Spectrum of atrial arrhythmias from the right upper pulmonary vein--successful isolation of the arrhythmogenic focus by RF ablation of atriovenous breakthroughs--a case report
We present a case of a 19-year-old patient with incessant arrhythmias originating from the right upper pulmonary vein (RUPV) presenting as frequent premature beats, automatic rhythms mimicking sinus rhythm (SR) and pulmonary vein tachycardias. Morphology of P' wave resembled sinus P wave due to...
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| Veröffentlicht in: | Kardiologia polska (1957) 2007-01, Vol.65 (1), p.89-95 |
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| container_title | Kardiologia polska (1957) |
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| creator | Derejko, Paweł Zakrzewska, Joanna Szumowski, Łukasz Urbanek, Piotr Bodalski, Robert Szufladowicz, Ewa Orczykowski, Michał Kepski, Roman Szajewski, Tomasz Zagrodzka, Magda Walczak, Franciszek |
| description | We present a case of a 19-year-old patient with incessant arrhythmias originating from the right upper pulmonary vein (RUPV) presenting as frequent premature beats, automatic rhythms mimicking sinus rhythm (SR) and pulmonary vein tachycardias. Morphology of P' wave resembled sinus P wave due to relatively short distance of the ectopic focus from the sinus node. Occasionally, when discharges from the focus were relatively slow (800-500 ms) and regular it was mimicking sinus rhythm. Activation preceding P' wave during arrhythmia was recorded in RUPV as well as in superior vena cava. In this paper we discuss our approach that allowed localising the arrhythmogenic focus in the RUPV. After isolation of the RUPV sinus rhythm was restored with tachycardia at a cycle length of 320 ms continuing in the isolated vein. |
| format | Article |
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Morphology of P' wave resembled sinus P wave due to relatively short distance of the ectopic focus from the sinus node. Occasionally, when discharges from the focus were relatively slow (800-500 ms) and regular it was mimicking sinus rhythm. Activation preceding P' wave during arrhythmia was recorded in RUPV as well as in superior vena cava. In this paper we discuss our approach that allowed localising the arrhythmogenic focus in the RUPV. 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Morphology of P' wave resembled sinus P wave due to relatively short distance of the ectopic focus from the sinus node. Occasionally, when discharges from the focus were relatively slow (800-500 ms) and regular it was mimicking sinus rhythm. Activation preceding P' wave during arrhythmia was recorded in RUPV as well as in superior vena cava. In this paper we discuss our approach that allowed localising the arrhythmogenic focus in the RUPV. After isolation of the RUPV sinus rhythm was restored with tachycardia at a cycle length of 320 ms continuing in the isolated vein.</description><subject>Adult</subject><subject>Atrial Fibrillation - physiopathology</subject><subject>Atrial Fibrillation - surgery</subject><subject>Atrial Premature Complexes - physiopathology</subject><subject>Atrial Premature Complexes - surgery</subject><subject>Bradycardia - physiopathology</subject><subject>Bradycardia - surgery</subject><subject>Catheter Ablation - methods</subject><subject>Electrocardiography - methods</subject><subject>Electrophysiologic Techniques, Cardiac - methods</subject><subject>Electrophysiology - methods</subject><subject>Humans</subject><subject>Male</subject><subject>Pulmonary Veins - physiopathology</subject><subject>Pulmonary Veins - surgery</subject><subject>Tachycardia, Ectopic Atrial - physiopathology</subject><subject>Tachycardia, Ectopic Atrial - surgery</subject><subject>Treatment Outcome</subject><issn>0022-9032</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMtOwzAQRbMA0VL4BeQVO0vOO1miigJSJSQe62hijxtDEhs_KvWr-EUStRWr0WjOvXN1L6IlY0lCa5Ymi-jaua9prYo4vooWcZnUeVxUy-j33SD3NgxESwLeKugJWNsdfDcocERaPRDfIbFq13kSjEFLTOgHPYI9kD2qkVIXOEfnZOiJcroHr_Q4-826s5ne4ag4kZoHR9oDedsQaP_R-bXe46jnq0X49p3VYdc5SoFwcFMANNr6m-hSQu_w9jRX0efm8WP9TLevTy_rhy01cVp7GmPZsoqLDARjVSohFaLKkHMJbVvKuBQAIkeRZAXmkHMGJWSV4CzPs4oVebqK7o--xuqfgM43g3Ic-x5GnDI2Rc1Yyko2gXcnMLQDisZYNUzNNOeK0z-lVH1F</recordid><startdate>200701</startdate><enddate>200701</enddate><creator>Derejko, Paweł</creator><creator>Zakrzewska, Joanna</creator><creator>Szumowski, Łukasz</creator><creator>Urbanek, Piotr</creator><creator>Bodalski, Robert</creator><creator>Szufladowicz, Ewa</creator><creator>Orczykowski, Michał</creator><creator>Kepski, Roman</creator><creator>Szajewski, Tomasz</creator><creator>Zagrodzka, Magda</creator><creator>Walczak, Franciszek</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200701</creationdate><title>Spectrum of atrial arrhythmias from the right upper pulmonary vein--successful isolation of the arrhythmogenic focus by RF ablation of atriovenous breakthroughs--a case report</title><author>Derejko, Paweł ; 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Morphology of P' wave resembled sinus P wave due to relatively short distance of the ectopic focus from the sinus node. Occasionally, when discharges from the focus were relatively slow (800-500 ms) and regular it was mimicking sinus rhythm. Activation preceding P' wave during arrhythmia was recorded in RUPV as well as in superior vena cava. In this paper we discuss our approach that allowed localising the arrhythmogenic focus in the RUPV. After isolation of the RUPV sinus rhythm was restored with tachycardia at a cycle length of 320 ms continuing in the isolated vein.</abstract><cop>Poland</cop><pmid>17295168</pmid><tpages>7</tpages></addata></record> |
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| ispartof | Kardiologia polska (1957), 2007-01, Vol.65 (1), p.89-95 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Atrial Fibrillation - physiopathology Atrial Fibrillation - surgery Atrial Premature Complexes - physiopathology Atrial Premature Complexes - surgery Bradycardia - physiopathology Bradycardia - surgery Catheter Ablation - methods Electrocardiography - methods Electrophysiologic Techniques, Cardiac - methods Electrophysiology - methods Humans Male Pulmonary Veins - physiopathology Pulmonary Veins - surgery Tachycardia, Ectopic Atrial - physiopathology Tachycardia, Ectopic Atrial - surgery Treatment Outcome |
| title | Spectrum of atrial arrhythmias from the right upper pulmonary vein--successful isolation of the arrhythmogenic focus by RF ablation of atriovenous breakthroughs--a case report |
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