Abstract
Premature ventricular complexes (PVCs) are common and usually benign. Occasionally, intervention may be required. In these cases, localization of the origin of the PVCs or non-sustained ventricular tachycardia (NSVT) may be important in guiding therapy. A brief review is undertaken of the various methods which can be utilized to determine the site of origin of the PVCs/NSVT, ranging from the simple electrocardiogram to electrophysiological techniques to complex three-dimensional mapping systems. Case vignettes are provided to illustrate patients in whom therapy may be beneficial.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Zipes DP, Camm AJ, Borggrefe M, et al. ACC/AHA/ESC 2006 guidelines for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology/American Heart Association Task Force and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Develop Guidelines for Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death). J Am Coll Cardiol. 2006;48(5):e247–346.
Yokokawa M, Kim HM, Good E, et al. Relation of symptoms and symptom duration to premature ventricular complex-induced cardiomyopathy. Heart Rhythm. 2012;9(1):92–5.
Baman TS, Lange DC, Ilg KJ, et al. Relationship between burden of premature ventricular complexes and left ventricular function. Heart Rhythm. 2010;7(7):865–9.
Takemoto M, Yoshimura H, Ohba Y, et al. Radiofrequency catheter ablation of premature ventricular complexes from right ventricular outflow tract improves left ventricular dilation and clinical status in patients without structural heart disease. J Am Coll Cardiol. 2005;45(8):1259–65.
Dixit S, Gerstenfeld EP, Callans DJ, Marchlinski FE. Electrocardiographic patterns of superior right ventricular outflow tract tachycardias: distinguishing septal and free-wall sites of origin. J Cardiovasc Electrophysiol. 2003;14(1):1–7.
Sekiguchi Y, Aonuma K, Takahashi A, et al. Electrocardiographic and electrophysiologic characteristics of ventricular tachycardia originating within the pulmonary artery. J Am Coll Cardiol. 2005;45(6):887–95.
Ouyang F, Fotuhi P, Ho SY, et al. Repetitive monomorphic ventricular tachycardia originating from the aortic sinus cusp: electrocardiographic characterization for guiding catheter ablation. J Am Coll Cardiol. 2002;39(3):500–8.
Ben-Haim SA, Osadchy D, Schuster I, Gepstein L, Hayam G, Josephson ME. Nonfluoroscopic, in vivo navigation and mapping technology. Nat Med. 1996;2(12):1393–5.
Nademanee K, Kosar EM. A nonfluoroscopic catheter-based mapping technique to ablate focal ventricular tachycardia. Pacing Clin Electrophysiol. 1998;21(7):1442–7.
Tops LF, Bax JJ, Zeppenfeld K, et al. Fusion of multislice computed tomography imaging with three-dimensional electroanatomic mapping to guide radiofrequency catheter ablation procedures. Heart Rhythm. 2005;2(10):1076–81.
Krum D, Goel A, Hauck J, et al. Catheter location, tracking, cardiac chamber geometry creation, and ablation using cutaneous patches. J Interv Card Electrophysiol. 2005;12(1):17–22.
Earley MJ, Showkathali R, Alzetani M, et al. Radiofrequency ablation of arrhythmias guided by non-fluoroscopic catheter location: a prospective randomized trial. Eur Heart J. 2006;27(10):1223–9.
Jeron A, Fredersdorf S, Debl K, et al. First-in-man (FIM) experience with the Magnetic Medical Positioning System (MPS) for intracoronary navigation. EuroIntervention. 2009;5(5):552–7.
Schilling RJ, Peters NS, Davies DW. Simultaneous endocardial mapping in the human left ventricle using a noncontact catheter: comparison of contact and reconstructed electrograms during sinus rhythm. Circulation. 1998;98(9):887–98.
Strickberger SA, Knight BP, Michaud GF, Pelosi F, Morady F. Mapping and ablation of ventricular tachycardia guided by virtual electrograms using a noncontact, computerized mapping system. J Am Coll Cardiol. 2000;35(2):414–21.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag London
About this chapter
Cite this chapter
Swee-Chong, S. (2014). Recognizing the Origin of Ventricular Premature Depolarization During Sinus Rhythm and During Non-sustained Tachycardia. In: Kibos, A., Knight, B., Essebag, V., Fishberger, S., Slevin, M., Țintoiu, I. (eds) Cardiac Arrhythmias. Springer, London. https://doi.org/10.1007/978-1-4471-5316-0_16
Download citation
DOI: https://doi.org/10.1007/978-1-4471-5316-0_16
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-5315-3
Online ISBN: 978-1-4471-5316-0
eBook Packages: MedicineMedicine (R0)