Temporal sinus node modification by high-dose continuous intravenous administration of landiolol in a patient with persistent inappropriate sinus tachycardia

A 20-year-old woman underwent an electrophysiological study for drug-resistant persistent inappropriate sinus tachycardia (IST). Use of a high-dose continuous intravenous administration of landiolol, a short-acting beta-adrenoreceptor blocker, made the patient׳s heart rate suddenly drop with a sligh...

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Detalles Bibliográficos
Autores principales: Hori, Yuichi, Nakahara, Shiro, Anjo, Naofumi, Sakai, Yoshihiko, Taguchi, Isao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2016
Materias:
Rapid Firing
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5129117/
https://www.ncbi.nlm.nih.gov/pubmed/27920837
http://dx.doi.org/10.1016/j.joa.2016.03.003
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author Hori, Yuichi
Nakahara, Shiro
Anjo, Naofumi
Sakai, Yoshihiko
Taguchi, Isao
author_facet Hori, Yuichi
Nakahara, Shiro
Anjo, Naofumi
Sakai, Yoshihiko
Taguchi, Isao
author_sort Hori, Yuichi
collection PubMed
description A 20-year-old woman underwent an electrophysiological study for drug-resistant persistent inappropriate sinus tachycardia (IST). Use of a high-dose continuous intravenous administration of landiolol, a short-acting beta-adrenoreceptor blocker, made the patient׳s heart rate suddenly drop with a slight change in the P-wave morphology. Three-dimensional right atrial (RA) activation mapping revealed that the earliest activation site moved 8 mm to a lower anterior site around the high lateral RA. Radiofrequency energy applied to the earliest activation site during tachycardia was successful. A temporal sinus node modification with landiolol administration was useful for mapping and for safe catheter ablation of IST.
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spelling pubmed-51291172016-12-05 Temporal sinus node modification by high-dose continuous intravenous administration of landiolol in a patient with persistent inappropriate sinus tachycardia Hori, Yuichi Nakahara, Shiro Anjo, Naofumi Sakai, Yoshihiko Taguchi, Isao J Arrhythm Rapid Firing A 20-year-old woman underwent an electrophysiological study for drug-resistant persistent inappropriate sinus tachycardia (IST). Use of a high-dose continuous intravenous administration of landiolol, a short-acting beta-adrenoreceptor blocker, made the patient׳s heart rate suddenly drop with a slight change in the P-wave morphology. Three-dimensional right atrial (RA) activation mapping revealed that the earliest activation site moved 8 mm to a lower anterior site around the high lateral RA. Radiofrequency energy applied to the earliest activation site during tachycardia was successful. A temporal sinus node modification with landiolol administration was useful for mapping and for safe catheter ablation of IST. Elsevier 2016-12 2016-04-25 /pmc/articles/PMC5129117/ /pubmed/27920837 http://dx.doi.org/10.1016/j.joa.2016.03.003 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Rapid Firing
Hori, Yuichi
Nakahara, Shiro
Anjo, Naofumi
Sakai, Yoshihiko
Taguchi, Isao
Temporal sinus node modification by high-dose continuous intravenous administration of landiolol in a patient with persistent inappropriate sinus tachycardia
title Temporal sinus node modification by high-dose continuous intravenous administration of landiolol in a patient with persistent inappropriate sinus tachycardia
title_full Temporal sinus node modification by high-dose continuous intravenous administration of landiolol in a patient with persistent inappropriate sinus tachycardia
title_fullStr Temporal sinus node modification by high-dose continuous intravenous administration of landiolol in a patient with persistent inappropriate sinus tachycardia
title_full_unstemmed Temporal sinus node modification by high-dose continuous intravenous administration of landiolol in a patient with persistent inappropriate sinus tachycardia
title_short Temporal sinus node modification by high-dose continuous intravenous administration of landiolol in a patient with persistent inappropriate sinus tachycardia
title_sort temporal sinus node modification by high-dose continuous intravenous administration of landiolol in a patient with persistent inappropriate sinus tachycardia
topic Rapid Firing
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5129117/
https://www.ncbi.nlm.nih.gov/pubmed/27920837
http://dx.doi.org/10.1016/j.joa.2016.03.003
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