His electrogram alternans reveal dual atrioventricular nodal pathway conduction during atrial fibrillation: The role of slow-pathway modification

Circulation

Volumn 107, Issue 7, 2003, Pages 1059-1065

  Zhang, Youhua ^a   Bharati, Saroja ^b   Mowrey, Kent A ^a   Mazgalev, Todor N ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

^b ADVOCATE CHILDREN S HOSPITAL   (United States)

Author keywords

Alternans; Atrioventricular node; Electrophysiology; Fibrillation; His bundle

Indexed keywords

ANIMAL CELL; ANIMAL EXPERIMENT; ANIMAL MODEL; ANIMAL TISSUE; ARTICLE; ATRIOVENTRICULAR CONDUCTION; CATHETER ABLATION; FAST PATHWAY WAVEFRONT; HEART ATRIOVENTRICULAR NODE; HEART ATRIUM FIBRILLATION; HEART ELECTROPHYSIOLOGY; HEART HEMODYNAMICS; HEART RATE; HEART RATE VARIABILITY; HEART VENTRICLE CONDUCTION; HIS BUNDLE; HIS BUNDLE ELECTROGRAM; HIS BUNDLE ELECTROGRAM ALTERNANS; NONHUMAN; PRIORITY JOURNAL; RABBIT; SLOW PATHWAY WAVEFRONT; WAVEFORM;

ANIMALS; ATRIAL FIBRILLATION; ATRIOVENTRICULAR NODE; BUNDLE OF HIS; COLD; ELECTROPHYSIOLOGY; KINETICS; MODELS, CARDIOVASCULAR; RABBITS;

EID: 0037465361     PISSN: 00097322     EISSN: None     Source Type: Journal    
DOI: 10.1161/01.CIR.0000051464.52601.F4     Document Type: Article

References (25)

1. Fleck RP, Chen PS, Boyce K, et al. Radiofrequency modification of atrioventricular conduction by selective ablation of the low posterior septal right atrium in a patient with atrial fibrillation and a rapid ventricular response. Pacing Clin Electrophysiol. 1993;16:377-381.
2. Williamson BD, Man KC, Daoud E, et al. Radiofrequency catheter modification of atrioventricular conduction to control the ventricular rate during atrial fibrillation. N Engl J Med. 1994;331:910-917.
3. Feld GK, Fleck RP, Fujimura O, et al. Control of rapid ventricular response by radiofrequency catheter modification of the atrioventricular node in patients with medically refractory atrial fibrillation. Circulation. 1994;90:2299-2307.
4. Rokas S, Gaitanidou S, Chatzidou S, et al. Atrioventricular node modification in patients with chronic atrial fibrillation: role of morphology of RR interval variation. Circulation. 2001;103:2942-2948.
5. Zhang Y, Bharati S, Mowrey KA, et al. His electrogram alternans reveal dual-wavefront inputs into and longitudinal dissociation within the bundle of His. Circulation. 2001;104:832-838.
6. Khalife K, Billette J, Medkour D, et al. Role of the compact node and its posterior extension in normal atrioventricular nodal conduction. refractory, and dual pathway properties. J Cardiovasc Electrophysiol. 1999;10:1439-1451.
7. Garrigue S, Tchou PJ, Mazgalev TN. Role of the differential bombardment of atrial inputs to the atrioventricular node as a factor influencing ventricular rate during high atrial rate. Cardiovasc Res. 1999;44: 344-355.
8. Garrigue S, Mowrey KA, Fahy G, et al. Atrioventricular nodal conduction during atrial fibrillation: role of atrial input modification. Circulation. 1999;99:2323-2333.
9. Lev M, Bharati S. Lesions of the conduction system and their functional significance. In: Sommers SC, ed. Pathology Annual. New York. NY: Appleton-Century Crofts; 1974:157-208.
10. Wu J, Wu J, Olgin J, et al. Mechanisms underlying the reentrant circuit of atrioventricular nodal reentrant tachycardia in isolated canine atrioventricular nodal preparation using optical mapping. Circ Res. 2001;88:1189-1195.
11. Mazgalev TN, Ho SY, Anderson RH. Anatomic-electrophysiological correlations concerning the pathways for atrioventricular conduction. Circulation. 2001;103:2660-2667.
12. Haissaguerre M, Gaita F, Fischer B, et al. Elimination of atrioventricular nodal reentrant tachycardia using discrete slow potentials to guide application of radiofrequency energy. Circulations. 1992;85:2162-2175.
13. Jackman WM, Beckman KJ, McClelland JH, et al. Treatment of supraventricular tachycardia due to atrioventricular nodal reentry by radiofrequency catheter ablation of slow-pathway conduction. N Engl J Med. 1992;327:313-318.
14. Kreiner G, Heinz G, Siostrzonek P, et al. Effect of slow pathway ablation on ventricular rate during atrial fibrillation: dependence on electrophysiological properties of the fast pathway. Circulation. 1996;93:277-283.
15. Blanck Z, Dhala AA, Sra J, et al. Characterization of atrioventricular nodal behavior and ventricular response during atrial fibrillation before and after a selective slow-pathway ablation. Circulation. 1995;91:1086-1094.
16. Markowitz SM, Stein KM, Mittal S, et al. Dual atrionodal physiology in the human heart. In: Mazgalev TN, Tchou PJ, eds. Atrial-AV Nodal Electrophysiology: A View From the Millennium, Armonk, NY: Futura; 2000;353-370.
17. Billette J, Nadeau RA, Roberge F. Relation between the minimum R-R interval during atrial fibrillation and the functional refractory period of the A-V junction. Cardiovasc Res. 1974;8:347-351.
18. Inoue S, Becker AE. Posterior extensions of the human compact atrioventricular node: a neglected anatomic feature of potential clinical significance. Circulation. 1998;97:188-193.
19. Anderson RH, Ho SY. Anatomic criteria for identifying the components of the axis responsible for atrioventricular conduction. J Cardiovasc Electrophysiol. 2001;12:1265-1268.
20. Hocini M, Loh P, Ho SY, et al. Anisotropic conduction in the triangle of Koch of mammalian hearts: electrophysiologic and anatomic correlations. J Am Coll Cardiol. 1998;31:629-636.
21. Hirao K, Scherlag BJ, Poty H, et al. Electrophysiology of the atrio-AV nodal inputs and exits in the normal dog heart: radiofrequency ablation using an epicardial approach. J Cardiovasc Electrophysiol. 1997;8:904-915.
22. Geller JC, Biblo LA, Carlson MD. New evidence that AV node slow pathway conduction directly influences fast pathway function. J Cardiovasc Electrophysiol. 1998;9:1026-1035.
23. Geller JC, Goette A, Reek S, et al. Changes in AV node conduction curves following slow pathway modification. Pacing Clin Electrophysiol. 2000;23:1651-1660.
24. Zhang Y, Zhuang S, Mowrey K, et al. In vivo demonstration of His electrogram alternans in dogs. Europace. 2002;3(suppl A):A119. Abstract.
25. Maury P, Raczka F, Piot C, et al. QRS and cycle length alternans during paroxysmal supraventricular tachycardia: what is the mechanism? J Cardiovasc Electrophysiol. 2002;13:92-93.