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Severe Stenosis of the Left Main Coronary Artery Detected on Electrophysiologic Study

Choi JH, Kim J, Lee TK, Lee HC, Kim JH, Chun KJ, Hong TJ, Shin YW

A cardiac electrophysiologic study (EPS) is a safe procedure with a low complication rate. We report here a case of severe stenosis of the left main coronary artery (LMCA) that...
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Exercise-Induced Intranodal Atrioventricular Block

Park MY, Shin WS, Shim BJ, Lee SJ, Park JH, Koh YS, Lee JM

Exercise-induced atrioventricular (AV) block in patients with normal AV conduction at rest is rare. Herein, we describe the case of a 67-year-old woman with normal 1 : 1 AV conduction...
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Inadvertently Developed Ventricular Fibrillation during Electrophysiologic Study and Catheter Ablation: Incidence, Cause, and Prognosis

Park YM, Lee HS, Lim RS, Choi JI, Lim HE, Park SW, Choi IS, Kim YH

BACKGROUND AND OBJECTIVES: Ventricular fibrillation (VF) can inadvertently occur during electrophysiologic study (EPS) or catheter ablation. We investigated the incidence, cause, and progress of inadvertently developed VF during EPS and...
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Electrical Storm Late after Surgery for a Double-Chambered Right Ventricle, Aortic Regurgitation and a Ventricular Septal Defect: A Case of Successful Catheter Ablation

Kim J, Park TI, An SG, Lee HC, Kim JH, Chun KJ, Hong TJ, Shin YW

An electrical storm is defined as multiple occurrences of ventricular tachycardia/fibrillation (VT/VF) within a single day; this is a medical emergency and a poor prognostic marker in patients with an...
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Early Detection of Subclinical Atrial Flutter-Fibrillation in Patients with Unexplained Palpitation Using a Novel VDD Defibrillator with Integrated Atrial-Sensing Rings

Park SJ

A 56-year-old man with an implantable cardioverter-defibrillator (ICD) presented with unexplained heart palpitations, which were usually aggravated after ingesting alcohol. He had a history of coronary artery bypass graft surgery...
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Electrophysiologic Characteristics of Successfully Ablated Midseptal Accessory Pathway

Lee SH, Ryu JC, Kim GY, Ahn S, Lee MH, Kim SS

BACKGROUND: Catheter ablation using radiofrequency energy has been established as the most important mode of treatment in patients with accessory pathway. However the ablation of midseptal accessory pathways had...
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Radiofrequency Catheter Ablation of Atrial Tachycardia

Ahn S, Lee MH, Pyun WB, Kim SS

Radiofrequency catheter ablation (RFCA) has been established as an effective and safe treatment modality for atrioventricular nodal reentrant tachycardia and WPW syndrome. Surgical ablation or direct current catheter ablation had...
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A Case of Complete A-V Block due to Intra-His Block

Rho TH, Chae JS, Kim CS, Kim JH, Hong SJ, Kim SS, Kim HJ

His bundle recordings enable us to diagnose conduction disturbances not discernable in the standard leads, and to localize conduction block in the subdivisions of the conduction system. Cases of intra-His...
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Catheter Ablation of Atrial Fibrillation

Kim YH

Atiarrhythmic drugs that are currently in use are not only frequently ineffective at eliminating atrial fibrillation (AF), but also life-threatening in some patients. However, the accumulating clinical experience along with...
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The Effects of QRS Duration and Pacing Sites on the Acute Hemodynamic Changes during Right Ventricular Pacing

Hong YJ, Yang BR, Sim DS, Lim SY, Lee SH, Lim JH, Kim HG, Park OY, Kim JH, Kim W, Kim NH, Ahn YK, Jeong MH, Cho JG, Park JC, Kang JC

BACKGROUND: Has been reported that patients exhibiting prolonged paced QRS duration tend to have more serious heart disease, and the paced QRS duration can be an effective indicator of impaired...
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Ethanol Infusion in the Vein of Marshall in a Patient with Persistent Atrial Fibrillation

