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Reversibility of tachycardia-induced left ventricular dysfunction after closed-chest catheter ablation of the atrioventricular function for intractable atrial fibrillation

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Book cover Professor Hein J.J. Wellens

Abstract

Significant left ventricular (LV) dysfunction resulting from chronic uncontrolled tachycardia represents a diagnostic dilemma. In patients with a depressed LV function and tachycardia, the tachycardia may have developed as a consequence of a cardiomyopathy or may be the cause of the LV dysfunction [1-3]. In this report we demonstrate that intractable atrial fibrillation (AF) may be associated with LV dysfunction, and that closed-chest catheter ablation, by modifying conduction in the atrioventricular node, may be of therapeutic value.

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References

  1. Engel TR, Bush CA, Schaal SF: Tachycardia aggravated heart disease. Ann Intern Med 80: 384–388, 1974.

    PubMed  CAS  Google Scholar 

  2. Keane JF, Plauth WH, Nadas AS: Chronic ectopic tachycardia of infancy and childhood. Am Heart J 84: 748–757, 1972.

    Article  Google Scholar 

  3. Clairborne TS: Auricular tachycardia with atrioventricular block of 12 years duration in a 16 year old girl. Am Heart J 44: 444–450, 1950.

    Google Scholar 

  4. Packer DL, Bardy GH, Worley SJ, Smith MS, Cobb FR, Coleman E, Gallagher JL, German LD: Tachycardia-induced cardiomyopathy: a reversible form of left ventricular dysfunction. Am J Cardiol 57: 563–570, 1984.

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References

  1. Coumel P, Leclercq JF, Zimmerman M: Antiarrhythmic therapy: Non-invasive guided strategy empirical or invasive strategies. In Brugada P, Wellens HJJ (eds.), Cardiac arrhythmias: Where to go from here? Mount Kisco, Futura Publishing Company, New York 1987, 403–420.

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  2. Lemery R, Brugada P, Cheriex E, Wellens HJJ: Reversibility of tachycardia-induced left ventricular dysfunction after closed-chest catheter ablation of the atrioventricular junction for intractable atrial fibrillation. Am J Cardiol 60: 1406–1408, 1987.

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  3. Cruz FES, Cheriex EC, Smeets JLRM, Atié J, Peres AK, Penn OCKM, Brugada P, Wellens HJJ: Reversibility of tachycardia-induced cardiomyopathy after cure of incessant supraventricular tachycardia. J Am Coll Cardiol 16: 739–744, 1990.

    Article  PubMed  CAS  Google Scholar 

  4. Brugada P: Chagas’ disease and tachycardiamyopathy (edito-rial). Arq Bras Cardiol 56, 5–7, 1991.

    PubMed  CAS  Google Scholar 

  5. Wellens HJJ, Rodriguez L-M, Smeets JLRM, Cheriex EC, den Dulk K: Tachycardiomyopathy in patients with supraventricular tachycardia. In Kingma JH, van Hemel NM, Lie KI (eds.), Atrial fibrillation, a treatable disease? Kluwer Academic Publishers, Dordrecht, the Netherlands 1992, pp. 183–193.

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J. L. R. M. Smeets P. A. Doevendans M. E. Josephson Ch. Kirchhof M. A. Vos

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© 2000 Springer Science+Business Media Dordrecht

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Lemery, R., Brugada, P., Cheriex, E., Wellens, H.J.J. (2000). Reversibility of tachycardia-induced left ventricular dysfunction after closed-chest catheter ablation of the atrioventricular function for intractable atrial fibrillation. In: Smeets, J.L.R.M., Doevendans, P.A., Josephson, M.E., Kirchhof, C., Vos, M.A. (eds) Professor Hein J.J. Wellens. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4110-9_36

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  • DOI: https://doi.org/10.1007/978-94-011-4110-9_36

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-5799-8

  • Online ISBN: 978-94-011-4110-9

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