Bigeminal Pulmonary Vein Ectopy Suppressed by Pulmonary Vein Isolation

  • Yamada Takumi
    Division of Cardiovascular Diseases, University of Alabama at Birmingham
  • Murakami Yoshimasa
    Division of Cardiology, Aichi Prefectural Cardiovascular and Respiratory Center
  • Toyama Junji
    Division of Cardiology, Aichi Prefectural Cardiovascular and Respiratory Center
  • Murohara Toyoaki
    Department of Cardiology, Nagoya University Graduate School of Medicine

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抄録

A 58-year-old man with atrial fibrillation underwent pulmonary vein (PV) isolation (PVI). Bigeminal atrial premature beats persisted from the beginning of the PVI. The cardiac recordings from a basket catheter (BC) revealed the PV ectopic origin in the distal right superior PV. Successful PVI with the guidance of BC was confirmed by the appearance of concealed ectopy. Surprisingly, the PV ectopy completely disappeared immediately after the successful PVI. The findings suggest that the generation of PV trigger is sometimes dependent on left atrial input and that the underlying mechanism of the PV trigger may have been triggered activity or reentry. <br>

収録刊行物

  • International Heart Journal

    International Heart Journal 49 (1), 129-132, 2008

    一般社団法人 インターナショナル・ハート・ジャーナル刊行会

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