Skip to main content

Supraventricular Tachycardia: Detection and Location of Accessory Connections by Phase Mapping in Children

  • Chapter
  • 82 Accesses

Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 56))

Abstract

Multiple-gated acquisition (MUGA) blood-pool ventriculography has been established as a useful non-invasive method to evaluate ventricular size and function [1–5]. Phase image analysis, a computer-derived function obtained by application of temporal Fourier analysis [6, 7] to the ECG-gated blood-pool study, has recently expanded the information gained from this procedure. Phase analysis is based upon the interrelationship of the time versus radioactivity curves among 4,096 picture elements (pixels) comprising the overall image of the ventriculogram. Thus, the phase analysis creates a visual image of the pattern of ventricular emptying. In the absence of severe mechanical abnormalities, contraction follows conduction [8], and the phase image displays the pattern of intraventricular conduction [9, 10].

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Rigo P, Murray M, Strauss HW, Pitt B. Scintigraphic evaluation of patients with suspected left ventricular aneurysm. Circulation 50:985, 1974.

    PubMed  CAS  Google Scholar 

  2. Salel AF, Berman DS, DeNardo GL, Mason DT. Radionuclide assessment of nitroglycerin influence on abnormal left ventricular segmental contraction in patients with coronary heart disease. Circulation 53:975, 1976.

    PubMed  CAS  Google Scholar 

  3. Okada RD, Kirshembaum HD, Kushner FG, Strauss HW, Dinsmore RE, Newell JB, Boucher CA, Block PC, Pohost GM. Observer variance in the qualitative evaluation of left ventricular wall motion and quantitation of left ventricular ejection fraction using rest and exercise multigated blood pool imaging. Circulation 61:128, 1980.

    PubMed  CAS  Google Scholar 

  4. Strauss HW, Zaret BL, Hurley PJ, Natarajan TK, Pitt B. A scintigraphic method for measuring left ventricular ejection fraction in man without cardiac catheterization. Am J Cardiol 28:575, 1971.

    Article  PubMed  CAS  Google Scholar 

  5. Adam WE, Tarkowska A, Bitter F, Stauch M, Geffers H. Equilibrium (gated) radiouclide ventriculography. Cardiovass Radiol 2:161, 1979.

    Article  CAS  Google Scholar 

  6. Verba JW, Bornstein I, Alazraki NP, Taylor A, Bhargava V, Sharbetai R, LeWinter M. Onset and progression of mechanical systole derived from gated radionuclide techniques and displayed in cine format (abstr). J Nucl Med 20(6):625, 1979.

    Google Scholar 

  7. Links JM, Douglass KH, Wagner HN. Patterns of ventricular emptying by Fourier analysis of gated blood-pool studies. J Nucl Med 21(10):978, 1980.

    PubMed  CAS  Google Scholar 

  8. Hotta S. The sequence of mechanical activation of the ventricle. Jpn Circ J 31:1568, 1967.

    PubMed  CAS  Google Scholar 

  9. Botvinick E, Dunn R, Frais M, O’Connell W, Shosa D, Herfkens R, Scheinman M. The phase image: Its relation to patterns of contraction and conduction. Circulation 65(3): 551, 1982.

    Article  PubMed  CAS  Google Scholar 

  10. Frais M, Botvinick E, O’Connell W, Shosa D, Scheinman M, Hattner R. The phase image: an accurate means of detecting and localizing abnormal foci of ventricular activation (abstr). J Nucl Med 22:18, 1981.

    Google Scholar 

  11. Rosenbaunn FF, Hecht HH, Wilson FN, Johnston FD. The potential variations of the thorax and the esophagus in anomalous atrioventricular excitation (Wolff-Parkinson-White Syndrome). Am Heart J 29(3):281, 1945.

    Article  Google Scholar 

  12. Pavel DG, Zimmer AM, Patterson VN. In vivo labelling of red blood cells with 99mTc: a new approach to blood pool visualization. J Nucl Med 18:305, 1977.

    PubMed  CAS  Google Scholar 

  13. Gallagher JJ, Smith WM, Kerr CR, Kasell J, Cook L, Reiter M, Sterba R, Harte M. Esophageal pacing: A diagnostic and therapeutic tool. Circulation 65(2):336, 41, 1982.

