ǥ : ͱ
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ȣ - 470381 2 |
The relation of the anatomic size of the triangle of Koch and the reentrant circuit of AV nodal reentrant tachycardia. |
가톨릭대학교 의과대학 순환기내과 |
이만영, 노태호, 오용석, 유기동, 진승원, 문건웅, 전두수, 김재형, 홍순조, 최규보 |
Background : The present study was designed to investigate the relation of the anatomic features of the triangle of Koch and the reentrant circuit of AVNRT.
Methods: We measured the angiographic distance between coronary sinus ostium and His (CS Os-His distance) based on the electrode location in CS and His which was taken from RAO 30°view during the RF ablation procedure for AVNRT. The study subjects were 21 patients (Male 8, Age 51.1±14.6). We evaluated the correlation between the CS Os-His distance and the following variables; the maximum atrio-His interval on His electrogram., the AVNRT cycle length, atrio-His(AH) and HA’interval during AVNRT, location of the success RF application sites. We also compared the CS Os-His distance between the slow pathway ablated and modified patients.
Results: The mean Cs Os-His distance was 11.7±4.2mm(5.3 mm-18.0 mm). There were no significant correlations between AVNRT cycle length, AH interval during AVNRT, HA’interval during AVNRT, Max. AH interval and CS Os-His distance. The CS Os-His distance of the slow pathway modified patients and that of ablated patients were not different(12.1±4.2 mm vs 10.9±4.3 mm, p=0.076). The patients whose success site were midseptal area showed a tendency having longer Cs Os- His distance than those with success site on posteroseptal area(13.5±3.3 mm vs 10.1±4.4 mm, p=0.056).
Conclusion; The electrophysiologic features of reentrant circuit of AVNRT do not seem to be determined by the size of triangle of Koch.
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