Journal ArticleDOI
Idiopathic Left Ventricular Tachycardia Originating from the Mitral Annulus
Koji Kumagai,Yasuteru Yamauchi,Atsushi Takahashi,Yasuhiro Yokoyama,Yukio Sekiguchi,Jun Watanabe,Yoshito Iesaka,Kunio Shirato,Kazutaka Aonuma +8 more
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TLDR
The electrophysiological findings of a new variant of RMVT originating from the mitral annulus (MAVT) are described, which can eliminate most idiopathic repetitive monomorphic ventricular tachycardias.Abstract:
Background: Radiofrequency catheter ablation (RFCA) can eliminate most idiopathic repetitive monomorphic ventricular tachycardias (RMVTs) originating from the right and left ventricular outflow tracts (RVOT, LVOT). Here, we describe the electrophysiological (EP) findings of a new variant of RMVT originating from the mitral annulus (MAVT).
Methods and Results: MAVT was identified in 35 patients out of 72 consecutive left ventricular RMVTs from May 2000 to June 2004. All patients underwent an EP study and RFCA. The sites of origin of the MAVT were grouped into four groups according to the successful ablation sites around the mitral annulus. Group I included the anterior sites (n = 11), group II the anterolateral sites (n = 9), group III the lateral sites (n = 6), and group IV the posterior sites (n = 9). The MAVTs were a wide QRS tachycardia with a delta wave-like beginning of the QRS complex. The transitional zone of the R wave occurred between V1-V2 in all cases. The 12-lead electrocardiogram (ECG) pattern might reflect the site of the origin of MAVTs around the mitral annulus. We proposed an algorithm for predicting the site of the focus and the tactics needed for successful RFCA of the MAVT.
Conclusions: We described the EP findings of the new variant of RMVT, MAVT. Most MAVTs could be eliminated by RF applications to the endocardial mitral annulus using our proposed tactics.read more
Citations
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Journal ArticleDOI
2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC)
TL;DR: In this article, the authors proposed AMIOdarone versus implantable cardioverter-defibrillator (ICD-DV) for the treatment of atrial fibrillation.
Journal ArticleDOI
2015 ESC Guidelines for the Management of Patients With Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death.
Silvia G. Priori,Carina Blomström-Lundqvist,Andrea Mazzanti,Nico A. Blom,Martin Borggrefe,John Camm,Perry M. Elliott,Donna Fitzsimons,Robert Hatala,Gerhard Hindricks,Paulus Kirchhof,Keld Kjeldsen,Karl Heinz Kuck,Antonio Hernández-Madrid,Nikolaos Nikolaou,Tone M. Norekvål,Christian Spaulding,Dirk J. van Veldhuisen +17 more
TL;DR: This poster presents a probabilistic procedure to determine the best method for selecting a single drug to treat atrial fibrillation-like symptoms in patients with a history of atrialfibrillation.
Journal ArticleDOI
2015 ESC Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: The Task Force for the Management of Patients with Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death of the European Society of Cardiology (ESC)Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC).
Silvia G. Priori,Carina Blomström-Lundqvist,Andrea Mazzanti,Nico A. Blom,Martin Borggrefe,John Camm,Perry M. Elliott,Donna Fitzsimons,Robert Hatala,Gerhard Hindricks,Paulus Kirchhof,Keld Kjeldsen,Karl-Heinz Kuck,Antonio Hernández-Madrid,Nikolaos Nikolaou,Tone M. Norekvål,Christian Spaulding,Dirk J. van Veldhuisen +17 more
TL;DR: In this article, the authors proposed AMIOdarone versus implantable cardioverter-defibrillator (ICD-DV) for the treatment of atrial fibrillation.
Journal ArticleDOI
EHRA/HRS Expert Consensus on Catheter Ablation of Ventricular Arrhythmias: developed in a partnership with the European Heart Rhythm Association (EHRA), a Registered Branch of the European Society of Cardiology (ESC), and the Heart Rhythm Society (HRS); in collaboration with the American College of Cardiology (ACC) and the American Heart Association (AHA).
