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    184 results match your criteria Multifocal Atrial Tachycardia

    1 OF 4

    [Perinatal Presentation and Complicated Course of a Multifocal Atrial Tachycardia].
    Z Geburtshilfe Neonatol 2016 Dec 10;220(6):265-268. Epub 2016 Oct 10.
    Kinderklinik und Poliklinik, Universitatsklinikum Würzburg, Würzburg.
    We report a male newborn who became symptomatic with supraventricular tachycardia on the first day of life. Neither adenosine nor electric cardioversion could terminate the tachycardia, therefore intravenous esmolol (β-receptor blocker) was initiated. Inspite of subsequent administration of various antiarrhythmic medications in increasingly higher doses, repeated supraventricular tachycardic episodes occurred. Read More

    Dofetilide in Overdose: A Case Series from Poison Center Data.
    Cardiovasc Toxicol 2016 Aug 26. Epub 2016 Aug 26.
    Division of Clinical Toxicology, Department of Emergency Medicine, VCU Medical Center, 1250 E. Marshall Street, 2nd Floor, Richmond, VA, 23298, USA.
    Dofetilide is a class III antiarrhythmic used for treating atrial dysrhythmias. Though its adverse effects are well described in routine use, very little is known about dofetilide toxicity in overdose. This is a retrospective case series of consecutive patients reported to our poison center after dofetilide overdose. Read More

    Lipomatous hypertrophy of the interatrial septum in a child with atrial tachycardia.
    Pediatr Int 2016 Jun;58(6):523-525
    Department of Pediatric Gastroenterology, Ankara University Medical School, Ankara, Turkey.
    A 13-year-old girl who had been on home parenteral nutrition for 6 months has been presented with multifocal atrial tachycardia and atrial fibrillation. Echocardiography and multislice computed tomography showed fat accumulation on the interatrial septum. Lipomatous hypertrophy of the interatrial septum has never been reported in children. Read More

    ECG Case of the Month: IRREGULARLY IRREGULAR CARDIAC RHYTHM IN AN 87-YEAR-OLD WOMAN. MULTIFOCAL ATRIAL TACHYCARDIA; RIGHT BUNDLE BRANCH BLOCK.
    J La State Med Soc 2016 Jan-Feb;168(1):27-8. Epub 2016 Feb 15.
    Dr Chen is a graduate of the Cardiology Fellowship Program at LSUHSC New Orleans and currently doing an imagining fellowship in cardiovascular disease at the University of South Florida in Tampa.
    Diagnosis: Multifocal atrial tachycardia; right bundle branch block. The rhythm is totally irregular at a rate of 103 beats/min and originally was read as atrial fibrillation. Close examination, however, reveals a P wave before each QRS and ≥ 3 different P- wave morphologies with no dominant morphology. Read More

    Arrhythmias Seen in Baseline 24-Hour Holter ECG Recordings in Healthy Normal Volunteers During Phase 1 Clinical Trials.
    J Clin Pharmacol 2016 Jul 11;56(7):885-93. Epub 2016 Jan 11.
    Quintiles Cardiac Safety Services, Mumbai, India.
    Regulatory agencies encourage sponsors to submit 24-hour ambulatory ECG data for assessing cardiac safety of new drugs, and some arrhythmias, hitherto considered rare, have been observed in some early-phase studies. Interpretation of these observations is difficult given the dearth of published data on the prevalence of cardiac arrhythmias seen during 24-hour continuous ECG monitoring in healthy volunteers (HV) from clinical trials. We analyzed drug-free ambulatory ECG recordings from 1273 HV (1000 males, 273 females; age 18-65 years) from 22 phase 1 studies that were analyzed in a core ECG laboratory; all subjects had normal screening ECGs. Read More

