroe">Michiaki Hiroe</name></author><author><name sortKey="Marumo, Fumiaki" sort="Marumo, Fumiaki" uniqKey="Marumo F" first="Fumiaki" last="Marumo">Fumiaki Marumo</name></author><author><name sortKey="Hiraoka, 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code="subField">Tsuchiura Kyodo Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Yamane, Teiichi" sort="Yamane, Teiichi" uniqKey="Yamane T" first="Teiichi" last="Yamane">Teiichi Yamane</name><affiliation><wicri:noCountry code="subField">Tsuchiura Kyodo Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Takahashi, Atsushi" sort="Takahashi, Atsushi" uniqKey="Takahashi A" first="Atsushi" last="Takahashi">Atsushi Takahashi</name><affiliation><wicri:noCountry code="subField">Tsuchiura Kyodo Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Goya, Masahiko" sort="Goya, Masahiko" uniqKey="Goya M" first="Masahiko" last="Goya">Masahiko Goya</name><affiliation><wicri:noCountry code="subField">Tsuchiura Kyodo Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Kojima, Shigeyuki" sort="Kojima, Shigeyuki" uniqKey="Kojima S" first="Shigeyuki" last="Kojima">Shigeyuki Kojima</name><affiliation><wicri:noCountry code="subField">Tsuchiura Kyodo Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Soejima, Yohkoh" sort="Soejima, Yohkoh" uniqKey="Soejima Y" first="Yohkoh" last="Soejima">Yohkoh Soejima</name><affiliation><wicri:noCountry code="subField">Tsuchiura Kyodo Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Okamoto, Yoshihiro" sort="Okamoto, Yoshihiro" uniqKey="Okamoto Y" first="Yoshihiro" last="Okamoto">Yoshihiro Okamoto</name><affiliation><wicri:noCountry code="subField">Tsuchiura Kyodo Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Fujiwara, Hideomi" sort="Fujiwara, Hideomi" uniqKey="Fujiwara H" first="Hideomi" last="Fujiwara">Hideomi Fujiwara</name><affiliation><wicri:noCountry code="subField">Tsuchiura Kyodo Hospital</wicri:noCountry></affiliation></author><author><name sortKey="Aonuma, Kazutaka" sort="Aonuma, Kazutaka" uniqKey="Aonuma K" first="Kazutaka" last="Aonuma">Kazutaka Aonuma</name><affiliation><wicri:noCountry code="subField">School of Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Nogami, Akihiko" sort="Nogami, Akihiko" uniqKey="Nogami A" first="Akihiko" last="Nogami">Akihiko Nogami</name><affiliation><wicri:noCountry code="subField">School of Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Hiroe, Michiaki" sort="Hiroe, Michiaki" uniqKey="Hiroe M" first="Michiaki" last="Hiroe">Michiaki Hiroe</name><affiliation><wicri:noCountry code="subField">School of Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Marumo, Fumiaki" sort="Marumo, Fumiaki" uniqKey="Marumo F" first="Fumiaki" last="Marumo">Fumiaki Marumo</name><affiliation><wicri:noCountry code="subField">School of Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Hiraoka, Masayasu" sort="Hiraoka, Masayasu" uniqKey="Hiraoka M" first="Masayasu" last="Hiraoka">Masayasu Hiraoka</name><affiliation wicri:level="3"><country xml:lang="fr">Japon</country><wicri:regionArea>Department of Cardiovascular Disease, Medical Research Institute, Tokyo Medical and Dental University, Tokyo</wicri:regionArea><placeName><settlement type="city">Tokyo</settlement></placeName></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of Cardiovascular Electrophysiology</title><idno type="ISSN">1045-3873</idno><idno type="eISSN">1540-8167</idno><imprint><publisher>Blackwell Publishing Ltd</publisher><pubPlace>Oxford, UK</pubPlace><date type="published" when="1998-02">1998-02</date><biblScope unit="volume">9</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="141">141</biblScope><biblScope unit="page" to="151">151</biblScope></imprint><idno type="ISSN">1045-3873</idno></series><idno type="istex">7E3F62E7E09C86624E2CBE2D362839CFA67D0F03</idno><idno type="DOI">10.1111/j.1540-8167.1998.tb00895.x</idno><idno type="ArticleID">JCE141</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">1045-3873</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>atrial fibrillation</term><term>atrioventricular reentrant tachycardia</term><term>retrograde multiple or multifiber accessory pathway</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Retrograde Multiple Accessory Pathway Precipitating AF. Introduction: The determinants of susceptibility to atrial fibrillation (AF) and the existence of accessory pathway conduction have remained unidentified in the Wolff‐Parkinson‐White (WPW) syndrome. We tested the hypothesis that excitation inputs into the atrium over a retrograde multiple or multifiber accessory pathway during AV reentrant tachycardia (AVRT) could precipitate initiation of AF. Methods and Results: Two hundred fifty consecutive patients with WPW syndrome underwent electrophysiologic study and radiofrequency catheter ablation. The patients were classified into two groups according to the study results: 29 with retrograde multiple or multifiber accessory pathway (MP) and 221 with retrograde single accessory pathway (SP). Compared with the SP patients, the MP patients showed a significantly higher incidence of clinical AF (MP vs SP: 19/29 vs 51/221, P < 0.01), induced AF (12/29 vs 32/221, P < 0.01), and initiated AF during ventricular pacing and AVRT (10/12 vs 17/32, P < 0.05). There were no differences between the two groups in incidence of clinical and induced AVRT (24/29 vs 200/221 and 25/29 vs 206/221, respectively), mean cycle length of induced AVRT, or electrophysiologic parameters of the accessory pathway. AF inducibility during AVRT or ventricular pacing was eliminated by partial ablation in 7 of 10 patients with MP. After total ablation, the incidence of induced AF was similar between the two groups (MP vs SP: 1/29 vs 11/221). Conclusion: The existence of a retrograde multiple or multifiber accessory pathway in patients with WPW syndrome is associated with a higher incidence of clinical and induced AF. Successful ablation of the retrograde multiple or multifiber accessory pathway can eliminate the induction of both AVRT and AF.</div></front></TEI><affiliations><list><country><li>Japon</li></country><settlement><li>Tokyo</li></settlement></list><tree><noCountry><name sortKey="Aonuma, Kazutaka" sort="Aonuma, Kazutaka" uniqKey="Aonuma K" first="Kazutaka" last="Aonuma">Kazutaka Aonuma</name><name sortKey="Fujiwara, Hideomi" sort="Fujiwara, Hideomi" uniqKey="Fujiwara H" first="Hideomi" last="Fujiwara">Hideomi Fujiwara</name><name sortKey="Goya, Masahiko" sort="Goya, Masahiko" uniqKey="Goya M" first="Masahiko" last="Goya">Masahiko Goya</name><name sortKey="Hiroe, Michiaki" sort="Hiroe, Michiaki" uniqKey="Hiroe M" first="Michiaki" last="Hiroe">Michiaki Hiroe</name><name sortKey="Iesaka, Yoshito" sort="Iesaka, Yoshito" uniqKey="Iesaka Y" first="Yoshito" last="Iesaka">Yoshito Iesaka</name><name sortKey="Kojima, Shigeyuki" sort="Kojima, Shigeyuki" uniqKey="Kojima S" first="Shigeyuki" last="Kojima">Shigeyuki Kojima</name><name sortKey="Marumo, Fumiaki" sort="Marumo, Fumiaki" uniqKey="Marumo F" first="Fumiaki" last="Marumo">Fumiaki Marumo</name><name sortKey="Nogami, Akihiko" sort="Nogami, Akihiko" uniqKey="Nogami A" first="Akihiko" last="Nogami">Akihiko Nogami</name><name sortKey="Okamoto, Yoshihiro" sort="Okamoto, Yoshihiro" uniqKey="Okamoto Y" first="Yoshihiro" last="Okamoto">Yoshihiro Okamoto</name><name sortKey="Soejima, Yohkoh" sort="Soejima, Yohkoh" uniqKey="Soejima Y" first="Yohkoh" last="Soejima">Yohkoh Soejima</name><name sortKey="Takahashi, Atsushi" sort="Takahashi, Atsushi" uniqKey="Takahashi A" first="Atsushi" last="Takahashi">Atsushi Takahashi</name><name sortKey="Yamane, Teiichi" sort="Yamane, Teiichi" uniqKey="Yamane T" first="Teiichi" last="Yamane">Teiichi Yamane</name></noCountry><country name="Japon"><noRegion><name sortKey="Hiraoka, Masayasu" sort="Hiraoka, Masayasu" uniqKey="Hiraoka M" first="Masayasu" last="Hiraoka">Masayasu Hiraoka</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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