Complex electrograms within the coronary sinus: Time- and frequency-domain characteristics, effects of antral pulmonary vein isolation, and relationship to clinical outcome in patients with paroxysmal and persistent atrial fibrillation

Journal of Cardiovascular Electrophysiology

Volumn 19, Issue 10, 2008, Pages 1017-1023

  Yoshida, Kentaro ^a   Ulfarsson, Magnus ^b   Tada, Hiroshi ^a   Chugh, Aman ^a   Good, Eric ^a   Kuhne, Michael ^a   Crawford, Thomas ^a   Sarrazin, Jean F ^a   Chalfoun, Nagib ^a   Wells, Darryl ^a   Jongnarangsin, Krit ^a   Pelosi Jr , Frank ^a   Bogun, Frank ^a   Morady, Fred ^a   Oral, Hakan ^a,c  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^b UNIVERSITY OF MICHIGAN   (United States)

^c Cardiovascular Center   (United States)

Author keywords

Atrial fibrillation; Catheter ablation; Coronary sinus; Frequency domain analysis; Time domain analysis

Indexed keywords

ADULT; AGED; ARTICLE; CATHETER ABLATION; CONTROLLED STUDY; CORONARY SINUS; ELECTROGRAPHY; FEMALE; HEART ATRIUM FIBRILLATION; HEART DEPOLARIZATION; HUMAN; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PULMONARY VEIN; RECURRENT DISEASE;

ATRIAL FIBRILLATION; BODY SURFACE POTENTIAL MAPPING; CHRONIC DISEASE; CORONARY SINUS; FEMALE; HEART CONDUCTION SYSTEM; HUMANS; MALE; MIDDLE AGED; OUTCOME ASSESSMENT (HEALTH CARE); PULMONARY VEINS; TREATMENT OUTCOME;

EID: 52049083651     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2008.01175.x     Document Type: Article

References (20)