    Multifocal atrial tachycardia caused by risperidone.
    Int J Cardiol 2016 Jan 30;203:855-7. Epub 2015 Oct 30.
    Prof. Dr. Mazhar Osman Mental Health and Neurologic Disorders Training and Research Hospital Istanbul, Turkey.
    Risperidone, an atypical antipsychotic drug, is one of the most frequently used atypical neuroleptic drugs for the treatment of symptoms of behavioral disorders seen in autism. Although various cardiovascular side effects have been reported with risperidone, to our knowledge, it has not yet been reported that it can also result in multifocal atrial tachycardia. Based on the case reported herein, our aim is to bring awareness that risperidone may cause multifocal atrial tachycardia. Read More

    Electrocardiographic abnormalities and cardiac arrhythmias in chronic obstructive pulmonary disease.
    Int J Cardiol 2015 Nov 4;199:264-73. Epub 2015 Jul 4.
    First Department of Cardiology, University of Ioannina Medical School, Greece. Electronic address:
    Chronic obstructive pulmonary disease (COPD) is independently associated with an increased burden of cardiovascular disease. Besides coronary artery disease (CAD) and congestive heart failure (CHF), specific electrocardiographic (ECG) abnormalities and cardiac arrhythmias seem to have a significant impact on cardiovascular prognosis of COPD patients. Disturbances of heart rhythm include premature atrial contractions (PACs), premature ventricular contractions (PVCs), atrial fibrillation (AF), atrial flutter (AFL), multifocal atrial tachycardia (MAT), and ventricular tachycardia (VT). Read More

    End-stage hypertrophic cardiomyopathy in a cat.
    Can Vet J 2015 May;56(5):509-11
    Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island C1A 4P3.
    A 14-year-old Persian cat was referred for evaluation of the progression of hypertrophic cardiomyopathy (HCM) after an acute episode of congestive heart failure. The diagnosis of HCM had been made almost 13 years ago. Echocardiography and electrocardiography revealed end-stage hypertrophic cardiomyopathy and multifocal atrial tachycardia. Read More

    A huge thrombosed pulmonary artery aneurysm without pulmonary hypertension in a patient with hepatosplenic schistosomiasis.
    Am J Case Rep 2015 Mar 8;16:140-5. Epub 2015 Mar 8.
    Department of Cardiology, Mansoura Faculty of Medicine, Mansoura University, Mansoura, Egypt.
    Background: We herein report a case of huge pulmonary artery aneurysm in a 55-year-old male farmer from the Nile delta (Lower-Egypt), mostly due to infestation with Schistosoma mansoni, which is the parasite causing hepatosplenic schistosomiasis.

    Case Report: This male patient was admitted with a month-long history of progressive shortness of breath, 2-month history of fever, and a cough with mucoid sputum for 10 days. On examination, he had normal temperature and blood pressure, but he had tachypnea, tachycardia, and congested neck veins. Read More

    Lacosamide-induced atrial tachycardia in a child with hypoplastic left-heart syndrome: the importance of assessing additional proarrhythmic risks.
    Cardiol Young 2015 Apr 21;25(4):806-9. Epub 2014 Jul 21.
    Department of Cardiology,Children's Hospital of Wisconsin,Milwaukee,Wisconsin,United States of America.
    Antiepileptic medications have been reported to cause disturbances in cardiac conduction. Lacosamide decreases seizure burden by modulating sodium channels. Although it has been demonstrated to have few side effects, there have been reports of clinically significant cardiac conduction disturbances. Read More

    The natural history of multifocal atrial rhythms in elderly outpatients: insights from the "Ikaria study".
    Ann Noninvasive Electrocardiol 2014 Sep 17;19(5):483-9. Epub 2014 Apr 17.
    1st Cardiology Department, University of Athens Medical School, "Hippokration" Hospital, Athens, Greece.
    Background: Multifocal atrial tachycardias confer an adverse prognosis in hospitalized patients. We assessed the prognostic impact of multifocal atrial rhythms (MARs-either chaotic atrial rhythm or multifocal atrial tachycardia/bradycardia) in very elderly outpatients.

