The coronary sinus as a focal source of paroxysmal atrial fibrillation: more evidence for the 'fifth pulmonary vein'?

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The coronary sinus as a focal source of paroxysmal atrial fibrillation: more evidence for the 'fifth pulmonary vein'? / Rostock, Thomas; Lutomsky, Boris; Steven, Daniel; Willems, Stephan.

In: PACE, Vol. 30, No. 8, 08.2007, p. 1027-1031.

Research output: SCORING: Contribution to journalSCORING: Journal articleResearchpeer-review

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@article{d7d01d2d0be84170a24f1aeb31231208,
title = "The coronary sinus as a focal source of paroxysmal atrial fibrillation: more evidence for the 'fifth pulmonary vein'?",
abstract = "The coronary sinus (CS) has been described as a substrate being involved in the atrial fibrillation (AF) process. However, there are no data describing the CS as a single source of AF. We report a patient with paroxysmal AF who demonstrated an arrhythmogenic focus within the proximal CS as single source initiating and driving AF. This discrete spot was characterized by a sharp {"}pulmonary vein-like{"} spike potential preceding every beat during AF and following the atrial potential during sinus rhythm. Radiofrequency ablation at that site led to elimination of the spike potential, disappearance and noninducibility of AF.",
keywords = "Atrial Fibrillation/etiology, Catheter Ablation, Electrocardiography, Female, Humans, Middle Aged, Pacemaker, Artificial, Pulmonary Veins/physiopathology, Sick Sinus Syndrome/complications, Tachycardia, Paroxysmal/etiology",
author = "Thomas Rostock and Boris Lutomsky and Daniel Steven and Stephan Willems",
year = "2007",
month = aug,
doi = "10.1111/j.1540-8159.2007.00805.x",
language = "English",
volume = "30",
pages = "1027--1031",
journal = "PACE",
issn = "0147-8389",
publisher = "Wiley-Blackwell",
number = "8",

}

RIS

TY - JOUR

T1 - The coronary sinus as a focal source of paroxysmal atrial fibrillation: more evidence for the 'fifth pulmonary vein'?

AU - Rostock, Thomas

AU - Lutomsky, Boris

AU - Steven, Daniel

AU - Willems, Stephan

PY - 2007/8

Y1 - 2007/8

N2 - The coronary sinus (CS) has been described as a substrate being involved in the atrial fibrillation (AF) process. However, there are no data describing the CS as a single source of AF. We report a patient with paroxysmal AF who demonstrated an arrhythmogenic focus within the proximal CS as single source initiating and driving AF. This discrete spot was characterized by a sharp "pulmonary vein-like" spike potential preceding every beat during AF and following the atrial potential during sinus rhythm. Radiofrequency ablation at that site led to elimination of the spike potential, disappearance and noninducibility of AF.

AB - The coronary sinus (CS) has been described as a substrate being involved in the atrial fibrillation (AF) process. However, there are no data describing the CS as a single source of AF. We report a patient with paroxysmal AF who demonstrated an arrhythmogenic focus within the proximal CS as single source initiating and driving AF. This discrete spot was characterized by a sharp "pulmonary vein-like" spike potential preceding every beat during AF and following the atrial potential during sinus rhythm. Radiofrequency ablation at that site led to elimination of the spike potential, disappearance and noninducibility of AF.

KW - Atrial Fibrillation/etiology

KW - Catheter Ablation

KW - Electrocardiography

KW - Female

KW - Humans

KW - Middle Aged

KW - Pacemaker, Artificial

KW - Pulmonary Veins/physiopathology

KW - Sick Sinus Syndrome/complications

KW - Tachycardia, Paroxysmal/etiology

U2 - 10.1111/j.1540-8159.2007.00805.x

DO - 10.1111/j.1540-8159.2007.00805.x

M3 - SCORING: Journal article

C2 - 17669090

VL - 30

SP - 1027

EP - 1031

JO - PACE

JF - PACE

SN - 0147-8389

IS - 8

ER -