Choi JY, Park EJ, Kim HD, Park SH, Song JY, Lee DI, Shim J, Kim YH

We report the case of a 64-year-old male with persistent atrial fibrillation (AF) terminated by ethanol infusion into vein of Marshall as add-on therapy. Three-dimensional automated complex fractionated atrial electrogram...
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Local Atrial/Ventricular Ratio as an Adjuvant Marker for Catheter Ablation of Atrioventricular Accessory Pathways

Kim KH, Kim DK, Im HJ, Seo JS, Jin HY, Jang JS, Yang TH, Kim DS, Jeong SY, Song YS, Kim DK, Song PS, Seol SH, Kim DI

BACKGROUND AND OBJECTIVES: The earliest atrial (A)/ventricular (V) activation potential, or accessory pathway (AP) potential are commonly used as ablation targets for atrioventricular (AV) APs. However, these targets are sometimes...
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Study on the Conduction Disturbances of Heart in Korean by Electrocardiogram

Park SK, Suh SK

Since the development of cardiac monitoring, Holter ECG monitoring, His Bundle electrogram and cardiac pacemaker, the cardiac conduction defect has been diagosed more precisely. Also SA block and sick sinus...
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A Clinical Observation of Patients with Hypertrophic Cardiomyopathy and Implantable Cardioverter-Defibrillators

Kim JW, Nam GB, Kang BW, Hong Y, Jang EY, Kim MY, Jo JC, Kim HY, Park KM, Choi KJ, Kim YH

BACKGROUND AND OBJECTIVES: Hypertrophic cardiomyopathy (HCM) is one of the most common heritable cardiac diseases. Patients with HCM are prone to ventricular tachyarrhythmias, and implantable cardioverter-defibrillator (ICD) implantation is recommended...
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Characteristics of Intracardiac Electrogram at Successful Sites of Radiofrequency Catheter Ablation in Patients with Accessory Pathways

Kim YN, Park JH

BACKGROUND: Radiofrequency catheter ablation was introduced the curative method of supraventricular tachycardia in patients with accessory pathways. The success of catheter ablation depends on the accurate localization of accessory pathway...
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Clinical characteristics of patients with an implantable cardioverter-defibrillator: Our experience at Asan Medical Center

Hong YK, Nam GB, Choi KJ, Park KM, Kim JW, Kim HY, Kim YH

  • KMID: 2305886
  • Korean J Med.
  • 2008 Jan;74(1):68-74.
BACKGROUND/AIMS: The purpose of this study was to analyze the clinical features of the patients who underwent implantable cardioverter- defibrillator (ICD) treatment. METHODS: The clinical features and the test data of...
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Reversible Atrioventricular Block after Electrical Injury

Lee JY, Rhyou HI, Choi WJ, Jung HJ, Lee S, Park JS

Here, we report a case of electrical injury-induced reversible advanced second-degree atrioventricular (AV) block. A 28-year-old male visited the emergency department for palpitations 3 days after receiving an electrical injury...
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A Case of Recurrent Pacemaker Twiddler's Syndrome

Cho JG, Jeong MH, Shin SC, Yang SJ, Park CH, Gill GC, Cho KW, Park JC, Kang JC

Pacemaker twiddler's syndrome is reported as a very rare complication of permanent pacemaker implantation. There was a recent report suggesting that the incidence of pacemaker twiddler's syndrome increase recently presumably...
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Wolff-Parkinson-White Syndrome and Pre-excitation Dysrrhythmia

Yoo SW, Kim CS

Since its initial description in 1930, the preexcitation or Wolff-Parkinson-White(W-P-W) syndrome is characterized by a special electrocardiographic pattern and various paroxysmal tachyarrhythmia, which was found to have reciprocating tachycardia frequently....
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Clinical Investigation of P Wave Amplitude and Atrial Synchronous Ventricular Pacing in Different Body Position and Physical Activity with a Single-Pass Lead VDD Pacing

Kang KE, Choue CW, Kang HS, Kim KS, Song JS, Bae JH

BACKGROUND: Single pass lead VDD pacing preserves atrioventricular synchrony with a single lead system which incorporates floating atrial electrodes. The objectives of this study were to measure whether different body...
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