    Methods: One hundred ten subjects aged 60-74 years, 112 aged 75-89 years, and 61 over 90 years old, were enrolled and prospectively evaluated. Read More

    Management of labour and delivery in a woman with refractory supraventricular tachycardia.
    Int J Obstet Anesth 2014 Feb 31;23(1):80-5. Epub 2013 Aug 31.
    Department of Anaesthesia, The Royal Women's Hospital, Parkville, Victoria, Australia.
    Supraventricular tachycardia is uncommon in pregnancy. It is defined as intermittent pathological and usually narrow complex tachycardia >120 beats/min which originates above the ventricle, excluding atrial fibrillation, flutter and multifocal atrial tachycardia. It is usually self-limiting or relatively easily treated with most cases responding to physical or pharmacological therapies. Read More

    Lymphangiopathy in neurofibromatosis 1 manifesting with chylothorax, pericardial effusion, and leg edema.
    Int J Gen Med 2013 9;6:743-6. Epub 2013 Sep 9.
    Krankenanstalt Rudolfstiftung, Vienna, Austria.
    Background: This case report documents the affliction of the lymph vessels as a phenotypic feature of neurofibromatosis-1 (NF-1).

    Methodology: Routine transthoracic echocardiography, computed tomography scan of the thorax, magnetic resonance angiography of the renal arteries, and conventional digital subtraction angiography were applied. Comprehensive NF-1 mutation analysis was carried out by fluorescence in situ hybridization analysis, long-range reverse transcriptase polymerase chain reaction, and multiple-ligation probe assay. Read More

    Persistent multifocal atrial tachycardia in infant with encephalocraniocutaneous lipomatosis: a case report.
    Eur J Pediatr 2014 Dec 14;173(12):1577-80. Epub 2013 Aug 14.
    Department of Cardiology, The Children's Memorial Health Institute, Dzieci Polskich 20, 04-730, Warsaw, Poland,
    Unlabelled: Encephalocraniocutaneous lipomatosis (ECCL, Haberland syndrome, Fishman syndrome) is a very rare congenital disorder, involving skin, eye, bone and central nervous system malformations. In this paper we present a case of a 2-month-old boy with encephalocraniocutaneous lipomatosis diagnosed on the basis of characteristic clinical manifestations and neuroimaging findings. Neurologically, the child presented only with mild physical and mental retardation. Read More

    Persistent wandering atrial pacemaker after epinephrine overdosing - a case report.
    BMC Pediatr 2013 Jan 2;13. Epub 2013 Jan 2.
    Department of Pediatrics, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, UAE.
    Background: Long-term complications of sympathomimetic drug overdosing have not been adequately investigated in infants and young children. Despite reports discouraging their use in children, these formulations are frequently administered for "cold-like symptoms". Their frequent adverse events are different forms of arrhythmias, including multifocal atrial tachycardia. Read More

    Evaluation of atrial conduction features with tissue Doppler imaging in patients with chronic obstructive pulmonary disease.
    Clin Res Cardiol 2012 Aug 6;101(8):599-606. Epub 2012 Mar 6.
    Department of Cardiology, Bakirkoy Dr. Sadi Konuk Education and Research Hospital, Atakoy, 9. Kisim, B 6 Blok, Daire: 40, Atakoy, Bakirkoy, Istanbul, Turkey.
    Background: The electrical activity of atria can be demonstrated by P waves on surface electrocardiogram (ECG). Atrial electromechanical delay (AEMD) measured with tissue Doppler imaging (TDI) echocardiography can be a useful non-invasive method for evaluating atrial conduction features. We investigated whether AEMD is prolonged in patients with chronic obstructive pulmonary disease (COPD). Read More

    Short- and long-term outcomes in children undergoing radiofrequency catheter ablation before their second birthday.
    Can J Cardiol 2011 Jul-Aug;27(4):523.e3-9. Epub 2011 May 28.
    Stollery Children's Hospital, University of Alberta, Edmonton, Alberta, Canada.
    Background: Tachyarrhythmias can cause substantial morbidity and mortality in infants and very young children. Our objective was to assess early and late outcomes in children undergoing radiofrequency catheter ablation before their second birthday.

