Display options
Cite
Esmaeilzadeh M, Omran MT, Maleki M, et al. Noninvasive localization of accessory pathways in patients with wolff-Parkinson-white syndrome: a strain imaging study. J Tehran Heart Cent. 2013;8(2):65-9
Esmaeilzadeh, M., Omran, M. T., Maleki, M., Haghjoo, M., Noohi, F., Haghighi, Z. O., Sadeghpour, A., Davari, P. N., & Abkenar, H. B. (2013). Noninvasive localization of accessory pathways in patients with wolff-Parkinson-white syndrome: a strain imaging study. The journal of Tehran Heart Center, 8(2), 65-9.
Esmaeilzadeh, Maryam, et al. "Noninvasive localization of accessory pathways in patients with wolff-Parkinson-white syndrome: a strain imaging study." The journal of Tehran Heart Center vol. 8,2 (2013): 65-9.
Esmaeilzadeh M, Omran MT, Maleki M, Haghjoo M, Noohi F, Haghighi ZO, Sadeghpour A, Davari PN, Abkenar HB. Noninvasive localization of accessory pathways in patients with wolff-Parkinson-white syndrome: a strain imaging study. J Tehran Heart Cent. 2013 Apr;8(2):65-9. Epub 2013 Apr 28. PMID: 23967027; PMCID: PMC3740111.
Copy Download .nbib Format: NLM
Share it on

J Tehran Heart Cent. 2013 Apr;8(2):65-9. Epub 2013 Apr 28.

Noninvasive localization of accessory pathways in patients with wolff-Parkinson-white syndrome: a strain imaging study.

The journal of Tehran Heart Center

Maryam Esmaeilzadeh, Mohammad Taghi Salehi Omran, Majid Maleki, Majid Haghjoo, Feridoun Noohi, Zahra Ojaghi Haghighi, Anita Sadeghpour, Paridokht Nakhostin Davari, Hooman Bakhshandeh Abkenar

Affiliations

  1. Echocardiography Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

PMID: 23967027 PMCID: PMC3740111

Abstract

BACKGROUND: Noninvasive techniques for the localization of the accessory pathways (APs) might help guide mapping procedures and ablation techniques. We sought to examine the diagnostic accuracy of strain imaging for the localization of the APs in Wolff-Parkinson-White syndrome.

METHODS: We prospectively studied 25 patients (mean age = 32 ± 17 years, 58.3% men) with evidence of pre-excitation on electrocardiography (ECG). Electromechanical interval was defined as the time difference between the onset of delta wave and the onset of regional myocardial contraction. Time differences between the onset of delta wave (δ) and the onset of regional myocardial contraction (δ-So), peak systolic motion (δ-Sm), regional strain (δ-ε), peak strain (δ-εp), and peak strain rate (δ-SRp) were measured.

RESULTS: There was a significant difference between time to onset of delta wave to onset of peak systolic motion (mean ± SD) in the AP location (A) and normal segments (B) versus that in the normal volunteers (C) [A: (57.08 ± 23.88 msec) vs. B: (75.20 ± 14.75) vs. C: (72.9 0 ± 11.16); p value (A vs. B) = 0.004 and p value (A vs. C) = 0.18] and [A: (49.17 ± 35.79) vs. B: (67.60 ± 14.51) vs. C: (67.40 ± 6.06 msec); p value (A vs. B) < 0.001 and p value (A vs. C) = 0.12, respectively].

CONCLUSION: Our study showed that strain imaging parameters [(δ-So) and (δ-Strain)] are superior to the ECG in the localization of the APs (84% vs. 76%).

Keywords: Ablation; Accessory atrioventricular bundle; Diagnosis; Wolff-Parkinson-White syndrome

References

  1. J Am Soc Echocardiogr. 1999 Jan;12(1):32-40 - PubMed
  2. J Am Coll Cardiol. 1995 Mar 1;25(3):717-24 - PubMed
  3. Circulation. 2006 Jun 6;113(22):e835-9 - PubMed
  4. Circulation. 1976 Feb;53(2):249-57 - PubMed
  5. Circulation. 1992 May;85(5):1666-74 - PubMed
  6. Am Heart J. 1998 Jan;135(1):99-106 - PubMed
  7. Cardiology. 1999;92(3):189-95 - PubMed
  8. Am J Cardiol. 1996 Jan 1;77(1):64-71 - PubMed
  9. Circulation. 1992 Jan;85(1):130-42 - PubMed
  10. Pacing Clin Electrophysiol. 1994 Nov;17(11 Pt 2):2156-62 - PubMed
  11. Chest. 1977 Apr;71(4):463-9 - PubMed
  12. J Am Coll Cardiol. 1999 Mar;33(3):782-7 - PubMed
  13. Pacing Clin Electrophysiol. 1994 Dec;17(12 Pt 1):2315-35 - PubMed
  14. Indian Pacing Electrophysiol J. 2005 Jul 01;5(3):155-9 - PubMed
  15. Circulation. 1997 Oct 7;96(7):2430-7 - PubMed
  16. J Am Soc Echocardiogr. 1994 Sep-Oct;7(5):441-58 - PubMed
  17. Am J Cardiol. 2005 Mar 1;95(5):660-4 - PubMed
  18. G Ital Cardiol. 1995 May;25(5):639-47 - PubMed

Publication Types