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Electrical storm originating from a left ventricular epicardial scar in a patient with completely normal endocardial voltage

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Abstract

We report a patient with non-ischemic dilated cardiomyopathy presenting with an electrical storm because of a poorly tolerated monomorphic ventricular tachycardia. Electroanatomical mapping revealed a scar restricted to the epicardium, whereas the endocardial voltage map was completely normal. Epicardial catheter ablation based on substrate mapping and limited pace and entrainment mapping eliminated the tachycardia.

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Authors and Affiliations

  1. Electrophysiology Unit, Biocor Instituto, Nova Lima, Brazil

    Eduardo Back Sternick

  2. Department of Electrophysiology, Heart Center, University of Leipzig, Leipzig, Germany

    Christopher Piorkowski, Gerhard Hindricks & Philipp Sommer

  3. Second Cardiology Department, Attikon University Hospital, University of Athens, Rimini 1, 12462, Athens, Greece

    Nikolaos Dagres

Authors
  1. Eduardo Back Sternick
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  2. Christopher Piorkowski
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  3. Gerhard Hindricks
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  4. Nikolaos Dagres
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  5. Philipp Sommer
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Correspondence to Nikolaos Dagres.

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Sternick, E.B., Piorkowski, C., Hindricks, G. et al. Electrical storm originating from a left ventricular epicardial scar in a patient with completely normal endocardial voltage. Heart Vessels 26, 663–666 (2011). https://doi.org/10.1007/s00380-010-0109-x

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  • DOI: https://doi.org/10.1007/s00380-010-0109-x

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