    Methods: This is a retrospective review of medical records from 1995 till 2009 at a single institution with a large referral base. Read More

    Phenotypic analysis of individuals with Costello syndrome due to HRAS p.G13C.
    Am J Med Genet A 2011 Apr 15;155A(4):706-16. Epub 2011 Mar 15.
    Division of Medical Genetics, A. I. duPont Hospital for Children, Wilmington, Delaware, USA.
    Costello syndrome is characterized by severe failure-to-thrive, short stature, cardiac abnormalities (heart defects, tachyarrhythmia, and hypertrophic cardiomyopathy (HCM)), distinctive facial features, a predisposition to papillomata and malignant tumors, postnatal cerebellar overgrowth resulting in Chiari 1 malformation, and cognitive disabilities. De novo germline mutations in the proto-oncogene HRAS cause Costello syndrome. Most mutations affect the glycine residues in position 12 or 13, and more than 80% of patients share p. Read More

    Swallowing-induced multifocal atrial tachycardia originating from right pulmonary veins.
    J Electrocardiol 2011 May-Jun;44(3):395.e1-5. Epub 2011 Feb 24.
    Department of Cardiovascular Medicine, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
    A 64-year-old woman experienced reproducible palpitation caused by irregular atrial tachycardia (AT) while swallowing. This tachycardia was resistant to multiple antiarrhythmic drugs and β-blockers. Catheter mapping revealed right pulmonary vein (PV) firings with different activation sequences, thereby producing multifocal AT. Read More

    Clinical, pathological, and molecular analyses of cardiovascular abnormalities in Costello syndrome: a Ras/MAPK pathway syndrome.
    Am J Med Genet A 2011 Mar 22;155A(3):486-507. Epub 2011 Feb 22.
    Genetics Unit, MassGeneral Hospital for Children, Boston, Massachusetts, USA.
    Cardiovascular abnormalities are important features of Costello syndrome and other Ras/MAPK pathway syndromes ("RASopathies"). We conducted clinical, pathological and molecular analyses of 146 patients with an HRAS mutation including 61 enrolled in an ongoing longitudinal study and 85 from the literature. In our study, the most common (84%) HRAS mutation was p. Read More

    Development of multifocal atrial tachycardia in a patient using aminophylline -A case report-.
    Korean J Anesthesiol 2010 Dec 31;59 Suppl:S77-81. Epub 2010 Dec 31.
    Department of Anesthesiology and Pain Medicine, Gwangju Cristian Hospital, Gwangju, Korea.
    An 82-year-old female, with left femoral neck fracture was scheduled for left hip hemiarthroplasty, under spinal anaesthesia. She had been suffering from diabetes, hypertension, lung cancer and was previously treated with IV aminophylline for respiratory insufficiency. She was given spinal anaesthesia with 10 mg of 0. Read More

    Multifocal atrial tachycardia: an unusual cause of cardiogenic shock in a newborn.
    Tunis Med 2011 Jan;89(1):59-61
    Children's Hospital of Tunis, Tunisia.
    Background: Chaotic or multifocal atrial tachycardia (MAT) is a rare tachyarrhythmia in children, accounting for less than 1% of supraventricular tachycardia seen in childhood. The majority of children with MAT are healthy; a few may exhibit mild to life threatening cardiorespiratory disease.

