دورية أكاديمية
Narrow QRS ectopy with concealed connections from a para-Hisian origin to the proximal left fascicles.
| العنوان: | Narrow QRS ectopy with concealed connections from a para-Hisian origin to the proximal left fascicles. |
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| المؤلفون: | Nakamura K; Division of Cardiology, Gunma Prefectural Cardiovascular Center, Maebashi City, Gunma, Japan., Sasaki T; Division of Cardiology, Gunma Prefectural Cardiovascular Center, Maebashi City, Gunma, Japan., Minami K; Department of Cardiovascular Medicine, Dokkyo Medical University, Mibu, Tochigi, Japan., Aoki H; Division of Cardiology, Gunma Prefectural Cardiovascular Center, Maebashi City, Gunma, Japan., Yoshimura S; Division of Cardiology, Gunma Prefectural Cardiovascular Center, Maebashi City, Gunma, Japan., Nishiuchi S; Department of Cardiology, Tenri Hospital, Tenri City, Nara, Japan., Naito S; Division of Cardiology, Gunma Prefectural Cardiovascular Center, Maebashi City, Gunma, Japan. |
| المصدر: | Journal of cardiovascular electrophysiology [J Cardiovasc Electrophysiol] 2024 Jun; Vol. 35 (6), pp. 1235-1241. Date of Electronic Publication: 2024 Apr 08. |
| نوع المنشور: | Case Reports; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Country of Publication: United States NLM ID: 9010756 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1540-8167 (Electronic) Linking ISSN: 10453873 NLM ISO Abbreviation: J Cardiovasc Electrophysiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Malden, MA : Blackwell Original Publication: Mt. Kisco, N.Y. : Futura Pub., c1990- |
| مواضيع طبية MeSH: | Bundle of His*/physiopathology , Bundle of His*/surgery , Catheter Ablation* , Electrophysiologic Techniques, Cardiac* , Action Potentials* , Electrocardiography* , Heart Rate*, Humans ; Male ; Adult ; Treatment Outcome ; Predictive Value of Tests |
| مستخلص: | Introduction: Catheter ablation of ectopy originating from the vicinity of the His bundle can be challenging. Methods and Results: We report a case of a 33-year-old man with narrow QRS ectopy with preferential conduction from a para-Hisian origin to the proximal left fascicles, which was successfully eliminated by radiofrequency ablation in the right coronary cusp, guided by ultrahigh-resolution mapping of the His bundle, bundle branch, and fascicular electrograms. Conclusion: Some narrow QRS ectopy may originate from the vicinity of the conduction system, instead of the "true" conduction system, and have concealed connections from its origin to the conduction system. (© 2024 Wiley Periodicals LLC.) |
| References: | Chaumont C, Savouré A, Godin B, Mirolo A, Rivron S, Anselme F. New safe approach to target symptomatic Hisian ectopy/tachycardia. Europace. 2021;23:1860‐1866. Eizmendi I, Almendral J, Hadid C, Ortiz M. Successful catheter cryoablation of Hisian ectopy using 2 new diagnostic criteria based on unipolar and bipolar recordings of the His electrogram. J Cardiovasc Electrophysiol. 2012;23:325‐329. Choi KJ, Shah DC, Jais P, et al. Successful ablation of Hisian ectopy identified by a reversed His bundle activation sequence. J Interv Card Electrophysiol. 2002;6:183‐186. Yamasaki H, Bertagnolli L, Hindricks G, Arya A. “Pseudo” Hisian extrasystole arising from the proximal portion of the left bundle branch. J Electrocardiol. 2018;51:574‐576. Chen S, Lu X, Peng S, et al. Ablation at right coronary cusp as an alternative and favorable approach to eliminate premature ventricular complexes originating from the proximal left anterior fascicle. Circ Arrhythm Electrophysiol. 2020;13:e008173. Mahmud R, Sternick EB, Sanchez‐Quintana D, et al. Evidence for concealed fasciculo‐ventricular connections as revealed by His bundle pacing. Europace. 2023;25:euad050. |
| فهرسة مساهمة: | Keywords: His bundle; catheter ablation; left fascicle; narrow QRS ectopy; preferential conduction; right coronary cusp; ultrahigh‐resolution mapping |
| تواريخ الأحداث: | Date Created: 20240408 Date Completed: 20240613 Latest Revision: 20240613 |
| رمز التحديث: | 20240613 |
| DOI: | 10.1111/jce.16262 |
| PMID: | 38587994 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1540-8167 |
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| DOI: | 10.1111/jce.16262 |