Reentry circuit location and left atrial three-dimensional activation patterns in left atrial flutter
We report the case of a patient with left atrial flutter (LAF) in whom the reentry circuit location was mapped with a 64-electrode basket catheter deployed in the left atrium. Left atrial three-dimensional activation patterns were constructed with a software program and presented as color-coded isoc...
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Veröffentlicht in: | Clinical research in cardiology 2001-04, Vol.90 (4), p.292-296 |
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creator | SCHMITT, C NDREPEPA, G ZRENNER, B |
description | We report the case of a patient with left atrial flutter (LAF) in whom the reentry circuit location was mapped with a 64-electrode basket catheter deployed in the left atrium. Left atrial three-dimensional activation patterns were constructed with a software program and presented as color-coded isochrones. The reentrant activation traveled preferentially around the mitral annulus in a clockwise direction. It consisted of a single reentry confined anteriorly by the mitral annulus and posteriorly by an anatomic-functional barrier composed of a functional conduction block extending between pulmonary veins and surrounding a part of the posterior wall of the left atrium. The lower portion of the posterior wall and the anterior wall in close proximity to mitral annulus were preferentially used by the reentrant impulse. |
doi_str_mv | 10.1007/s003920170176 |
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Left atrial three-dimensional activation patterns were constructed with a software program and presented as color-coded isochrones. The reentrant activation traveled preferentially around the mitral annulus in a clockwise direction. It consisted of a single reentry confined anteriorly by the mitral annulus and posteriorly by an anatomic-functional barrier composed of a functional conduction block extending between pulmonary veins and surrounding a part of the posterior wall of the left atrium. The lower portion of the posterior wall and the anterior wall in close proximity to mitral annulus were preferentially used by the reentrant impulse.</description><identifier>ISSN: 0300-5860</identifier><identifier>ISSN: 1861-0684</identifier><identifier>EISSN: 1435-1285</identifier><identifier>EISSN: 1861-0692</identifier><identifier>DOI: 10.1007/s003920170176</identifier><identifier>PMID: 11381578</identifier><identifier>CODEN: ZKRDAX</identifier><language>eng</language><publisher>Darmstadt: Steinkopff</publisher><subject>Annuli ; Atria ; Atrial Flutter - diagnosis ; Atrial Flutter - physiopathology ; Atrium ; Biological and medical sciences ; Cardiac Catheterization - instrumentation ; Cardiac dysrhythmias ; Cardiology. Vascular system ; Catheters ; Circuits ; Computer Simulation ; Electroencephalography ; Flutter ; Heart ; Heart Atria - physiopathology ; Humans ; Imaging, Three-Dimensional ; Male ; Medical instruments ; Medical sciences ; Middle Aged ; Mitral Valve ; Signal Processing, Computer-Assisted ; Software ; Tachycardia, Ectopic Atrial - diagnosis ; Tachycardia, Ectopic Atrial - physiopathology ; Vibration</subject><ispartof>Clinical research in cardiology, 2001-04, Vol.90 (4), p.292-296</ispartof><rights>2001 INIST-CNRS</rights><rights>Steinkopff Verlag 2001.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=937423$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11381578$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>SCHMITT, C</creatorcontrib><creatorcontrib>NDREPEPA, G</creatorcontrib><creatorcontrib>ZRENNER, B</creatorcontrib><title>Reentry circuit location and left atrial three-dimensional activation patterns in left atrial flutter</title><title>Clinical research in cardiology</title><addtitle>Z Kardiol</addtitle><description>We report the case of a patient with left atrial flutter (LAF) in whom the reentry circuit location was mapped with a 64-electrode basket catheter deployed in the left atrium. Left atrial three-dimensional activation patterns were constructed with a software program and presented as color-coded isochrones. The reentrant activation traveled preferentially around the mitral annulus in a clockwise direction. It consisted of a single reentry confined anteriorly by the mitral annulus and posteriorly by an anatomic-functional barrier composed of a functional conduction block extending between pulmonary veins and surrounding a part of the posterior wall of the left atrium. The lower portion of the posterior wall and the anterior wall in close proximity to mitral annulus were preferentially used by the reentrant impulse.