    Aim: To report a new case of MAT revealed by a severe respiratory distress and cardiogenic shock. Read More

    Congenital aneurysm of the left atrium.
    Mymensingh Med J 2011 Jan;20(1):155-8
    Department of Cardiology, Comilla Medical College, Comilla, Bangladesh.
    Isolated left atrial (LA) aneurysm is a rare condition, whereas LA aneurysm secondary to other causes is a fairly common condition. A case of large left atrial aneurysm presented with features of heart failure with cardiac arrhythmia and an abnormal cardiac silhouette on chest X-ray. A 14 years old girl presented with palpitation at rest, shortness of breath, productive cough and bilateral leg swelling for last 8 months. Read More

    Anesthetic management of a patient with deteriorated cardiac function following cardiopulmonary resuscitation.
    Kurume Med J 2010 ;57(3):81-4
    Department of Anesthesiology, Kurume University School of Medicine, Kurume, Japan.
    A 73-year-old woman suffering from an abdominal aortic aneurysm (AAA), unstable angina, and low cardiac function (32% of ejection fraction) was scheduled for abdominal aortic replacement and coronary artery bypass grafting. However, before the scheduled operation the patient fell into cardiopulmonary arrest with ventricular fibrillation due to rupture of the AAA. Immediate cardiopulmonary resuscitation (CPR) using epinephrine and electrical defibrillation restored the spontaneous circulation. Read More

    [Evolution and thromboembolic complications of the idiopathic peripartal cardiomyopathy at Dakar University Hospital: forward-looking study about 33 cases].
    J Gynecol Obstet Biol Reprod (Paris) 2010 Oct 15;39(6):484-9. Epub 2010 May 15.
    Clinique cardiologique, université Cheikhe-Anta-Diop, CHU Aristide-Le-Dantec, BP 21448 Ponty, Dakar, Sénégal.
    Unlabelled: The aims of this work are to study the nursery futures during idiopathic myocardiopathy of peripartum (IMPP), to measure the prevalence of thromboses and spontaneous contrast during the IMPP and to determine their evolution.

    Methodology: It is about a longitudinal exploratory study carried out with the Aristide-Le-Dantec teaching hospital of Dakar, beginning January 2001 to November 2004, having included 33 patients.

    Results: The average age of the patients was 26 years; the average pregnancy was of 3. Read More

    Effect of an electronic control device exposure on a methamphetamine-intoxicated animal model.
    Acad Emerg Med 2010 Apr;17(4):436-43
    Department of Physiology and Biophysics, University of Louisville, Louisville, KY, USA.
    Objectives: Because of the prevalence of methamphetamine abuse worldwide, it is not uncommon for subjects in law enforcement encounters to be methamphetamine-intoxicated. Methamphetamine has been present in arrest-related death cases in which an electronic control device (ECD) was used. The primary purpose of this study was to determine the cardiac effects of an ECD in a methamphetamine intoxication model. Read More

    A case with catecholaminergic polymorphic ventricular tachycardia unmasked after successful ablation of atrial tachycardias from pulmonary veins.
    Pacing Clin Electrophysiol 2009 Nov 27;32(11):e21-4. Epub 2009 Aug 27.
    Division of Cardiology, Yokohama Rosai Hospital, Yokohama, Japan.
    Catecholaminergic polymorphic ventricular tachycardia (VT) is characterized by polymorphic VT during exercise, and the association of atrial fibrillation (AF) has been reported. However, the mechanism of AF in this disease and the relationship between VT and AF has been obscured. We described a 13-year-old girl who referred for catheter ablation of exercise-induced paroxysmal AF. Read More

    Intravenous magnesium for cardiac arrhythmias: jack of all trades.
    Magnes Res 2008 Mar;21(1):65-8
    Department of Intensive Care, Royal Perth Hospital, Perth, Australia.
    Intravenous magnesium has been used to prevent and treat many different types of cardiac arrhythmia. It has diverse electrophysiological actions on the conduction system of the heart; including prolonging sinus node recovery time, and reducing automaticity, atrioventricular nodal conduction, antegrade and retrograde conduction over an accessory pathway, and His-ventricular conduction. Intravenous magnesium can also homogenise transmural ventricular repolarisation. Read More

