Introduction Catheter ablation is an effective and often preferred treatment for supraventricular tachycardia (SVT). Successful ablation is predicated on a precise diagnosis of the arrhythmia mechanism. The initial pacing maneuvers during electrophysiologic study (EPS) are often able to narrow the differential diagnosis immediately. We report an unusual case of SVT in which the initial findings...

Two leading groups of investigators are reporting differing conclusions regarding the value of electrophysiologic studies (EPS) in the Brugada syndrome. First, Brugada et al.1 reported that EPS has excellent accuracy for predicting outcome in the Brugada syndrome. Soon thereafter, however, Priori et al.2 concluded quite the opposite. Based on a study of 86 patients with Brugada syndrome who und...

background: syncope is a common clinical problem which can be remarkably debilitating and associated with high health care costs. syncope is a clinical syndrome with many potential causes. the aim of the study was to determine the etiologies of patients with syncope in the emergency department (ed) of a referral and general university hospital.  methods: one hundred sixty-five consecutive patie...

Catheter ablation of arrhythmias in children has become standard practice virtually worldwide. Successful and safe ablation has been made possible by a combination of factors. These include increased operator experience, a better understanding of the natural history of a wide variety of arrhythmias, advances in technology such as smaller catheters, the routine use of various three-dimensional m...

To clarify the etiology of the prepotentials (PPs) between the end of P wave and the onset of QRS complex (P'-R segment) in signal averaged electrocardiogram (SAECG), SAECG was recorded in 26 healthy volunteers and 15 patients with idiopathic left ventricular tachycardia (VT) and electrophysiologic study (EPS) was done in those 15 VT patients. The PPs which had three components (PP1, PP2, PP3) ...

Nephrogenic systemic fibrosis (NSF) is a rare fibrosing disorder of the skin and joints that occurs in patients with advanced renal insufficiency. This condition is progressive and can be seriously disabling. Gadolinium based contrast agent (GBCA) has been identified as a potential cause of this condition. A 56-years-old man in hemodialysis developed stiffness and contracture of the whole limbs...

BACKGROUND The goal of the present study was to test if ambulatory Holter recordings can predict the electrophysiologic study (EPS) findings in patients with supraventricular tachycardia (SVT). METHODS AND RESULTS The study involved 110 patients with SVT who underwent Holter recording, and then EPS. The hypotheses were that (1) a P'R interval of premature atrial complexes (PACs) between 280 a...

Various electrocardiographic and vectorcardiographic (ECG-VCG) patterns of ventricular conduction disturbances are inducible by premature right atrial stimulation (PRAS). These patterns are a consequence of different degrees of refractoriness in the specialized ventricular conduction system. We observed that the intermediate phases of left bundle branch block (LBBB) induced by PRAS in 20 subjec...