Kang JH, Wu HY, Long WJ. Effects of atrial septal defects on the cardiac conduction system. World J Clin Cases 2024; 12(35): 6770-6774 [DOI: 10.12998/wjcc.v12.i35.6770]
Corresponding Author of This Article
Wen-Jie Long, MD, PhD, Attending Doctor, Department of Geriatrics, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, No. 16 Jichang Road, Guangzhou 510006, Guangdong Province, China. derek1626@163.com
Research Domain of This Article
Cardiac & Cardiovascular Systems
Article-Type of This Article
Editorial
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Dec 16, 2024; 12(35): 6770-6774 Published online Dec 16, 2024. doi: 10.12998/wjcc.v12.i35.6770
Effects of atrial septal defects on the cardiac conduction system
Jin-Hua Kang, Hong-Yan Wu, Wen-Jie Long
Jin-Hua Kang, Hong-Yan Wu, Department of Geriatric, Shenzhen Hospital of Shanghai University of Chinese Medicine, Shenzhen 518000, Guangdong Province, China
Wen-Jie Long, Department of Geriatrics, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510006, Guangdong Province, China
Author contributions: Long WJ conceived the idea; Kang JH and Wu HY conducted a literature search; Kang JH wrote the preliminary draft; Long WJ and Wu HY critically reviewed as well as improved the manuscript; all authors have read and approved the final manuscript.
Supported byGuangzhou Municipal Science and Technology Bureau's 2024 Basic and Applied Basic Research Topic, China, No. 2024A04J4491, and No. 2024A04J4254; the Scientific Research Project of Guangdong Provincial Bureau of Traditional Chinese Medicine, China, No. 2022ZYYJ01; and the Soft Science Research Program of Luohu District, Shenzhen, China, No. LX202402016.
Conflict-of-interest statement: There are no conflict-of-interest disclosures by any authors.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wen-Jie Long, MD, PhD, Attending Doctor, Department of Geriatrics, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, No. 16 Jichang Road, Guangzhou 510006, Guangdong Province, China. derek1626@163.com
Received: July 24, 2024 Revised: August 29, 2024 Accepted: September 12, 2024 Published online: December 16, 2024 Processing time: 92 Days and 6.1 Hours
Abstract
The case report presented in this edition by Mu et al. The report presents a case of atrial septal defect (ASD) associated with electrocardiographic changes, noting that the crochetage sign resolved after Selective His Bundle Pacing (S-HBP) without requiring surgical closure. The mechanisms behind the appearance and resolution of the crochetage sign remain unclear. The authors observed the disappearance of the crochetage sign post-S-HBP, suggesting a possible correlation between these specific R waves and the cardiac conduction system. This editorial aims to explore various types of ASD and their relationship with the cardiac conduction system, highlighting the diagnostic significance of the crochetage sign in ASD.
Core Tip: Atrial septal defect (ASD) is characterized by its slow clinical progression, often remaining asymptomatic in children and young adults until diagnosed later in life. Early screening and timely treatment for ASDs are essential. The heightened sensitivity of the crochetage sign in ASDs emphasizes the need for cost-effective, rapid, and non-invasive body surface electrocardiography for early screening, particularly in underserved areas. This editorial seeks to illustrate the impact of ASD on the cardiac conduction system, specifically focusing on the crochetage sign, through a discussion of the recently published case report.
