Linked Life Data

2035385

Source:http://linkedlifedata.com/resource/pubmed/id/2035385

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6 Pt 1
pubmed:dateCreated
1991-6-26
pubmed:abstractText
Paroxysmal supraventricular tachycardia (SVT) is a benign form of tachycardia that generally does not require costly evaluation. The purpose of this study was to describe a new sign permitting delineation of the mechanism of SVT by analysis of the P wave in lead V1 and the left atrial electrogram, which may be registered by the esophageal electrode. Among 146 patients with SVT, 72 had a ventriculoatrial interval greater than 70 msec. The P wave in lead V1 during SVT was discernible in 69 of them. The precession of the left atrial electrogram on the P wave in lead V1 was always associated with reentry through a left lateral (n = 37) or posteroseptal (n = 4) accessory atrioventricular (AV) connection. When the P wave in lead V1 preceded or occurred simultaneously with the left atrial electrogram, reentry was through either the AV node or a right-sided accessory AV connection. On the other hand, although the P wave in lead V1 was more frequently negative in reentry through a right-sided connection and positive in reentry through a left-sided connection, the polarity was not specific enough to identify the reentry. The precession of the left atrial electrogram recorded by the esophageal electrode on the P wave in lead V1 during SVT was a specific criterion of reentry through a left accessory AV connection, and this technique could be useful for preliminary localization of the accessory connection before electrophysiologic study.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
AIM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0002-8703
pubmed:author
pubmed:issnType
Print
pubmed:volume
121
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1714-20
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1991
pubmed:articleTitle
Study of P wave morphology in lead V1 during supraventricular tachycardia for localizing the reentrant circuit.
pubmed:affiliation
Department of Cardiology, Chu of Brabois, Vandoeuvre, France.
pubmed:publicationType
Journal Article, Comparative Study