Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 박준범 | * |
dc.date.accessioned | 2016-08-27T04:08:14Z | - |
dc.date.available | 2016-08-27T04:08:14Z | - |
dc.date.issued | 2015 | * |
dc.identifier.issn | 1346-9843 | * |
dc.identifier.issn | 1347-4820 | * |
dc.identifier.other | OAK-15715 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/217656 | - |
dc.description.abstract | Background: This study sought to evaluate whether a poor increase in inferior P-wave amplitude during sympathetic stimulation might be a helpful diagnostic tool for sick sinus syndrome (SSS). Methods and Results: Three-dimensional electroanatomic mapping of the right atrium, inferior P-wave amplitude and conventional corrected sinus node recovery time (CSNRT) were compared in 112 consecutive atrial fibrillation (AF) patients with (n=21) and without SSS (n=91). The significant cranial shift of earliest activation site (EAS) (the distance from the superior vena cava to the EAS: 11.1 vs. 5.9 mm, P<0.001) and the increases of inferior P-wave amplitudes during isoproterenol infusion (all P<0.001) were observed in patients without SSS. However, cranial shift of EAS (16.5 vs. 14.2 mm, P=0.375) and P-wave amplitude increases were not observed in those with SSS. Although CSNRT >550 ms showed a sensitivity of 50% and specificity of 84% for diagnosing SSS, poor increases of P-waves amplitude in lead aVF (<0.1 mV) during isoproterenol infusion showed an improved sensitivity of 71% and specificity of 89%. Finally, the combined algorithm using CSNRT >550 ms and poor increase of P-waves amplitude in lead aVF showed more improved diagnostic accuracy (sensitivity 89%, specificity 75%). Conclusions: A combined algorithm using inferior P-wave amplitude showed improved performance for the diagnosis of SSS compared with CSNRT >550 ms alone. | * |
dc.language | English | * |
dc.publisher | JAPANESE CIRCULATION SOC | * |
dc.subject | Corrected sinus node recovery time | * |
dc.subject | P-wave amplitude | * |
dc.subject | Sick sinus syndrome | * |
dc.subject | Sinus node dysfunction | * |
dc.subject | Sympathetic stimuli | * |
dc.title | Combined Algorithm Using a Poor Increase in Inferior P-Wave Amplitude During Sympathetic Stimulation and Sinus Node Recovery Time for the Diagnosis of Sick Sinus Syndrome | * |
dc.type | Article | * |
dc.relation.issue | 10 | * |
dc.relation.volume | 79 | * |
dc.relation.index | SCI | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 2148 | * |
dc.relation.lastpage | + | * |
dc.relation.journaltitle | CIRCULATION JOURNAL | * |
dc.identifier.doi | 10.1253/circj.CJ-15-0561 | * |
dc.identifier.wosid | WOS:000361814900015 | * |
dc.identifier.scopusid | 2-s2.0-84942549044 | * |
dc.author.google | Park, Jin-Kyu | * |
dc.author.google | Park, Junbeom | * |
dc.author.google | Uhm, Jae-Sun | * |
dc.author.google | Pak, Hui-Nam | * |
dc.author.google | Lee, Moon-Hyoung | * |
dc.author.google | Joung, Boyoung | * |
dc.contributor.scopusid | 박준범(55131469900) | * |
dc.date.modifydate | 20240222143915 | * |