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  • 1
    ISSN: 1540-8167
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Catheter Ablation for Mahaim Pathways. Introduction: Several modalities of catheter ablation have been proposed to eliminate Mahaim pathway conduction. However, limited research has been reported on the electrophysiologic nature of this pathway in its entity. Methods and Results: In seven patients, electrophysiologic study was performed, and radiofrequency energy was applied to investigate the electrophysiologic clues for successful ablation. In all seven patients, the Mahaim pathway was diagnosed as a right-sided atriofascicular or atrioventricular pathway with decremental properties. In two patients, two different kinds of electrograms were recorded through the ablation catheter positioned at the Mahaim pathway location: one was suggestive of conduction over the decremental portion, demonstrating a dulled potential; and the other of nondecremental conduction, demonstrating a spiked potential. All but one of the Mahaim pathways were eliminated successfully at the atrial origin where the spiked Mahaim potential was recorded. Radiofrequency energy application was performed at the slow potential site resulting in failure to eliminate the conduction over the Mahaim pathway. Conduction block at the site between the slow and fast potential recording sites was provoked by intravenous administration of adenosine, concomitant with a decrease in the amplitude of the Mahaim potential. In one patient, the clinical arrhythmia was a sustained monomorphic ventricular tachycardia originating from the ventricular end of the Mahaim fiber. Conclusion: The identification of Mahaim spiked potentials may be the optimal method to permit their successful ablation. Detailed electrophysiologic assessment is indispensable for successful ablation of tachycardias associated with Mahaim fibers because tachycardias unassociated with Mahaim fibers can occur despite complete elimination of the Mahaim fiber.
    Materialart: Digitale Medien
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 2
    ISSN: 1540-8159
    Quelle: Blackwell Publishing Journal Backfiles 1879-2005
    Thema: Medizin
    Notizen: Slow A V nodal pathway ablation using RF is highly effective for patients with refractory A V nodal reentrant tachycardia (AVNRT). We report three catheter ablation cases using RF current in patients associated with persistent left superior vena cava (PLSVC). Three patients with drug refractory AVNHT of common variety were involved in this study. An electrode catheter introduced through the left subclavian vein inserted directly into the coronary sinus, a typical anatomical finding of PLSVC. The ablation procedure was initially performed at the posteroinferior region of Koch's triangle. A slow pathway potential could not be found from that area; nonsustained junctional tachycardia (NSJT) did not occur during the delivery of RF current; there was failure to eliminate slow AV nodal pathway conduction. The catheter then was moved into the bed of the proximal portion of the markedly enlarged coronary sinus. A slow AV nodal pathway potential was recorded through the ablation catheter, and the delivery of RF current caused NSJT in two patients. Complete elimination of slow AV nodal pathway conduction was accomplished in these two patients by this method. No adverse effects were provoked by this procedure. Catheter ablation of the slow A V nodal pathway guided by a slow pathway potential and the appearance of NSJT was feasible and safe in the area of the coronary sinus ostium in patients associated with PLSVC.
    Materialart: Digitale Medien
    Standort Signatur Einschränkungen Verfügbarkeit
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  • 3
    Publikationsdatum: 2015-03-19
    Beschreibung: Riparian fluvial systems are used for the irrigation of rice. This practice has led to an increasing need to conserve biodiversity of these riparian systems against intensification of rice irrigation systems. This study examined the underlying processes that structure fish community assemblages in a traditional rice irrigation system and how these processes might inform conservation programmes. Sampling was conducted at 26 reaches of a permanent irrigation channel in September and December 2007 and May 2008. The relative roles of niche versus dispersal processes were determined by examining species richness across the local environment, such as habitat complexity (diversity of depth and velocity) and size (volume of water) or proximity from the river as potential source of species, and deterministic versus stochastic processes. Non-random or random patterns of species co-occurrence were also compared across the sites. Each site's species richness was mainly associated with habitat complexity and size, but not proximity to the river. Also, species co-occurred non-randomly in segregated patterns. Therefore, the fish community was deterministically structured by niche processes and local extinction, but not by stochastic and external immigration processes. In addition, the observed relative abundance distributions primarily fitted a log–normal distribution, indicating a ‘low stress’ condition for the fish community. To enhance co-existence of fish species, high conservation priority should be given to local factors such as hydraulic complexity and volume of water at reach scale in the rice irrigation system. Fish species preferring slow and shallow environments co-occurred less frequently among reaches, demonstrating the need to conserving hydraulic variability. The effectiveness of local factors and deterministic patterns is thought to derive from stable water flow and high internal and external connectivity, which in turn would safeguard the processes that structure fish community assemblages. Such hydrological connectivity might be the key for conservation in intensified rice-farming landscapes. Copyright © 2015 John Wiley & Sons, Ltd.
    Print ISSN: 1052-7613
    Digitale ISSN: 1099-0755
    Thema: Biologie
    Publiziert von Wiley-Blackwell
    Standort Signatur Einschränkungen Verfügbarkeit
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