open access

Vol 65, No 1 (2007)
Other
Published online: 2007-01-25
Submitted: 2012-12-28
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Invasive electrophysiology
Spectrum of atrial arrhythmias from the right upper pulmonary vein – successful isolation of the arrhythmogenic focus by RF ablation of atriovenous breakthroughs – a case report

Paweł Derejko, Joanna Zakrzewska, Łukasz Szumowski, Piotr Urbanek, Robert Bodalski, Ewa Szufladowicz, Michał Orczykowski, Roman Kępski, Tomasz Szajewski, Magda Zagrodzka, Franciszek Walczak
Kardiol Pol 2007;65(1):89-95.

open access

Vol 65, No 1 (2007)
Other
Published online: 2007-01-25
Submitted: 2012-12-28

Abstract

We present a case of a 19-year-old patient with incessant arrhythmias originating from the right upper pulmonary vein (RUPV) presenting as frequent premature beats, automatic rhythms mimicking sinus rhythm (SR) and pulmonary vein tachycardias. Morphology of P’ wave resembled sinus P wave due to relatively short distance of the ectopic focus from the sinus node. Occasionally, when discharges from the focus were relatively slow (800-500 ms) and regular it was mimicking sinus rhythm. Activation preceding P’ wave during arrhythmia was recorded in RUPV as well as in superior vena cava. In this paper we discuss our approach that allowed localising the arrhythmogenic focus in the RUPV. After isolation of the RUPV sinus rhythm was restored with tachycardia at a cycle length of 320 ms continuing in the isolated vein.

Abstract

We present a case of a 19-year-old patient with incessant arrhythmias originating from the right upper pulmonary vein (RUPV) presenting as frequent premature beats, automatic rhythms mimicking sinus rhythm (SR) and pulmonary vein tachycardias. Morphology of P’ wave resembled sinus P wave due to relatively short distance of the ectopic focus from the sinus node. Occasionally, when discharges from the focus were relatively slow (800-500 ms) and regular it was mimicking sinus rhythm. Activation preceding P’ wave during arrhythmia was recorded in RUPV as well as in superior vena cava. In this paper we discuss our approach that allowed localising the arrhythmogenic focus in the RUPV. After isolation of the RUPV sinus rhythm was restored with tachycardia at a cycle length of 320 ms continuing in the isolated vein.
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Keywords

right upper pulmonary vein tachycardia; ablation

About this article
Title

Invasive electrophysiology
Spectrum of atrial arrhythmias from the right upper pulmonary vein – successful isolation of the arrhythmogenic focus by RF ablation of atriovenous breakthroughs – a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 1 (2007)

Pages

89-95

Published online

2007-01-25

Bibliographic record

Kardiol Pol 2007;65(1):89-95.

Keywords

right upper pulmonary vein tachycardia
ablation

Authors

Paweł Derejko
Joanna Zakrzewska
Łukasz Szumowski
Piotr Urbanek
Robert Bodalski
Ewa Szufladowicz
Michał Orczykowski
Roman Kępski
Tomasz Szajewski
Magda Zagrodzka
Franciszek Walczak

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