Persistent, isolated pulmonary vein re-entry: inducibility, entrainment, and overdrive termination of a sustained tachycardia within an isolated pulmonary vein

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Persistent, isolated pulmonary vein re-entry: inducibility, entrainment, and overdrive termination of a sustained tachycardia within an isolated pulmonary vein. / Drewitz, Imke; Steven, Daniel; Lutomsky, Boris; Servatius, Helge; Willems, Stephan; Rostock, Thomas.

In: EUROPACE, Vol. 10, No. 3, 03.2008, p. 261-264.

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@article{4e742953b1f04eee9a85b0a97b569944,
title = "Persistent, isolated pulmonary vein re-entry: inducibility, entrainment, and overdrive termination of a sustained tachycardia within an isolated pulmonary vein",
abstract = "Pulmonary veins (PVs) are the predominant sources of paroxysmal atrial fibrillation (AF), and electrical PV isolation has become an established interventional treatment for patients suffering from AF. There are a few cases describing PV tachycardias; however, mechanisms of PV arrhythmogenicity resulting in PV tachycardias remain incompletely understood. We report on a patient who underwent PV isolation for paroxysmal AF, in whom a persistent PV tachycardia was observed within an isolated vein. This tachycardia was stable in nature and different pacing manoeuvres revealed electrophysiological features consistent with reentry (Lasso displaying the entire tachycardia cycle length, concealed entrainment, overdrive termination, and induction by programmed stimulation) as the underlying mechanism.",
keywords = "Adult, Atrial Fibrillation/surgery, Catheter Ablation, Electrocardiography, Humans, Male, Pulmonary Veins/surgery, Treatment Outcome",
author = "Imke Drewitz and Daniel Steven and Boris Lutomsky and Helge Servatius and Stephan Willems and Thomas Rostock",
year = "2008",
month = mar,
doi = "10.1093/europace/eun016",
language = "English",
volume = "10",
pages = "261--264",
journal = "EUROPACE",
issn = "1099-5129",
publisher = "Oxford University Press",
number = "3",

}

RIS

TY - JOUR

T1 - Persistent, isolated pulmonary vein re-entry: inducibility, entrainment, and overdrive termination of a sustained tachycardia within an isolated pulmonary vein

AU - Drewitz, Imke

AU - Steven, Daniel

AU - Lutomsky, Boris

AU - Servatius, Helge

AU - Willems, Stephan

AU - Rostock, Thomas

PY - 2008/3

Y1 - 2008/3

N2 - Pulmonary veins (PVs) are the predominant sources of paroxysmal atrial fibrillation (AF), and electrical PV isolation has become an established interventional treatment for patients suffering from AF. There are a few cases describing PV tachycardias; however, mechanisms of PV arrhythmogenicity resulting in PV tachycardias remain incompletely understood. We report on a patient who underwent PV isolation for paroxysmal AF, in whom a persistent PV tachycardia was observed within an isolated vein. This tachycardia was stable in nature and different pacing manoeuvres revealed electrophysiological features consistent with reentry (Lasso displaying the entire tachycardia cycle length, concealed entrainment, overdrive termination, and induction by programmed stimulation) as the underlying mechanism.

AB - Pulmonary veins (PVs) are the predominant sources of paroxysmal atrial fibrillation (AF), and electrical PV isolation has become an established interventional treatment for patients suffering from AF. There are a few cases describing PV tachycardias; however, mechanisms of PV arrhythmogenicity resulting in PV tachycardias remain incompletely understood. We report on a patient who underwent PV isolation for paroxysmal AF, in whom a persistent PV tachycardia was observed within an isolated vein. This tachycardia was stable in nature and different pacing manoeuvres revealed electrophysiological features consistent with reentry (Lasso displaying the entire tachycardia cycle length, concealed entrainment, overdrive termination, and induction by programmed stimulation) as the underlying mechanism.

KW - Adult

KW - Atrial Fibrillation/surgery

KW - Catheter Ablation

KW - Electrocardiography

KW - Humans

KW - Male

KW - Pulmonary Veins/surgery

KW - Treatment Outcome

U2 - 10.1093/europace/eun016

DO - 10.1093/europace/eun016

M3 - SCORING: Journal article

C2 - 18308749

VL - 10

SP - 261

EP - 264

JO - EUROPACE

JF - EUROPACE

SN - 1099-5129

IS - 3

ER -