10 research outputs found
Synergistic effects of cardiac resynchronization therapy and Bachmann’s bundle pacing on heart failure with atrial tachyarrhythmias
Cardiac resynchronization therapy (CRT) is electrical resynchronization of the ventricles.
Bachmann’s bundle (BB) pacing is considered to be electrical resynchronization of the atria.
Atrial fibrillation (AF) and congestive heart failure (HF) often coexist in the same patient.
A 69 year-old man who underwent CRT combined with BB pacing for HF and atrial
tachycardias or atrial fibrillation (AF) improved HF symptoms. The combined therapy reduced
the number of admissions and occurrence of atrial tachyarrhythmias. It is possible that
CRT combined with BB pacing could provide synergistic, beneficial effects on symptoms in
patients with HF and AF and hence break a vicious circle
Age-related sensitivity to nicotine for inducible atrial tachycardia and atrial fibrillation
Increased vulnerability to inducible atrial fibrillation caused by partial cellular uncoupling with heptanol
Electrical Connections between Persistent Left Superior Vena Cava and Left Atrium during Catheter Ablation for Atrial Tachycardia
A 74-year-old man presented with palpitation and 12-lead ECG exhibited atrial premature contraction (APC) at general check-up. Holter ECG demonstrated narrow QRS tachycardia with a rate of 160/min and more than 31,000/day atrial premature beats. The P wave morphology of atrial premature beats showed negative in II, III, aVF and biphasic in V1. Venography was performed and disclosed persistent left superior vena cava (LSVC) draining into the right atrium via the markedly dilated coronary sinus (CS). Electrogram recordings from LSVC and CS were obtained with an electrode catheter via the left subclavian vein. At the level where a ventricular potential disappeared, the intra-LSVC potentials began to show a discrete second sharp potential after local left atrial signals. Double potentials were obtained within the LSVC from the lower left atrium (LA) to the higher LA. A proximal-to-distal activation sequence of the second components was observed. The interval between the 1st and 2nd component ranged from 8 to 22 msec between the proximal LSVC and distal LSVC. The double potentials resulted in fusion at the lower part of the LSVC, indicating the presence of an electrical connection between the LSVC and lower LA