Usefulness of a ventricular extrastimulus from the summit of the ventricular septum in diagnosis of septal accessory pathway in patients with supraventricular tachycardia

Takehiko Matsushita; Nitish Badhwar; Kathryn K. Collins; George F. Van Hare; Gaetano Barbato; Byron K. Lee; Randall J. Lee; Melvin M. Scheinman

doi:10.1016/j.amjcard.2003.11.041

Usefulness of a ventricular extrastimulus from the summit of the ventricular septum in diagnosis of septal accessory pathway in patients with supraventricular tachycardia

Takehiko Matsushita, Nitish Badhwar, Kathryn K. Collins, George F. Van Hare, Gaetano Barbato, Byron K. Lee, Randall J. Lee, Melvin M. Scheinman

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

To compare usefulness of a ventricular extrastimulus (VES) from the right ventricular (RV) apex versus the RV septum in patients with a septal accessory pathway (AP), VES was applied from the RV apex and the summit of the RV septum in patients with septal APs. A VES from the RV apex and from the summit was diagnostic of the presence of an AP in 13 of 28 patients (83%) and in 10 of 12 patients, respectively (46% p <0.05), and VES proved an AP as a part of the tachycardia circuit in 5 of 28 patients (18%) and 6 of 12 patients, respectively (50%, p <0.05). A VES during His bundle refractoriness from the RV summit increases the diagnostic yield for both the presence of an AP and its participation in the tachycardia circuit with respect to RV apical VES.

Original language	English
Pages (from-to)	643-646
Number of pages	4
Journal	American Journal of Cardiology
Volume	93
Issue number	5
DOIs	https://doi.org/10.1016/j.amjcard.2003.11.041
State	Published - Mar 1 2004

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Matsushita, T., Badhwar, N., Collins, K. K., Van Hare, G. F., Barbato, G., Lee, B. K., Lee, R. J., & Scheinman, M. M. (2004). Usefulness of a ventricular extrastimulus from the summit of the ventricular septum in diagnosis of septal accessory pathway in patients with supraventricular tachycardia. American Journal of Cardiology, 93(5), 643-646. https://doi.org/10.1016/j.amjcard.2003.11.041

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title = "Usefulness of a ventricular extrastimulus from the summit of the ventricular septum in diagnosis of septal accessory pathway in patients with supraventricular tachycardia",

abstract = "To compare usefulness of a ventricular extrastimulus (VES) from the right ventricular (RV) apex versus the RV septum in patients with a septal accessory pathway (AP), VES was applied from the RV apex and the summit of the RV septum in patients with septal APs. A VES from the RV apex and from the summit was diagnostic of the presence of an AP in 13 of 28 patients (83%) and in 10 of 12 patients, respectively (46% p <0.05), and VES proved an AP as a part of the tachycardia circuit in 5 of 28 patients (18%) and 6 of 12 patients, respectively (50%, p <0.05). A VES during His bundle refractoriness from the RV summit increases the diagnostic yield for both the presence of an AP and its participation in the tachycardia circuit with respect to RV apical VES.",

author = "Takehiko Matsushita and Nitish Badhwar and Collins, {Kathryn K.} and {Van Hare}, {George F.} and Gaetano Barbato and Lee, {Byron K.} and Lee, {Randall J.} and Scheinman, {Melvin M.}",

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Matsushita, T, Badhwar, N, Collins, KK, Van Hare, GF, Barbato, G, Lee, BK, Lee, RJ & Scheinman, MM 2004, 'Usefulness of a ventricular extrastimulus from the summit of the ventricular septum in diagnosis of septal accessory pathway in patients with supraventricular tachycardia', American Journal of Cardiology, vol. 93, no. 5, pp. 643-646. https://doi.org/10.1016/j.amjcard.2003.11.041

Usefulness of a ventricular extrastimulus from the summit of the ventricular septum in diagnosis of septal accessory pathway in patients with supraventricular tachycardia. / Matsushita, Takehiko; Badhwar, Nitish; Collins, Kathryn K. et al.
In: American Journal of Cardiology, Vol. 93, No. 5, 01.03.2004, p. 643-646.

Research output: Contribution to journal › Article › peer-review

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AU - Matsushita, Takehiko

AU - Badhwar, Nitish

AU - Collins, Kathryn K.

AU - Van Hare, George F.

AU - Barbato, Gaetano

AU - Lee, Byron K.

AU - Lee, Randall J.

AU - Scheinman, Melvin M.

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AB - To compare usefulness of a ventricular extrastimulus (VES) from the right ventricular (RV) apex versus the RV septum in patients with a septal accessory pathway (AP), VES was applied from the RV apex and the summit of the RV septum in patients with septal APs. A VES from the RV apex and from the summit was diagnostic of the presence of an AP in 13 of 28 patients (83%) and in 10 of 12 patients, respectively (46% p <0.05), and VES proved an AP as a part of the tachycardia circuit in 5 of 28 patients (18%) and 6 of 12 patients, respectively (50%, p <0.05). A VES during His bundle refractoriness from the RV summit increases the diagnostic yield for both the presence of an AP and its participation in the tachycardia circuit with respect to RV apical VES.

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Usefulness of a ventricular extrastimulus from the summit of the ventricular septum in diagnosis of septal accessory pathway in patients with supraventricular tachycardia

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