    Cardiac arrhythmias imprint specific signatures on Lorenz plots.
    Ann Noninvasive Electrocardiol 2008 Jan;13(1):44-60
    Division of Cardiology, School of Medicine, Otto-von-Guericke-University, Magdeburg, Germany.
    Background: Despite the growing number of studies using Lorenz (Poincaré) plots (LPs) for the analysis of heart rate variability (HRV), a possible correlation between the underlying ECG waveforms and the RR scatter plots has never been systematically studied. We report a comprehensive investigation of distinct Lorenz plot patterns (LPPs) encountered in the context of major cardiac tachyarrhythmias as assessed by 24-hour Holter monitoring and detail the mechanisms underlying the specific LPPs.

    Methods: The 24-hour ambulatory electrocardiograms (AECGs) of 2700 patients with atrial and/or ventricular tachyarrhythmias and the AECGs of 200 controls with pure sinus rhythm were analyzed using an Elatec arrhythmia analyzing system (Elamedical, Paris 1996). Read More

    Further delineation of the phenotype resulting from BRAF or MEK1 germline mutations helps differentiate cardio-facio-cutaneous syndrome from Costello syndrome.
    Am J Med Genet A 2007 Jul;143A(13):1472-80
    Division of Medical Genetics, A.I. duPont Hospital for Children/Nemours Childrens' Clinic, Wilmington, DE 19899, USA.
    Because Cardio-facio-cutaneous (CFC) syndrome has significant phenotypic overlap with Costello syndrome, it may be difficult to establish the diagnosis on a clinical basis. The recent discoveries of germline HRAS mutations in patients with Costello syndrome and mutations in BRAF, MEK1, and MEK2 in CFC syndrome uncovered the biologic mechanism for the shared phenotypic findings based on the close interaction of the affected gene products within the MAP kinase pathway. We evaluated a series of patients who were either clinically diagnosed with Costello syndrome, or in whom the diagnoses of both Costello and CFC syndromes were considered. Read More

    [Lipomatous hypertrophy of the cardiac interatrial septum].
    Cesk Patol 2006 Oct;42(4):182-5
    Fingerlandův ústav patologie LF UK a FN, Hradec Králové.
    Lipomatous hypertrophy of the interatrial septum (LHIS) is a rare lesion of unknown origin usually diagnosed as an incidental finding during autopsy. It can be associated with supraventricular arrhythmias, venous return obstruction and sudden cardiac death. Five necropsy cases (4 females, 1 male) of LHIS were encountered during the last 31 years; only one case from this series was diagnosed ante mortem. Read More

    Multifocal atrial tachycardia in 2 children.
    J Chin Med Assoc 2006 Sep;69(9):439-43
    Department of Pediatrics, Taipei Veterans General Hospital and National Yang-Ming University School of Medicine, Taipei, Taiwan, ROC.
    The incidence of multifocal atrial tachycardia (MAT) is very low and accounts for less than 1% of supraventricular tachycardia in infants and children. In this report, the clinical characteristics, medical treatment and outcome of MAT in 2 children are described. The first patient presented with tachycardia and respiratory failure since the day after birth. Read More

    Systolic outward motion of the left ventricular apical wall as detected by magnetic resonance tagging in patients with apical hypertrophic cardiomyopathy.
    J Cardiovasc Magn Reson 2006 ;8(3):453-60
    Department of Cardiology, Akashi Municipal Hospital, Hyogo, Japan.
    Patients with apical hypertrophic cardiomyopathy (APH) associated with paradoxic jet flow (ie, diastolic flow away from the apex) may gradually develop an apical aneurysm, which often leads to arrhythmia and mural thrombus formation. We observed systolic outward motion of the left ventricular apical myocardium in patients with APH using a magnetic resonance tagging procedure and examined the relationship of the outward motion to echocardiographic and scintigraphic findings and to cardiac events. Systolic displacement of the myocardial tags of the apical region perpendicular to the long axis in the 4-chamber view was recorded in 31 patients with APH. Read More

    Cardiac arrhythmias: diagnosis and management. The tachycardias.
    Crit Care Resusc 2002 Mar;4(1):35-53
    Department of Critical Care Medicine, Flinders Medical Centre, Adelaide, South Australia.
    Objective: To review the diagnosis and management of cardiac arrhythmias in a two-part presentation.

