Linked Life Data

2466257

Source:http://linkedlifedata.com/resource/pubmed/id/2466257

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1 Pt 2
pubmed:dateCreated
1989-4-14
pubmed:abstractText
Ventricular tachycardia in man can be eliminated by relatively small lesions in the reentrant circuit. This report includes a review of available energy sources, and methods for localizing arrhythmias. Methods to assure contact and prevent perforation using low frequency electrograms are presented including the new finding of reverse ST deflection with contact. Experience with laser energy in dogs showed discrete homogenous lesions. When compared with DC shock the animals showed far less arrhythmia and the lack of far field effect greatly reduced echo abnormalities in the post shock period. Studies with radiofrequency show ability to produce localized lesions similar to the laser but with a more flexible catheter. Localization requires a correlation of techniques including pacemapping, activation maps and pacing during tachycardia. Early activation (less than -60 ms) at times 180-320 ms, with comparable pace to QRS during tachycardia with no change in morphology best localized the slow zone of the reentrant circuit. The low frequency unipolar electrogram from the tip and immediately proximal electrode revealed contact with ST deviation. The distal deviation was always greater than the proximal RV free wall and posterior basal produced depression rather than elevation of the electrogram. While the mechanism of ST reversal with contact is not understood and may relate to the type of indifferent reference used (Wilson central terminal), the ST depression reveals the same information about contact that elevation does in most areas of the heart studied in our patients.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0147-8389
pubmed:author
pubmed:issnType
Print
pubmed:volume
12
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
225-30
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed:year
1989
pubmed:articleTitle
Advances in catheter ablation use of unipolar electrograms.
pubmed:affiliation
Section of Cardiology, Veterans Administration Medical Center, Washington, D.C. 20422.
pubmed:publicationType
Journal Article, Comparative Study