</description><subject>Annuli</subject><subject>Atria</subject><subject>Atrial Flutter - diagnosis</subject><subject>Atrial Flutter - physiopathology</subject><subject>Atrium</subject><subject>Biological and medical sciences</subject><subject>Cardiac Catheterization - instrumentation</subject><subject>Cardiac dysrhythmias</subject><subject>Cardiology. Vascular system</subject><subject>Catheters</subject><subject>Circuits</subject><subject>Computer Simulation</subject><subject>Electroencephalography</subject><subject>Flutter</subject><subject>Heart</subject><subject>Heart Atria - physiopathology</subject><subject>Humans</subject><subject>Imaging, Three-Dimensional</subject><subject>Male</subject><subject>Medical instruments</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mitral Valve</subject><subject>Signal Processing, Computer-Assisted</subject><subject>Software</subject><subject>Tachycardia, Ectopic Atrial - diagnosis</subject><subject>Tachycardia, Ectopic Atrial - physiopathology</subject><subject>Vibration</subject><issn>0300-5860</issn><issn>1861-0684</issn><issn>1435-1285</issn><issn>1861-0692</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkM1LAzEQxYMotlaPXmVB8LaabJJN9ijFLygIouclyU4wJd2tSVbwvzelRa0wMDDvNzO8h9A5wdcEY3ETMaZNhYnIVR-gKWGUl6SS_BBNMcW45LLGE3QS4xJnRNT0GE0IoZJwIacIXgD6FL4K44IZXSr8YFRyQ1-ovis82FSoFJzyRXoPAGXnVtDHrOeJMsl9buG1SglCHwvX7y1ZP26EU3RklY9wtusz9HZ_9zp_LBfPD0_z20VpKCaplEJbWynSNAI6aHRlQXNdc2Ut7SRVqqmBcUy0tiy77iizGmphLGO6FtnUDF1t767D8DFCTO3KRQPeqx6GMbYCN4Tgimfw8h-4HMaQTcW2YlISWXO2ocotZcIQYwDbroNbqfDVEtxu0m_30s_8xe7qqFfQ_dK7uP-8VdEob4PqjYs_XEMFqyj9BlNQjUg</recordid><startdate>20010401</startdate><enddate>20010401</enddate><creator>SCHMITT, C</creator><creator>NDREPEPA, G</creator><creator>ZRENNER, B</creator><general>Steinkopff</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20010401</creationdate><title>Reentry circuit location and left atrial three-dimensional activation patterns in left atrial flutter</title><author>SCHMITT, C ; NDREPEPA, G ; ZRENNER, B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c301t-87bff2a1997ede9b2feb5b65aff3d83aa96e4501bbf4039d34fbe67cf44b67113</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Annuli</topic><topic>Atria</topic><topic>Atrial Flutter - diagnosis</topic><topic>Atrial Flutter - physiopathology</topic><topic>Atrium</topic><topic>Biological and medical sciences</topic><topic>Cardiac Catheterization - instrumentation</topic><topic>Cardiac dysrhythmias</topic><topic>Cardiology. Vascular system</topic><topic>Catheters</topic><topic>Circuits</topic><topic>Computer Simulation</topic><topic>Electroencephalography</topic><topic>Flutter</topic><topic>Heart</topic><topic>Heart Atria - physiopathology</topic><topic>Humans</topic><topic>Imaging, Three-Dimensional</topic><topic>Male</topic><topic>Medical instruments</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Mitral Valve</topic><topic>Signal Processing, Computer-Assisted</topic><topic>Software</topic><topic>Tachycardia, Ectopic Atrial - diagnosis</topic><topic>Tachycardia, Ectopic Atrial - physiopathology</topic><topic>Vibration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>SCHMITT, C</creatorcontrib><creatorcontrib>NDREPEPA, G</creatorcontrib><creatorcontrib>ZRENNER, B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical research in cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>SCHMITT, C</au><au>NDREPEPA, G</au><au>ZRENNER, B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reentry circuit location and left atrial three-dimensional activation patterns in left atrial flutter</atitle><jtitle>Clinical research in cardiology</jtitle><addtitle>Z Kardiol</addtitle><date>2001-04-01</date><risdate>2001</risdate><volume>90</volume><issue>4</issue><spage>292</spage><epage>296</epage><pages>292-296</pages><issn>0300-5860</issn><issn>1861-0684</issn><eissn>1435-1285</eissn><eissn>1861-0692</eissn><coden>ZKRDAX</coden><abstract>We report the case of a patient with left atrial flutter (LAF) in whom the reentry circuit location was mapped with a 64-electrode basket catheter deployed in the left atrium. Left atrial three-dimensional activation patterns were constructed with a software program and presented as color-coded isochrones. The reentrant activation traveled preferentially around the mitral annulus in a clockwise direction. It consisted of a single reentry confined anteriorly by the mitral annulus and posteriorly by an anatomic-functional barrier composed of a functional conduction block extending between pulmonary veins and surrounding a part of the posterior wall of the left atrium. The lower portion of the posterior wall and the anterior wall in close proximity to mitral annulus were preferentially used by the reentrant impulse.</abstract><cop>Darmstadt</cop><pub>Steinkopff</pub><pmid>11381578</pmid><doi>10.1007/s003920170176</doi><tpages>5</tpages></addata></record> |
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subjects | Annuli Atria Atrial Flutter - diagnosis Atrial Flutter - physiopathology Atrium Biological and medical sciences Cardiac Catheterization - instrumentation Cardiac dysrhythmias Cardiology. Vascular system Catheters Circuits Computer Simulation Electroencephalography Flutter Heart Heart Atria - physiopathology Humans Imaging, Three-Dimensional Male Medical instruments Medical sciences Middle Aged Mitral Valve Signal Processing, Computer-Assisted Software Tachycardia, Ectopic Atrial - diagnosis Tachycardia, Ectopic Atrial - physiopathology Vibration |
title | Reentry circuit location and left atrial three-dimensional activation patterns in left atrial flutter |
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