Etienne Aliot,William G. Stevenson,Jesus Ma Almendral-Garrote,Frank Bogun,C. Hugh Calkins,Etienne Delacrétaz,Paolo Della Bella,Gerhard Hindricks,Pierre Jaïs,Mark E. Josephson,Josef Kautzner,G. Neal Kay,Karl-Heinz Kuck,Bruce B. Lerman,Francis E. Marchlinski,Vivek Y. Reddy,Martin J. Schalij,Richard J. Schilling,Kyoko Soejima,David J. Wilber +19 more
TL;DR: Etienne M. Aliot, MD, FESC, FHRS, William G. Stevenson, this article, Frank Bogun, MD4, C. Neal Kay, MD12, Karl-Heinz Kuck, Dr.
Journal ArticleDOI
2019 HRS/EHRA/APHRS/LAHRS expert consensus statement on catheter ablation of ventricular arrhythmias.
Edmond M. Cronin,Frank Bogun,Philippe Maury,Petr Peichl,Minglong Chen,Narayanan Namboodiri,Aguinaga L,Leite Lr,Sana M. Al-Khatib,Elad Anter,Antonio Berruezo,David J. Callans,M. Chung,Phillip S. Cuculich,Andre d'Avila,Barbara J. Deal,Della Bella P,Thomas Deneke,Timm Dickfeld,Hadid C,Haris M. Haqqani,George Neal Kay,Rakesh Latchamsetty,Francis E. Marchlinski,John M. Miller,Akihiko Nogami,Akash R. Patel,Rajeev Kumar Pathak,Sáenz Morales Lc,Pasquale Santangeli,John L. Sapp,Andrea Sarkozy,Kyoko Soejima,William G. Stevenson,Usha B. Tedrow,Wendy S. Tzou,Niraj Varma,Katja Zeppenfeld +37 more
TL;DR: This document is to help electrophysiologists around the world to appropriately select patients for catheter ablation, to perform procedures in a safe and efficacious manner, and to provide follow-up and adjunctive care in order to obtain the best possible outcomes for patients with ventricular arrhythmias.
References
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Journal ArticleDOI
Repetitive monomorphic ventricular tachycardia originating from the aortic sinus cusp: electrocardiographic characterization for guiding catheter ablation.
Feifan Ouyang,Parwis Fotuhi,Siew Yen Ho,Joachim Hebe,Marius Volkmer,Masahiko Goya,Mark Burns,Matthias Antz,Sabine Ernst,Riccardo Cappato,Karl-Heinz Kuck +10 more
TL;DR: On the surface ECG, RMVT from the ASC has a QRS morphology similar to that of RVOT arrhythmias and radiofrequency ablation can be safely performed within the left ASC with a catheter cannulating the LMCA.
Journal ArticleDOI
Radiofrequency catheter ablation as a cure for idiopathic tachycardia of both left and eight ventricular origin
Dwain L. Coggins,Randall J. Lee,John P. Sweeney,Walter W. Chein,George F. Van Hare,Laurence M. Epstein,Rolando Gonzalez,Jerry C. Griffin,Michael D. Lesh,Melvin M. Scheinman +9 more
TL;DR: Radiofrequency catheter ablation is an effective treatment for idiopathic ventricular tachycardia and the site of origin of tachy Cardia is best identified using pace mapping.
Journal ArticleDOI
Development and Validation of an ECG Algorithm for Identifying Accessory Pathway Ablation Site in Wolff-Parkinson-White Syndrome
Mauricio S. Arruda,James H. McCLELLAND,Xanzhung Wang,Karen J. Beckman,Lawrence E. Widman,Mario D. Gonzalez,Hiroshi Nakagawa,Ralph Lazzara,Warren M. Jackman +8 more
TL;DR: RF catheter ablation is used to develop an ECG algorithm to predict accessory pathway location and Delta wave morphology correlates with the site of ventricular insertion of accessory AV pathways.
Journal ArticleDOI
Electrocardiographic recognition of the epicardial origin of ventricular tachycardias
TL;DR: ECG suggests that ventricular tachycardias originating from the epicardium and those with an unsuccessful radiofrequency ablation from the endocardium with an epicardial approach are suggested.
Journal ArticleDOI
Repetitive Monomorphic Tachycardia From the Left Ventricular Outflow Tract: Electrocardiographic Patterns Consistent With a Left Ventricular Site of Origin
TL;DR: RMVTs with a precordial R wave transition at or before lead V2 are consistent with a left ventricular origin, and pace maps identical in configuration to the induced tachycardia were obtained from the RVOT.