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ST SEGMENT ELEVATION IN PATIENTS WITH ATRIAL FIBRILLATION IN CONTRAST ANGIOGRAPHY OF PULMONARY VEINS

Abstract

Five cases are presented of transient elevation of ST segment in the course of administration of a contrast medium into the left upper pulmonary vein in the course of radiofrequency isolation of pulmonary vein ostia in patients with paroxysmal atrial fibrillation; the possible pathophysiological mechanisms of recorded electrocardiographic changes are discussed.

About the Authors

D. S. Lebedev
ФГУ Центр Сердца, Крови и Эндокринологии им. В.А. Алмазова Росздрава, Санкт-Петербург
Russian Federation


E. N. Mikhailov
ФГУ Центр Сердца, Крови и Эндокринологии им. В.А. Алмазова Росздрава, Санкт-Петербург
Russian Federation


S. V. Gureev
ФГУ Центр Сердца, Крови и Эндокринологии им. В.А. Алмазова Росздрава, Санкт-Петербург
Russian Federation


References

1. Arita T., Kubota S., Okamoto K. et al. Bezold-Jarischlike reflex during Brockenbrough’s procedure for radiofrequency catheter ablation of focal left atrial fibrillation: report of two cases. Journal of Interventional Cardiac Electrophysiology, 2003; 8(3): 195-202.

2. Carswell F., Hainsworth R., Ledsomet J.R. The effects of distension of the pulmonary vein-atrial junctions upon peripheral vascular resistance. Journal of Physiology. 1970; 207: 1-14.

3. Drinkhill M.J., Kaye D., Mary A.S.G. The effect of stimulation of left atrial receptors on coronary blood flow in anesthetized dogs. Journal of Physiology. 1989; 408: 45-56.

4. Edis A.J., Donald D.E., Shepherd J.T. Cardiovascular Reflexes from Stretch of Pulmonary Vein-Atrial Junctions in the Dog. Circulation Research, 1970; 27: 1091-110.

5. Risius T., Lewalter T., Luderitz B. et al. Transient ST-segment-elevation during pulmonary vein ablation using circumferential coiled microelectrodes in a prospective multi-centre study. Europace. 2006 8(3): 178-181].


Review

For citations:


Lebedev D.S., Mikhailov E.N., Gureev S.V. ST SEGMENT ELEVATION IN PATIENTS WITH ATRIAL FIBRILLATION IN CONTRAST ANGIOGRAPHY OF PULMONARY VEINS. Journal of Arrhythmology. 2007;(47):61-63. (In Russ.)

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ISSN 1561-8641 (Print)
ISSN 2658-7327 (Online)