    Article  PubMed  CAS  Google Scholar 

  14. Arzbaecher R, Jenkins J, Collins S, Berbari E. Atrial electrical activity: the view from the esophagus, In Frontiers of Egineering in Health Care Ieee, EMBS Conference, 1979, pp. 314–318 (IEE Cat No. 79CH1440-7).

    Google Scholar 

  15. Durrer D. Electrical aspects of human cardiac activity: A clinical-physiological approach to excitation and stimulation. Cardiovasc Res 2:1, 1968.

    Article  PubMed  CAS  Google Scholar 

  16. Durrer D, VanDam RTh, Freud GE, Janse MJ, Meijier F, Arzbaecher RC. Total excitation of the isolated human heart. Circulation 41:899, 1970.

    PubMed  CAS  Google Scholar 

  17. Chan WWC, Kalff V, Dick M, Rabinovitch MA, Thrall JH, Pitt B. Topography of pre-emptying ventricular segments in the Wolff-Parkinson-White Syndrome using scintigraphic phase mapping and esophageal pacing techniques. Circulation (in press).

    Google Scholar 

  18. Agha AS, Befeler B, Castellanos AM, Sung RJ, Castillo CA, Myerburg RJ, Castellanos A. Bipolar catheter electrograms for study of retrograde atrial activation pattern in patients without pre-excitation syndromes. Br Heart J 38:641, 1976.

    Article  PubMed  CAS  Google Scholar 

  19. Clayton PD, Bulawa WF, Klausner SC, Urie PM, Marshall HW, Warner HR. The characteristic sequence for the onset of contraction in the normal human left ventricle. Circulation 59:671, 1979.

    PubMed  CAS  Google Scholar 

  20. Werner JA, Greene HL, Gross BW, Janko C, Kime GM, Bolson EL, Cobb LA. Patterns of abnormal contraction during induced ventricular tachycardia using quantitative two-dimensional echocardiography. Circulation 64: Suppl IV:IV-14, 1981.

    Google Scholar 

  21. Swiryn S, Pavel D, Byrom E, Witham D, Meyer-Pavel C, Wyndham CRC, Handler B, Rosen KM. Sequential regional phase mapping of radionuclide gated biventriculograms in patients with left bundle branch block. Am Heart J 102:1000, 1981.

    Article  PubMed  CAS  Google Scholar 

  22. Clare J, Chan W, Kalff V, Thrall JH. Use of phase images in the display of conduction and contraction abnormalities (abstr). J Nucl Med Technol 9:111, 1981.

    Google Scholar 

  23. Pavel D, Swiryn S, Byrom E, Witham D, Meyer Pavel C, Rosen K. Phase analysis of radionuclide cardiac gated studies in patients with normal and abnormal electrical activation of the heart (abstr). J Nucl Med 21(6):P73, 1980.

    Google Scholar 

  24. Turner DA, Von Behren PL, Ruggie NT, Hausen RG, Denes P, Merser JV, Fordham EW, Groch MW. Identification of initial site of ventricular contraction by least square phase analysis of radionuclide cineangiograms. Circulation 62:148, 1980.

    Google Scholar 

  25. Botvinick EH, Frais MA, Shosa DW, O’Connell JW, Pacheco-Alvarez JA, Scheinman M, Hattner RS, Morady F, Faulkner DB. An accurate means of detecting and characterizing abnormal patterns of ventricular activation by phase image analysis. Am J Cardiol 50:289, 1982.

    Article  PubMed  CAS  Google Scholar 

  26. Denes P, Wyndham CRC, Amat-y-Leon F, Wu D, Dhingra RC, Miller RH, Rosen KM. Atrial pacing at multiple sites in the Wolff-Parkinson-White Syndrome. Br Heart J 39:506, 1977.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1987 Martinus Nijhoff Publishing

About this chapter

Cite this chapter

Campbell, R.M., Dick, M., Chan, W.C., Kalff, V., Thrall, J., Jenkins, J.M. (1987). Supraventricular Tachycardia: Detection and Location of Accessory Connections by Phase Mapping in Children. In: Liebman, J., Plonsey, R., Rudy, Y. (eds) Pediatric and Fundamental Electrocardiography. Developments in Cardiovascular Medicine, vol 56. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2323-5_12

Download citation

  • DOI: https://doi.org/10.1007/978-1-4613-2323-5_12

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9428-3

  • Online ISBN: 978-1-4613-2323-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics