Importance of tachycardia cycle length for differentiating typical atrial flutter from scar-related in adult congenital heart disease
DC Field | Value | Language |
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dc.contributor.author | Uhm J.-S. | - |
dc.contributor.author | Mun H.-S. | - |
dc.contributor.author | Wi J. | - |
dc.contributor.author | Shim J. | - |
dc.contributor.author | Hwang H.J. | - |
dc.contributor.author | Sung J.-H. | - |
dc.contributor.author | Kim J.-Y. | - |
dc.contributor.author | Pak H.-N. | - |
dc.contributor.author | Lee M.-H. | - |
dc.contributor.author | Joung B. | - |
dc.date.available | 2020-11-03T01:43:40Z | - |
dc.date.issued | 2012 | - |
dc.identifier.issn | 0147-8389 | - |
dc.identifier.issn | 1540-8159 | - |
dc.identifier.uri | https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/12780 | - |
dc.description.abstract | Background: Radiofrequency catheter ablation (RFCA) for intraatrial reentrant tachycardia (IART) in congenital heart disease (CHD) remains difficult. Methods: Thirty-four consecutive adult patients (age, 37.6 ± 12.8 years; male, 21) with previously repaired CHD and IART underwent an electrophysiological study and RFCA. CHD included atrial septal defect (ASD, n = 14), tetralogy of Fallot (n = 11), ventricular septal defect (n = 4), pulmonary atresia (n = 2), atrioventricular septal defect (n = 1), transposition of the great arteries (n = 1), and double-outlet right ventricle (n = 1). Results: Duration of CHD repair to IART onset was 19.1 ± 8.5 years. Thirty and four patients had single- and double-loop reentrant tachycardia, respectively. Among the total of 38 IARTs, which were mapped, 22 (57.9%) and 13 (34.2%) IARTs were cavotricuspid isthmus (CTI)-dependent atrial flutter (AFL) and scar-related AFL, respectively. Typical AFL electrocardiography findings including definite sawtooth appearance in inferior leads and positive F wave in lead V1 were observed in only 12 of 21 patients (57.1%) with CTI-dependent AFL. CTI-dependent AFL had a significantly longer tachycardia cycle length (TCL) than scar-related AFL (267.6 ± 34.4 ms and 235.9 ± 37.0 ms, respectively; P = 0.031). TCL > 250 ms had 79% sensitivity as the cutoff value for differentiating CTI-dependent from scar-related AFL. The acute success rates of RFCA in CTI-dependent and scar-related AFLs were 85.7% and 90.0%, respectively. The recurrence rates in CTI-dependent and scar-related AFLs were 11.1% and 11.1%, respectively, during a follow-up of 21.2 ± 28.3 months. Conclusions: CTI-dependent AFL was the most common IART in adult patients with repaired CHD and was easily manageable by RFCA. TCL might help to differentiate CTI-dependent AFL from other IARTs. (PACE 2012;35:1338-1347) © 2012, The Authors. Journal compilation © 2012 Wiley Periodicals, Inc. | - |
dc.format.extent | 10 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.title | Importance of tachycardia cycle length for differentiating typical atrial flutter from scar-related in adult congenital heart disease | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1111/j.1540-8159.2012.03494.x | - |
dc.identifier.scopusid | 2-s2.0-84868632562 | - |
dc.identifier.bibliographicCitation | PACE - Pacing and Clinical Electrophysiology, v.35, no.11, pp 1338 - 1347 | - |
dc.citation.title | PACE - Pacing and Clinical Electrophysiology | - |
dc.citation.volume | 35 | - |
dc.citation.number | 11 | - |
dc.citation.startPage | 1338 | - |
dc.citation.endPage | 1347 | - |
dc.type.docType | Article | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.subject.keywordPlus | adult | - |
dc.subject.keywordPlus | article | - |
dc.subject.keywordPlus | atrioventricular septal defect | - |
dc.subject.keywordPlus | catheter ablation | - |
dc.subject.keywordPlus | clinical article | - |
dc.subject.keywordPlus | congenital heart disease | - |
dc.subject.keywordPlus | differential diagnosis | - |
dc.subject.keywordPlus | electrocardiography | - |
dc.subject.keywordPlus | electrophysiology | - |
dc.subject.keywordPlus | Fallot tetralogy | - |
dc.subject.keywordPlus | female | - |
dc.subject.keywordPlus | great vessels transposition | - |
dc.subject.keywordPlus | heart atrium flutter | - |
dc.subject.keywordPlus | heart atrium septum defect | - |
dc.subject.keywordPlus | heart right ventricle double outlet | - |
dc.subject.keywordPlus | heart ventricle septum defect | - |
dc.subject.keywordPlus | human | - |
dc.subject.keywordPlus | male | - |
dc.subject.keywordPlus | pulmonary valve atresia | - |
dc.subject.keywordPlus | reentry tachycardia | - |
dc.subject.keywordPlus | scar | - |
dc.subject.keywordPlus | tachycardia | - |
dc.subject.keywordPlus | Adult | - |
dc.subject.keywordPlus | Atrial Flutter | - |
dc.subject.keywordPlus | Cicatrix | - |
dc.subject.keywordPlus | Diagnosis, Differential | - |
dc.subject.keywordPlus | Electrocardiography | - |
dc.subject.keywordPlus | Heart Defects, Congenital | - |
dc.subject.keywordPlus | Humans | - |
dc.subject.keywordPlus | Male | - |
dc.subject.keywordPlus | Reproducibility of Results | - |
dc.subject.keywordPlus | Sensitivity and Specificity | - |
dc.subject.keywordPlus | Tachycardia, Ventricular | - |
dc.subject.keywordAuthor | atrial flutter | - |
dc.subject.keywordAuthor | cavotricuspid isthmus | - |
dc.subject.keywordAuthor | congenital heart disease | - |
dc.subject.keywordAuthor | intraatrial reentrant tachycardia | - |
dc.subject.keywordAuthor | scar-related | - |
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