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1. 心房細動の機序mechanisms of atrial fibrillation [show details]
… in AF. The atrial myocardium consists of so-called "fast-response" tissues that depend on the rapidly activating sodium current for phase 0 of the action potential. Normal atrial myocardium has the following …
2. 心房細動における心エコー検査の役割role of echocardiography in atrial fibrillation [show details]
… pulmonary artery has been shown to be at least as efficacious as TEE for identifying atrial appendage thrombi . One potential limitation of these studies is that they were performed by experienced operators …
3. 心房粗動：洞調律維持atrial flutter maintenance of sinus rhythm [show details]
… of AF and atrial flutter are different, and the addition of atrial flutter ablation to AF ablation adds very little risk. However, in some cases, we believe it is reasonable to perform atrial flutter ablation …
4. 限局性心房性頻拍focal atrial tachycardia [show details]
… and high density multipolar mapping systems, radiofrequency ablation offers a potential cure in patients with recurrent atrial tachycardia. In a large single-center series, mapping and ablation was performed …
5. 心房粗動における洞調律の回復restoration of sinus rhythm in atrial flutter [show details]
… Atrial flutter is a supraventricular arrhythmia that can cause bothersome symptoms and promote atrial thrombus formation with the potential for systemic embolization. Restoration of sinus rhythm improves …

Japanese Journal

今月の臨床 Complex fractionated atrial electrogramマッピングを指標とした心房細動手術の早期成績

深原一晃,酒井麻里,横山茂樹,土居寿男,芳村直樹
胸部外科 = The Japanese journal of thoracic surgery 70(5), 323-328, 2017-05
NAID 40021199313

徐脈性不整脈の家族歴を有しSCN5Aに変異を認めた若年者心房静止の1例

島村元章,笠尾昌史,豊田康豪,丹下徹彦,金子光伸,新田宗也,白井徹郎
心臓 49(4), 376-381, 2017
… 調律であったが，入院後に高度の徐脈と数秒間の心停止が頻回に出現したため，第5病日に一時的ペースメーカ治療を施行した．心臓電気生理学的検査で，右房内の8箇所をmappingしたが，いずれの部位にても心房電位は記録されず，同部位からの高出力ペーシングでも心房筋は捕捉されなかったこと，12誘導心電図所見，心エコー所見などから心房静止と診断し，抗凝固療法および恒久的ペースメーカ移植術を施行した． …
NAID 130006708188

左上肺静脈-左房心筋間にMarshall veinが短絡路と推定される所見を認めた発作性心房細動の1例

大野誠,吉賀康裕,上山剛,文本朋子,石口博智,清水昭彦,矢野雅文
心臓 48(SUPPL.2), S2_112-S2_17, 2016
… 隔離を行い，続いて左肺静脈隔離を試みるも隔離に難渋した．電気的除細動にて洞調律へ復帰させた後，隔離ライン上のgap部位を同定するために左上肺静脈内のリング状カテーテルからペーシング中に左房心房電位，洞調律中に左肺静脈内の肺静脈電位のactivation mapを作成した．exit部位である心房最早期興奮部位は左下肺静脈下方左房後側壁，entrance部位である肺静脈電位最早期興奮部位は左上肺静脈内前壁側であった …
NAID 130007433576