Architecture of the atrial musculature in and around the triangle of Koch: Its potential relevance to atrioventricular nodal reentry

Journal of Cardiovascular Electrophysiology

Volumn 8, Issue 12, 1997, Pages 1396-1407

  Sanchez Quintana, Damian ^a   Davies, D Wyn ^c   Ho, Siew Yen ^b   Oslizlok, Paul ^d   Anderson, Robert H ^b  

^a UNIVERSITY OF EXTREMADURA   (Spain)

^b IMPERIAL COLLEGE SCHOOL OF MEDICINE   (United Kingdom)

^c ST MARY S HOSPITAL   (United Kingdom)

^d OUR LADY S CHILDREN S HOSPITAL   (Ireland)

Author keywords

Atrioventricular node; Atrium; Catheter ablation; Conduction; Electrophysiology

Indexed keywords

ADULT; ARTICLE; ATRIOVENTRICULAR CONDUCTION; AUTOPSY; CATHETER ABLATION; CONTROLLED STUDY; FUNCTIONAL ANATOMY; HEART ATRIUM MUSCLE; HUMAN; HUMAN TISSUE; PRIORITY JOURNAL; REENTRY ARRHYTHMIA; REENTRY TACHYCARDIA;

EID: 0031439573     PISSN: 10453873     EISSN: None     Source Type: Journal    
DOI: 10.1111/j.1540-8167.1997.tb01036.x     Document Type: Article

References (29)

1. Koch W. Weiter mitteilungen uber den sinusknoten des Herzens. Verh Dtsch Ges Pathol 1909;13:85-92.
2. McGuire MA, Johnson DC, Robotin M, et al: Dimensions of the triangle of Koch in humans. Am J Cardiol 1992;15:829-830.
3. Janse MJ, Anderson RH, McGuire MA, et al: "AV nodal" reentry: Part I: "AV nodal" reentry revisited. J Cardiovasc Electrophysiol 1993;4:561-572.
4. Moulton K: The AV junction: Evolving concepts in anatomy and physiology. Prim Cardiol 1993;19:22-36.
5. Sano T, Tasaki M, Shimamoto T: Histologic examination of the origin of the action potential characteristically obtained from the region bordering the atrioventricular node. Circ Res 1959;7:262-267.
6. Anderson RH, Janse MJ, van Capelle FJL, et al: A combined morphological and electrophysiological study of the atrioventricular node of the rabbit heart. Circ Res 1974;35:909-922.
7. Bachmann G: Interauricular time interval. Am J Physiol 1916;41:309-311.
8. Spach MS, Lieberman M, Scott JG, et al: Excitation sequence of the atrial septum and the AV node in isolated hearts of the dog and rabbit. Circ Res 1971;29: 156-172.
9. Janse MJ, Anderson RH, Van Capelle FJL, et al: A combined electrophysiological and anatomical study of the human fetal heart. Am Heart J 1976;91:556-562.
10. Bharati S, Lev M: Anatomy of the normal conduction system, disease-related changes, and their relationship to arrhythmogenesis. In Podrid PJ, Kowey PR, eds. Cardiac Arrhythmia: Mechanisms, Diagnosis, and Management. Williams & Wilkins, Baltimore, 1995, pp. 1-15.
11. Spach MS, Josephson ME: Initiating reentry: The role of nonuniform anisotropy in small reentry circuits. J Cardiovasc Electrophysiol 1994;5:182-209.
12. Spach MS, Dolber PC: Relating extracellular potentials and their derivatives to anisotropic propagation at a microscopic level in human cardiac muscle: Evidence for electrical uncoupling of side-to-side fiber connections with increasing age. Circ Res 1986;58:356-371.
13. Spach MS, Heidlage JF: The stochastic nature of cardiac propagation at a microscopic level: Electrical description of myocardial architecture and its application to conduction. Circ Res 1995;76:366-380.
14. Papageorgiou P, Monahan K, Boyle NG, et al: Site-dependent intra-atrial conduction delay: Relationship to initiation of atrial fibrillation. Circulation 1996;94:384-389.
15. Manolis AS, Wang PJ, Estes M: Radiofrequency ablation of slow pathway in patients with atrioventricular nodal reentrant tachycardia: Do arrhythmia recurrences correlate with persistent slow pathway conduction or site of successful ablation? Circulation 1994;90:2815-2819.
16. Wu D, Yeh S-J, Wang C-C, et al: A simple technique for selective radiofrequency ablation of the slow pathway in atrioventricular node reentrant tachycardia. J Am Coll Cardiol 1993;21:1612-1621.
17. Plumb VJ: What price success? J Am Coll Cardiol 1993;21:1622-1623.
18. Gamache MC, Bharati S, Lev M, et al: Histopathological study following catheter guided radiofrequency current ablation of the slow pathway in a patient with atrioventricular nodal reentrant tachycardia. PACE 1994;17:247-251.
19. Olgin JE, Ursell P, Kao AK, et al: Pathological findings following slow pathway ablation for AV nodal reentrant tachycardia. J Cardiovasc Electrophysiol 1996;7:625-631.
20. McGuire MA, Robotin M, Yip ASB, et al: Electrophysiologic and histologic effects of dissection of the connections between the atrium and posterior part of the atrioventricular node. J Am Coll Cardiol 1994;23: 693-701.
21. Ho SY, McComb JM, Scott CD, et al: Morphology of the cardiac conduction system in patients with electrophysiologically proven dual atrioventricular nodal pathways. J Cardiovasc Electrophysiol 1993;4:504-512.
22. Bharati S, Lev M: Pathological observations of radiofrequency ablation of cardiac tissue. In Huang SKS, ed. Radiofrequency Catheter Ablation of Cardiac Arrhythmias. Futura Publishing Co., Inc, Armonk, New York, 1995, pp. 41-81.
23. McGuire MA, deBakker JMT, Vermeulen JT, et al: Atrioventricular junctional tissue: Discrepancy between histological and electrophysiological characteristics. Circulation 1996;94:571-577.
24. + by canine atrioventricular nodal inputs. Superior atrionodal bundle and proximal atrioventricular bundle. Circulation 1991;83:1739-1753.
25. Tawara S: Das Reizleitungssystem des Saugetierherzens. G. Fischer, Jena, 1906.
26. Aschoff L: Referat uber die Herzstorungen in ihren Beziehungen zu den Spezifischen Muskelsystem des Herzens. Verh Dtsch Ges Pathol 1910;14:3-35.
27. Ho SY, Kilpatrick L, Kanai T, et al: The architecture of the atrioventricular conduction axis in dog compared to man: Its significance to ablation of the atrioventricular nodal approaches. J Cardiovasc Electrophysiol 1995;6:26-39.
28. Rossi L: Interatrial, internodal, and dual reentrant atrioventricular nodal pathways: An anatomical update of arrhythmogenic substrates. Cardiologia 1996;41: 129-134.
29. Kanai A, Salama G: Optical mapping reveals that repolarization spreads anisotropically and is guided by fiber orientation in guinea pig hearts. Circ Res 1995;77:784-802.