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Influence of circumferential pulmonary vein isolation for atrial fibrillation on ST elevation in patient with Brugada syndrome.
Tomita, Takeshi; Aizawa, Kazunori; Shimada, Kentaro; Motoki, Hirohiko; Otagiri, Kyuhachi; Koshikawa, Megumi; Kasai, Hiroki; Izawa, Atsushi; Kumazaki, Setsuo; Tsutsui, Hiroshi; Koyama, Jun; Ikeda, Uichi.
Affiliation
  • Tomita T; Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan. Electronic address: ttomita@shinshu-u.ac.jp.
  • Aizawa K; Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
  • Shimada K; Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
  • Motoki H; Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
  • Otagiri K; Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
  • Koshikawa M; Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
  • Kasai H; Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
  • Izawa A; Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
  • Kumazaki S; Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
  • Tsutsui H; Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
  • Koyama J; Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
  • Ikeda U; Department of Cardiovascular Medicine, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto Nagano, Japan.
Int J Cardiol ; 149(2): e82-e84, 2011 Jun 02.
Article in En | MEDLINE | ID: mdl-19439380
ABSTRACT
We present a patient with Brugada syndrome and paroxysmal atrial fibrillation who underwent circumferential pulmonary vein isolation. His electrocardiogram showed normal sinus rhythm and first-degree AV block (P-R 280 ms) with coved-type ST elevation in V1-2 (+2.0 mm) before ablation. During ablation around the left pulmonary vein ostium, atrial fibrillation, progression of ST elevation (+4.5 mm), and T wave alternans occurred. After right pulmonary vein encirclement was complete, ST elevation improved to +1.0 mm. The following day, the ST segments remained lower than baseline levels.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pulmonary Veins / Atrial Fibrillation / Vascular Surgical Procedures / Electrocardiography / Brugada Syndrome Type of study: Etiology_studies Limits: Humans / Male / Middle aged Language: En Journal: Int J Cardiol Year: 2011 Document type: Article
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Pulmonary Veins / Atrial Fibrillation / Vascular Surgical Procedures / Electrocardiography / Brugada Syndrome Type of study: Etiology_studies Limits: Humans / Male / Middle aged Language: En Journal: Int J Cardiol Year: 2011 Document type: Article