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Value of Different Mapping Strategies for Ventricular Tachycardia: Sinus Rhythm and Pace Mapping, Activation and Entrainment Mapping

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Cardiac Arrhythmias, Pacing & Electrophysiology

Abstract

Several electrophysiological phenomena have long been recognised to be helpful in the localisation of arrhythmogenic substrates. In the context of ventricular tachycardia, local abnormalities observed during sinus rhythm (sinus rhythm mapping), comparison of QRS morphology during tachycardia and during pacing in sinus rhythm (pace mapping), comparison of local activation time during tachycardia at different sites (activation mapping) and observations made during resetting and transient entrainment of tachycardias (entrainment mapping) are considered the most useful tools to localise the arrhythmogenic substrates.

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References

  1. Cassidy DM, Vasallo JA, Buxton AE, Doherty JU, Marchlinski FE, Josephson ME. Catheter mapping during sinus rhythm to localize site of origin of ventricular tachycardia. Circulation 1984; 69: 1103–10.

    Article  PubMed  CAS  Google Scholar 

  2. Morady F, Harvey M, Kalbfleish SJ, El-Atassi R, Calkins H, Langberg JJ. Radiofrequency catheter ablation of ventricular tachycardia in patients with coronary artery disease. Circulation 1993; 87: 363–72.

    Article  PubMed  CAS  Google Scholar 

  3. Kim YH, Sosa-Suarez G, Trouton TG et al. Treatment of ventricular tachycardia by transcatheter radiofrequency ablation in patients with ischemic heart disease. Circulation 1994; 89: 1094–102.

    Article  PubMed  CAS  Google Scholar 

  4. Gonska BD, Cao K, Schaumann A, Dorszewski A, Mühlen F, Kreuzer H. Catheter ablation of ventricular tachycardia in 136 patients with coronary artery disease: results and long-term follow-up. J Am Coll Cardiol 1994; 24: 1506–14.

    Article  PubMed  CAS  Google Scholar 

  5. Klein LS, Shih HT, Hackett K, Zipes DP, Miles WM. Radiofrequency catheter ablation of ventricular tachycardia in patients without structural heart disease. Circulation 1992; 85: 1666–74.

    Article  PubMed  CAS  Google Scholar 

  6. Coggins DL, Lee R, Sweeney J et al. Radiofrequency catheter ablation as a cure for idiopathic tachycardia of both left and right ventricular origin. J Am Coll Cardiol 1994; 23: 1333–41.

    Article  PubMed  CAS  Google Scholar 

  7. O’Connor BK, Case CL, Sokoloski MC, Blair H, Cooper K, Gillette PC. Radiofrequency catheter ablation of right ventricular outflow tract tachycardia in children and adolescents. J Am Coll Cardiol 1996; 27: 869–74.

    Article  PubMed  Google Scholar 

  8. Josephson ME, Buxton AE, Marchlinski FE et al. Sustained ventricular tachycardia in coronary artery disease–evidence for reentrant mechanism. In: Zipes DP, Jalife J, editors. Cardiac Electrophysiology and Arrhythmias. Orlando, FL: Grune & Stratton; 1985: 409–19.

    Google Scholar 

  9. Josephson ME. Recurrent ventricular tachycardia. In: Josephson ME, editor. Clinical Cardiac Electrophysiology. Philadelphia: Lea & Febiger; 1993: 417–615.

    Google Scholar 

  10. Dangman KH, Hoffman BF. The effects of single premature stimuli on automatic and triggered rhythms in isolated canine Purkinje fibers. Circulation 1985; 71: 813–22.

    Article  PubMed  CAS  Google Scholar 

  11. Castellanos A, Luceri RM, Moleiro F et al. Annihilation, entrainment and modulation of ventricular parasystolic rhythms. Am J Cardiol 1984; 54: 317–22.

    Article  PubMed  CAS  Google Scholar 

  12. Morady F, Kadish A, Rosenheck S et al. Concealed entrainment as a guide for catheter ablation of ventricular tachycardia in patients with prior myocadial infarction. J Am Coll Cardiol 1991; 17: 678–89.

    Article  PubMed  CAS  Google Scholar 

  13. Stevenson WG, Khan H, Sager P et al. Identification of reentry circuit sites during catheter mapping and radiofrecuency ablation of ventricular tachycardia late after myocardial infarction. Circulation 1993; 88: 1647–70.

    Article  PubMed  CAS  Google Scholar 

  14. Bogun F, Bahu M, Knight BP et al. Comparison of effective and ineffective target sites that demonstrate concealed entrainment in patients with coronary artery disease undergoing radiofrequency catheter ablation of ventricular tachycardia. Circulation 1997; 95: 183–90.

    Article  PubMed  CAS  Google Scholar 

  15. Calkins H, Kalbfleish SJ, El-Atassi R, Langberg JJ, Morady F. Relation between efficacy of radiofrequency catheter ablation and site of origin of idiopathic ventricular tachycardia. Am J Cardiol 1993; 71: 827–33.

    Article  PubMed  CAS  Google Scholar 

  16. Stevenson WG. Catheter mapping of ventricular tachycardia. In: Zipes DP, Jalife J, editors. Cardiac Electrophysiology. From Cell to Bedside. Philadelphia, PA: Saunders; 1995: 1093–111.

    Google Scholar 

  17. Bogun F, Daoud E, Man KC, Strickberger A, Hohnloser SH, Morady F. Evaluation of ablation sites located within the reentrant circuit of ventricular tachycardia in patients with coronary artery disease. PACE 1997; 20: 1123 (abstract).

    Google Scholar 

  18. Almendral JM, Gottlieb CD, Rosenthal ME et al. Entrainment of ventricular tachycardia: explanation for surface electrocardiographic phenomena by analysis of electrograms recorded within the tachycardia circuit. 21. Circulation 1988; 77: 569–80.

    Article  PubMed  CAS  Google Scholar 

  19. Almendral JM, Marchlinski FE, Josephson ME. A constant first post-pacing interval: new criterion for entrainment of ventricular tachycardias. Circulation 1985; 72 (Suppl. III): 30 (abstract).

    Google Scholar 

  20. Mtnez-Alday J, Almendral JM, Pastor A et al. Evaluation of the usefulness of a variety of criteria for the detection of transient entrainment during ventricular tachycardia. Circulation 1993; 88 (Suppl. I): I - 459 (abstract).

    Google Scholar 

  21. Fontaine G, Frank R, Tonet J, Grosgogeat Y. Identification of a zone of slow conduction appropriate for ventricular tachycardia ablation: theoretical considerations. PACE 1989; 12: 262–7.

    Article  PubMed  CAS  Google Scholar 

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© 1998 Springer Science+Business Media Dordrecht

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Almendral, J. et al. (1998). Value of Different Mapping Strategies for Ventricular Tachycardia: Sinus Rhythm and Pace Mapping, Activation and Entrainment Mapping. In: Vardas, P.E. (eds) Cardiac Arrhythmias, Pacing & Electrophysiology. Developments in Cardiovascular Medicine, vol 201. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-5254-9_16

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  • DOI: https://doi.org/10.1007/978-94-011-5254-9_16

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-6210-7

  • Online ISBN: 978-94-011-5254-9

  • eBook Packages: Springer Book Archive

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