1. Konings KT, Smeets JL, Penn OC, Wellens HJ, Allessie MA : Configuration of unipolar atrial electrograms during electrically induced atrial fibrillation in humans. Circulation 1997 95 : 1231 1241.
2. Nademanee K, McKenzie J, Kosar E, Schwab M, Sunsaneewitayakul B, Vasakul T, Khunnawat C, Ngarmukos T : A new approach for catheter ablation of atrial fibrillation: Mapping of the electrophysiologic substrate. J Am Coll Cardiol 2004 43 : 2044 2053.
3. Oral H, Chugh A, Good E, Sankaran S, Reich SS, Igic P, Elmouchi D, Tschopp D, Crawford T, Dey S, Wimmer A, Lemola K, Jongnarangsin K, Bogun F, Pelosi F Jr., Morady F : A tailored approach to catheter ablation of paroxysmal atrial fibrillation. Circulation 2006 113 : 1824 1831.
4. Oral H, Chugh A, Good E, Wimmer A, Dey S, Gadeela N, Sankaran S, Crawford T, Sarrazin JF, Kuhne M, Chalfoun N, Wells D, Frederick M, Fortino J, Benloucif-Moore S, Jongnarangsin K, Pelosi F Jr., Bogun F, Morady F : Radiofrequency catheter ablation of chronic atrial fibrillation guided by complex electrograms. Circulation 2007 115 : 2606 2612.
5. Kalifa J, Tanaka K, Zaitsev AV, Warren M, Vaidyanathan R, Auerbach D, Pandit S, Vikstrom RL, Ploutz-Snyder R, Talkachou A, Atienza F, Guiraudon G, Jalife J, Berenfeld O : Mechanisms of wave fractionation at boundaries of high-frequency excitation in the posterior left atrium of the isolated sheep heart during atrial fibrillation. Circulation 2006 113 : 626 633.
6. Chauvin M, Shah DC, Haissaguerre M, Marcellin L, Brechenmacher C : The anatomic basis of connections between the coronary sinus musculature and the left atrium in humans. Circulation 2000 101 : 647 652.
7. Lemola K, Ting M, Gupta P, Anker JN, Chugh A, Good E, Reich S, Tschopp D, Igic P, Elmouchi D, Jongnarangsin K, Bogun F, Pelosi F Jr., Morady F, Oral H : Effects of two different catheter ablation techniques on spectral characteristics of atrial fibrillation. J Am Coll Cardiol 2006 48 : 340 348.
8. Oral H, Chugh A, Ozaydin M, Good E, Fortino J, Sankaran S, Reich S, Igic P, Elmouchi D, Tschopp D, Wimmer A, Dey S, Crawford T, Pelosi F Jr., Jongnarangsin K, Bogun F, Morady F : Risk of thromboembolic events after percutaneous left atrial radiofrequency ablation of atrial fibrillation. Circulation 2006 114 : 759 765.
9. Jalife J : Rotors and spiral waves in atrial fibrillation. J Cardiovasc Electrophysiol 2003 14 : 776 780.
10. de Bakker JM, van Capelle FJ, Janse MJ, Tasseron S, Vermeulen JT, de Jonge N, Lahpor JR : Fractionated electrograms in dilated cardiomyopathy: Origin and relation to abnormal conduction. J Am Coll Cardiol 1996 27 : 1071 1078.
11. Ellis WS, Auslander DM, Lesh MD : Fractionated electrograms from a computer model of heterogeneously uncoupled anisotropic ventricular myocardium. Circulation 1995 92 : 1619 1626.
12. Rostock T, Rotter M, Sanders P, Takahashi Y, Jais P, Hocini M, Hsu LF, Sacher F, Clementy J, Haissaguerre M : High-density activation mapping of fractionated electrograms in the atria of patients with paroxysmal atrial fibrillation. Heart Rhythm 2006 3 : 27 34.
13. Ho SY, Sanchez-Quintana D, Cabrera JA, Anderson RH : Anatomy of the left atrium: Implications for radiofrequency ablation of atrial fibrillation. J Cardiovasc Electrophysiol 1999 10 : 1525 1533.
14. Ho SY, Anderson RH, Sanchez-Quintana D : Atrial structure and fibres: Morphologic bases of atrial conduction. Cardiovasc Res. 2002 54 : 325 336.
15. Chen PS, Chou CC : Coronary sinus as an arrhythmogenic structure. J Cardiovasc Electrophysiol 2002 13 : 863 864.
16. Chen PS, Wu TJ, Hwang C, Zhou S, Okuyama Y, Hamabe A, Miyauchi Y, Chang CM, Chen LS, Fishbein MC, Karagueuzian HS : Thoracic veins and the mechanisms of non-paroxysmal atrial fibrillation. Cardiovasc Res 2002 54 : 295 301.
17. Haissaguerre M, Sanders P, Hocini M, Hsu LF, Shah DC, Scavee C, Takahashi Y, Rotter M, Pasquie JL, Garrigue S, Clementy J, Jais P : Changes in atrial fibrillation cycle length and inducibility during catheter ablation and their relation to outcome. Circulation 2004 109 : 3007 3013.
18. Oral H, Ozaydin M, Tada H, Chugh A, Scharf C, Hassan S, Lai S, Greenstein R, Pelosi F Jr., Knight BP, Strickberger SA, Morady F : Mechanistic significance of intermittent pulmonary vein tachycardia in patients with atrial fibrillation. J Cardiovasc Electrophysiol 2002 13 : 645 650.
19. Oral H, Ozaydin M, Chugh A, Scharf C, Tada H, Cheung P, Pelosi F Jr., Knight BP, Morady F : Role of the coronary sinus in maintenance of atrial fibrillation. J Cardiovasc Electrophysiol 2003 14 : 1329 1336.
20. Haissaguerre M, Hocini M, Takahashi Y, O'Neill MD, Pernat A, Sanders P, Jonsson A, Rotter M, Sacher F, Rostock T, Matsuo S, Arantes L, Lim KT, Knecht S, Bordachar P, Laborderie J, Jais P, Klein G, Clementy J : Impact of catheter ablation of the coronary sinus on paroxysmal or persistent atrial fibrillation. J Cardiovasc Electrophysiol 2007 18 : 378 386.