    Data Sources: Articles and published peer-review abstracts on tachycardias and bradycardias.

    Summary Of Review: Normal cardiac rhythm originates from impulses generated within the sinus node. Read More

    Evidence supporting a new rate threshold for multifocal atrial tachycardia.
    Clin Cardiol 2005 Dec;28(12):561-3
    Department of Medicine, Worcester Medical Center, and Division of Cardiovascular Medicine, University of Massachusetts Medical Center, Worcester, MA 01655, USA.
    Background: Exacerbation of chronic obstructive pulmonary disease (COPD) is overwhelmingly represented among patients presenting with multifocal atrial tachycardia (MAT) and has been used as a paradigm for such patients. The quasidiagnostic tachycardia threshold for MAT is conventionally set at 100 beats/min. Nevertheless, this threshold has not been demonstrated to be optimal. Read More

    [Cardiac manifestations of Friedreich's ataxia].
    Cas Lek Cesk 2004 ;143(1):48-51
    Interní oddĕlení Nemocnice ve Frýdku-Místku.
    Friedreich's ataxia is one of the most frequent ataxias of childhood. The disease is inherited in autosomal recessive mode. It is caused by deficiency of mitochondrial protein frataxin, which is responsible for the degenerative impairment of the spinocerebellar and corticospinal tracts and posterior columns of the spinal cord and for the heart damage. Read More

    Supraventricular tachyarrythmia prophylaxis after coronary artery surgery in chronic obstructive pulmonary disease patients (early amiodarone prophylaxis trial).
    Eur J Cardiothorac Surg 2004 Feb;25(2):224-30
    GATA Cardiovascular Surgery Department, Gülhane Military Medical Academy, Yazanlar sokak No. 31/11, Asagi Ayranci, 06540, Ankara, Turkey.
    Objectives: Supraventricular tachyarrhythmias (SVT) is common after coronary artery bypass grafting in chronic obstructive pulmonary disease (COPD). Preoperative FEV(1) is the major predetermining factor of mortality, morbidity and SVT.

    Methods: Patients were divided into two groups according to their preoperative FEV(1) values. Read More

    Retinal evaluation of patients on chronic amiodarone therapy.
    Retina 2003 Jun;23(3):354-9
    Department of Ophthalmology, Stanford University Medical Center, Stanford, California, USA.
    Purpose: To determine whether retinal electrophysiologic changes can be detected and correlated with funduscopic findings in patients with the long-term use of amiodarone.

    Methods: Eleven patients ranging in age from 52 to 67 years were recruited from the Stanford University Medical Center Department of Cardiology for ophthalmologic examination. Patients had received amiodarone at various dosages ranging from 100 to 800 mg daily for at least 15 months. Read More

    Electrocardiographic effects of intravenous cocaine: an experimental study in a canine model.
    J Cardiovasc Pharmacol 2003 Jan;41(1):25-30
    Section of Cardiology, Department of Medicine, West Virginia University School of Medicine, Morgantown, West Virginia 26506, USA.
    Cocaine abuse causes cardiac dysfunction. Acute intravenous administration of cocaine may lead to development of severe arrhythmias, conduction abnormalities, ST-T changes, and sudden death. Understanding arrhythmogenesis due to cocaine may provide a therapeutic approach to reduce morbidity and mortality. Read More

