Abstract
References
- Bhatia A, Sra J, Akhtar M. Preexcitation syndromes. Curr Probl Cardiol 2016; 41: 99-137.
- Cho JH, Leong D, Cuk N, et al. Delayed repolarization and ventricular tachycardia in patients with heart failure and preserved ejection fraction. PloS One 2021; 16: e0254641.
- Kors JA, van Eck HJR, van Herpen G. The meaning of the Tp-Te interval and its diagnostic value. J Electrocardiol 2008; 41: 575-80.
- Antzelevitch C, Sicouri S, Di Diego JM, et al. Does Tpeak-Tend provide an index of transmural dispersion of repolarization? Heart Rhythm 2007; 4: 1114-6.
- Karaman K, Altunkaş F, Çetin M, et al. New markers for ventricular repolarization in coronary slow flow: Tp-e interval, Tp-e/QT ratio, and Tp-e/QTc ratio. Ann Noninvasive Electrocardiol 2015; 20: 338-44.
- Castro Hevia J, Antzelevitch C, Tornés Bárzaga F, et al. Tpeak-Tend and Tpeak-Tend dispersion as risk factors for ventricular tachycardia/ventricular fibrillation in patients with the Brugada syndrome. J Am Coll Cardiol 2006; 47: 1828-34.
- Smetana P, Schmidt A, Zabel M, et al. Assessment of repolarization heterogeneity for prediction of mortality in cardiovascular disease: peak to the end of the T wave interval and nondipolar repolarization components. J Electrocardiol 2011; 44: 301-8.
- Zhao X, Xie Z, Chu Y, et al. Association between Tp-e/QT ratio and prognosis in patients undergoing primary percutaneous coronary intervention for ST-segment elevation myocardial infarction. Clin Cardiol 2012; 35: 559-64.
- Gupta P, Patel C, Patel H, et al. Tp-e/QT ratio as an index of arrhythmogenesis. J Electrocardiol 2008; 41: 567-74.
- Zhou SH, Wong S, Rautaharju PM, Karnik N, Calhoun HP. Should the JT rather than the QT interval be used to detect prolongation of ventricular repolarization? J Electrocardiol 1992; 25: 131-6.
- Ceresnak SR, Dubin AM, Kim JJ, et al. Success rates in pediatric WPW ablation are improved with 3-dimensional mapping systems compared with fluoroscopy alone: A multicenter study. J Cardiovasc Electrophysiol 2015; 26: 412-6.
- Salim MA, Case CL, Gillette PC. The JT interval as a depolarization independent measurement of repolarization: lessons from catheter ablation of the Wolff-Parkinson-White syndrome. Pacing Clin Electrophysiol 1995; 18: 2158-62.
- Tabatabaei P, Keikhavani A, Haghjoo M, et al. Assessment of QT and JT Intervals in Patients With Left Bundle Branch Block. Res Cardiovasc Med 2016; 5: e31528.
- Kors JA, van Eck HJR, van Herpen G. The meaning of the Tp-Te interval and its diagnostic value. J Electrocardiol 2008; 41: 575-80.
- Topilski I, Rogowski O, Rosso R, et al. The morphology of the QT interval predicts torsade de pointes during acquired bradyarrhythmias. J Am Coll Cardiol 2007;49: 320-8.
- Haarmark C, Hansen PR, Vedel-Larsen E, et al. The prognostic value of the Tpeak-Tend interval in patients undergoing primary percutaneous coronary intervention for ST-segment elevation myocardial infarction. J Electrocardiol 2009; 42: 555-60.
- Rosenthal TM, Stahls PF, Abi Samra FM, et al. T-peak to T-end interval for prediction of ventricular tachyarrhythmia and mortality in a primary prevention population with systolic cardiomyopathy. Heart Rhythm 2015; 12: 1789-97.
- Letsas KP, Weber R, Astheimer K, Kalusche D, Arentz T. Tpeak-Tend interval and Tpeak-Tend/QT ratio as markers of ventricular tachycardia inducibility in subjects with Brugada ECG phenotype. Europace 2010; 12: 271-4.
- Keleşoğlu Ş, Yılmaz Y. Assessment of Tp-e interval, Tp-e/QT, and Tp-e/QTc ratios, in patients with COVID-19 infected with or without pneumonia. J Health Sci Med 2021; 4: 615-21.
- Pappone C, Santinelli V, Manguso F, et al. A randomized study of prophylactic catheter ablation in asymptomatic patients with the Wolff-Parkinson-White syndrome. New Engl J Med 2003; 349: 1803-11.
- Antzelevitch C. Cellular basis and mechanism underlying normal and abnormal myocardial repolarization and arrhythmogenesis. Ann Med 2004; 36: 5-14.
- Delise P, Sciarra L. Sudden Cardiac Death in Patients with Ventricular Preexcitation. Card Electrophysiol Clin. 2020; 12: 519-25.
- Aranyo J, Bazan V, Rueda F, Sarrias A, Bisbal F, Villuendas R. Ventricular fibrillation in a patient with Wolff‐Parkinson‐White syndrome unrelated to pre‐excited atrial fibrillation. Ann Noninvasive Electrocardiol 2019; 24: e12662.
- Spragg DD, Akar FG, Helm RH, Tunin RS, Tomaselli GF, Kass DA. Abnormal conduction and repolarization in late-activated myocardium of dyssynchronously contracting hearts. Cardiovasc Res 2005; 67: 77-86.
- Jeyaraj D, Wilson LD, Zhong J, et al. Mechanoelectrical feedback as novel mechanism of cardiac electrical remodeling. Circulation 2007; 115: 3145-55.
- Gunaseelan R, Sasikumar M, Aswin K, Nithya B, Balamurugan N, Vivekanandan M. Memory T-Waves, a Rare Cause of T-Wave Inversion in the Emergency Department. J Emerg Trauma Shock 2020; 13: 312-6.
- Poole JE, Bardy GH. Further evidence supporting the concept of T-wave memory: observation in patients having undergone high-energy direct current catheter ablation of the Wolff-Parkinson-White syndrome. Eur Heart J 1992; 13: 801-7.
- Zhao X, Xie Z, Chu Y, et al. Association between Tp-e/QT ratio and prognosis in patients undergoing primary percutaneous coronary intervention for ST-segment elevation myocardial infarction. Clin Cardiol 2012; 35: 559-64.
- Hnatkova K, Johannesen L, Vicente J, Malik M. Heart rate dependency of JT interval sections. J Electrocardiol 2017; 50: 814-24.
- Chua KCM, Rusinaru C, Reinier K, et al. Tpeak-to-Tend interval corrected for heart rate: A more precise measure of increased sudden death risk? Heart Rhythm 2016; 13: 2181-5.
Tp-e interval and Tp-e/JT ratio before and after catheter ablation in patients with Wolff Parkinson White syndrome
Abstract
Aim: Tp-e and Tp-e/QT are novel markers of ventricular repolarization. However, preexcitation in Wolff Parkinson White (WPW) syndrome may preclude accurate measurement of repolarization as assessed by the QT. We aimed to research the assessment of Tp-e and Tp-e/JT before and after ablation in WPW.
Material and Method: We enrolled 50 consecutive patients with symptomatic WPW syndrome who underwent catheter ablation of their accessory pathways for treatment. All of the patients were successfully ablated. ECGs were performed before the procedure and repeated after the ablation procedure.
Results: Tp-e (86.6±16.2 vs 80.6±12.5; p=0.021) and Tp-e(c) (96.7±18.9 vs 88.3±11.2; p=0,005) showed a significant decrease after the procedure. Tp-e/JT (0.307±0.053 vs 0.279±0.040; p=0.001) and Tp-e/JT(c) (0.276±0.048 vs 0.255±0.045; p=0.009) showed a significant decrease after the procedure. There was a significant association between ERP and before procedure Tp-e (c) (r=- 0.370, p=0.008) and Tp-e/JT (r=- 0.371, p=0.008).
Conclusion: This study demonstrated that Tp-e and Tp-e/JT were significantly diminished in WPW after the ablation.
References
- Bhatia A, Sra J, Akhtar M. Preexcitation syndromes. Curr Probl Cardiol 2016; 41: 99-137.
- Cho JH, Leong D, Cuk N, et al. Delayed repolarization and ventricular tachycardia in patients with heart failure and preserved ejection fraction. PloS One 2021; 16: e0254641.
- Kors JA, van Eck HJR, van Herpen G. The meaning of the Tp-Te interval and its diagnostic value. J Electrocardiol 2008; 41: 575-80.
- Antzelevitch C, Sicouri S, Di Diego JM, et al. Does Tpeak-Tend provide an index of transmural dispersion of repolarization? Heart Rhythm 2007; 4: 1114-6.
- Karaman K, Altunkaş F, Çetin M, et al. New markers for ventricular repolarization in coronary slow flow: Tp-e interval, Tp-e/QT ratio, and Tp-e/QTc ratio. Ann Noninvasive Electrocardiol 2015; 20: 338-44.
- Castro Hevia J, Antzelevitch C, Tornés Bárzaga F, et al. Tpeak-Tend and Tpeak-Tend dispersion as risk factors for ventricular tachycardia/ventricular fibrillation in patients with the Brugada syndrome. J Am Coll Cardiol 2006; 47: 1828-34.
- Smetana P, Schmidt A, Zabel M, et al. Assessment of repolarization heterogeneity for prediction of mortality in cardiovascular disease: peak to the end of the T wave interval and nondipolar repolarization components. J Electrocardiol 2011; 44: 301-8.
- Zhao X, Xie Z, Chu Y, et al. Association between Tp-e/QT ratio and prognosis in patients undergoing primary percutaneous coronary intervention for ST-segment elevation myocardial infarction. Clin Cardiol 2012; 35: 559-64.
- Gupta P, Patel C, Patel H, et al. Tp-e/QT ratio as an index of arrhythmogenesis. J Electrocardiol 2008; 41: 567-74.
- Zhou SH, Wong S, Rautaharju PM, Karnik N, Calhoun HP. Should the JT rather than the QT interval be used to detect prolongation of ventricular repolarization? J Electrocardiol 1992; 25: 131-6.
- Ceresnak SR, Dubin AM, Kim JJ, et al. Success rates in pediatric WPW ablation are improved with 3-dimensional mapping systems compared with fluoroscopy alone: A multicenter study. J Cardiovasc Electrophysiol 2015; 26: 412-6.
- Salim MA, Case CL, Gillette PC. The JT interval as a depolarization independent measurement of repolarization: lessons from catheter ablation of the Wolff-Parkinson-White syndrome. Pacing Clin Electrophysiol 1995; 18: 2158-62.
- Tabatabaei P, Keikhavani A, Haghjoo M, et al. Assessment of QT and JT Intervals in Patients With Left Bundle Branch Block. Res Cardiovasc Med 2016; 5: e31528.
- Kors JA, van Eck HJR, van Herpen G. The meaning of the Tp-Te interval and its diagnostic value. J Electrocardiol 2008; 41: 575-80.
- Topilski I, Rogowski O, Rosso R, et al. The morphology of the QT interval predicts torsade de pointes during acquired bradyarrhythmias. J Am Coll Cardiol 2007;49: 320-8.
- Haarmark C, Hansen PR, Vedel-Larsen E, et al. The prognostic value of the Tpeak-Tend interval in patients undergoing primary percutaneous coronary intervention for ST-segment elevation myocardial infarction. J Electrocardiol 2009; 42: 555-60.
- Rosenthal TM, Stahls PF, Abi Samra FM, et al. T-peak to T-end interval for prediction of ventricular tachyarrhythmia and mortality in a primary prevention population with systolic cardiomyopathy. Heart Rhythm 2015; 12: 1789-97.
- Letsas KP, Weber R, Astheimer K, Kalusche D, Arentz T. Tpeak-Tend interval and Tpeak-Tend/QT ratio as markers of ventricular tachycardia inducibility in subjects with Brugada ECG phenotype. Europace 2010; 12: 271-4.
- Keleşoğlu Ş, Yılmaz Y. Assessment of Tp-e interval, Tp-e/QT, and Tp-e/QTc ratios, in patients with COVID-19 infected with or without pneumonia. J Health Sci Med 2021; 4: 615-21.
- Pappone C, Santinelli V, Manguso F, et al. A randomized study of prophylactic catheter ablation in asymptomatic patients with the Wolff-Parkinson-White syndrome. New Engl J Med 2003; 349: 1803-11.
- Antzelevitch C. Cellular basis and mechanism underlying normal and abnormal myocardial repolarization and arrhythmogenesis. Ann Med 2004; 36: 5-14.
- Delise P, Sciarra L. Sudden Cardiac Death in Patients with Ventricular Preexcitation. Card Electrophysiol Clin. 2020; 12: 519-25.
- Aranyo J, Bazan V, Rueda F, Sarrias A, Bisbal F, Villuendas R. Ventricular fibrillation in a patient with Wolff‐Parkinson‐White syndrome unrelated to pre‐excited atrial fibrillation. Ann Noninvasive Electrocardiol 2019; 24: e12662.
- Spragg DD, Akar FG, Helm RH, Tunin RS, Tomaselli GF, Kass DA. Abnormal conduction and repolarization in late-activated myocardium of dyssynchronously contracting hearts. Cardiovasc Res 2005; 67: 77-86.
- Jeyaraj D, Wilson LD, Zhong J, et al. Mechanoelectrical feedback as novel mechanism of cardiac electrical remodeling. Circulation 2007; 115: 3145-55.
- Gunaseelan R, Sasikumar M, Aswin K, Nithya B, Balamurugan N, Vivekanandan M. Memory T-Waves, a Rare Cause of T-Wave Inversion in the Emergency Department. J Emerg Trauma Shock 2020; 13: 312-6.
- Poole JE, Bardy GH. Further evidence supporting the concept of T-wave memory: observation in patients having undergone high-energy direct current catheter ablation of the Wolff-Parkinson-White syndrome. Eur Heart J 1992; 13: 801-7.
- Zhao X, Xie Z, Chu Y, et al. Association between Tp-e/QT ratio and prognosis in patients undergoing primary percutaneous coronary intervention for ST-segment elevation myocardial infarction. Clin Cardiol 2012; 35: 559-64.
- Hnatkova K, Johannesen L, Vicente J, Malik M. Heart rate dependency of JT interval sections. J Electrocardiol 2017; 50: 814-24.
- Chua KCM, Rusinaru C, Reinier K, et al. Tpeak-to-Tend interval corrected for heart rate: A more precise measure of increased sudden death risk? Heart Rhythm 2016; 13: 2181-5.
Details
| Primary Language | English |
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| Subjects | Health Care Administration |
| Journal Section | Original Article |
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| Publication Date | January 17, 2022 |
| Published in Issue | Year 2022 Volume: 5 Issue: 1 |
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