    Respiratory failure in lambert-eaton myasthenic syndrome precipitated by calcium-channel blockers: report of a case and literature review.
    J Clin Neuromuscul Dis 2002 Dec;4(2):60-3
    From the Department of Neurology, The University of Alabama at Birmingham, The Veterans Affairs Medical Center, Birmingham, Alabama.
    There have been a few reports in the literature documenting the effects of calcium-channel blockers in Lambert-Eaton myasthenic syndrome (LEMS). We report a case of a patient with LEMS who developed respiratory failure after administration of diltiazem and verapamil. A patient with LEMS, associated with small-cell carcinoma in remission, developed multifocal atrial tachycardia, necessitating the use of diltiazem and verapamil, which led to respiratory failure and intubation 5 days after admission. Read More

    Electrophysiologic characteristics of the spontaneous onset and termination of atrial fibrillation.
    Am J Cardiol 2002 Dec;90(11):1215-20
    Deutsches Herzzentrum München, München, Germany.
    Electrophysiologic characterization of the onset and termination of atrial fibrillation (AF) is poorly defined. Our study population consisted of 21 consecutive patients (mean age 58 +/- 9 years, 6 women) with intermittent (10 patients) or persistent (11 patients) AF. Mapping of the left atrium (LA) and the right atrium (RA) during initiation and termination of AF was performed with a 64-electrode basket catheter. Read More

    Further delineation of cardiac abnormalities in Costello syndrome.
    Am J Med Genet 2002 Aug;111(2):115-29
    Teratology Unit, Pediatric Service, Massachusetts General Hospital, Boston, Massachusetts, USA.
    We review the cardiac abnormalities in 94 patients (27 new, 67 literature) with Costello syndrome, an increasingly recognized syndrome consisting of increased birth weight, postnatal growth retardation, and distinctive facial, skin, and musculoskeletal features (MIM 218040). A cardiac abnormality was found in 59 (63%) patients, with each of three categories occurring in approximately one-third of patients. A cardiovascular malformation (CVM) was noted in 30%, typically pulmonic stenosis (46% of those with a CVM). Read More

    Cardiac arrhythmias in cardiothoracic surgery.
    Chest Surg Clin N Am 2002 May;12(2):439-60, viii
    Department of Surgery, Division of Cardiothoracic Surgery, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555-0528, USA.
    Most patients with cardiopulmonary disease are predisposed to develop perioperative arrhythmias with the individual patient risk depending upon the type of operative procedure performed, the risk profile of the patient, and the complexity of the post-operative course. There are several management options that may tend to prevent perioperative arrhythmias that should be considered in certain patient subsets. Most important of these is the use of beta-blocker therapy before and after operation in patients with coronary risks factors undergoing non-cardiac thoracic procedures and in patients having coronary artery bypass grafting. Read More

    The clinical course of multifocal atrial tachycardia in infants and children.
    J Am Coll Cardiol 2001 Aug;38(2):401-8
    University of Michigan Congenital Heart Center, and Department of Pediatrics, University of Michigan, Ann Arbor, USA.
    Objectives: This study outlines the clinical course, treatment and the late outcome of infants and children with multifocal atrial tachycardia (MAT).

    Background: Multifocal atrial tachycardia is defined by three distinct P-waveforms, irregular P-P intervals, isoelectric baseline between P-waves and rapid rate on an electrocardiogram. Several smaller prior reports have described pediatric patients with MAT, but their long-term outcome has not been fully assessed. Read More

    Multifocal atrial tachycardia and Ibutilide.
    Am J Geriatr Cardiol 2001 Jul-Aug;10(4):193-5
    Division of Cardiology, The Brooklyn Hospital Center, New York Presbyterian Hospital Network, Brooklyn, NY 11201, USA.
    Multifocal atrial tachycardia is an electrocardiographic phenomenon seen primarily in the elderly. The hemodynamic consequences of multifocal atrial tachycardia in an elderly woman are presented. Successful treatment with Ibutilide is demonstrated. Read More

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