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Idiopathic Ventricular Arrhythmias Originating from Different Portions of the Coronary Venous System: Prevalence, Electrocardiographic Characteristics, Catheter Ablation, and Complications. J Cardiovasc Dev Dis 2022; 9:jcdd9030078. [PMID: 35323626 PMCID: PMC8955335 DOI: 10.3390/jcdd9030078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Revised: 02/14/2022] [Accepted: 03/01/2022] [Indexed: 11/17/2022] Open
Abstract
(1) Background: To determine the prevalence, electrocardiographic characteristics, mapping, and ablation of IVAs arising from the CVS. (2) Methods: Detailed activation and pace mapping of the CVS IVAs was performed before attempted radiofrequency ablation (RFCA). (3) Results: The IVAs originating from the vicinity of the CVS represented approximately 5.27% (164/3113) of all IVAs; 94.51% (155/164) cases were accessed at the earliest identified site and 83.54% (137/164) IVAs were successfully ablated. The main coronary vein group had a relatively short procedure time, short fluoroscopy time, fewer radiofrequency lesions prior to success, and less Swartz sheath support. IVAs originating from the CVS had distinct ECG characteristics: Rs, RS or rS (with s or S) wave in lead V1 indicate the Vas arising from the proximal portion of the anterior interventricular vein (AIV) and summit-CV; Rs (with s or S) wave in leads V5−V6 indicate the Vas arising from the adjacent regions of the distal great cardiac vein 1 (DGCV1); positive wave (R, Rs or r) In lead I indicate the VAs ori”inat’ng from Summit-CV and posterior wall subgroup (including middle cardiac vein [MCV], posterior lateral vein [PLV], coronary sinus [CS]). Compared with the IVAs originating from the endocardial mitral annulus, a PdW > 45 ms, an IDT > 74 ms, and an MDI > 0.50 indicate a CVS origin of the IVAs. The common peri-procedure complications were CV dissection (6.45%, 10/155), CV rupture (1.29%, 2/155), coronary artery spasm (1.29%, 2/155), coronary artery stenosis (0.65%, 1/155), pericardial effusion (0.65%, 1/155) and tamponade (1.29%, 2/155). Stenosis of coronary arteries was not observed at the adjacent ablation site in the CVS during follow-up. (4) Conclusions: vAs arising from the CVS are not a rare phenomenon. Several ECG and procedure characteristics could help regionalize, map, and ablate the origin of IVAs from different portions of the CVS. RFCA within the CVS was relatively effective and safe.
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Nogami A, Kurita T, Abe H, Ando K, Ishikawa T, Imai K, Usui A, Okishige K, Kusano K, Kumagai K, Goya M, Kobayashi Y, Shimizu A, Shimizu W, Shoda M, Sumitomo N, Seo Y, Takahashi A, Tada H, Naito S, Nakazato Y, Nishimura T, Nitta T, Niwano S, Hagiwara N, Murakawa Y, Yamane T, Aiba T, Inoue K, Iwasaki Y, Inden Y, Uno K, Ogano M, Kimura M, Sakamoto S, Sasaki S, Satomi K, Shiga T, Suzuki T, Sekiguchi Y, Soejima K, Takagi M, Chinushi M, Nishi N, Noda T, Hachiya H, Mitsuno M, Mitsuhashi T, Miyauchi Y, Miyazaki A, Morimoto T, Yamasaki H, Aizawa Y, Ohe T, Kimura T, Tanemoto K, Tsutsui H, Mitamura H. JCS/JHRS 2019 guideline on non-pharmacotherapy of cardiac arrhythmias. J Arrhythm 2021; 37:709-870. [PMID: 34386109 PMCID: PMC8339126 DOI: 10.1002/joa3.12491] [Citation(s) in RCA: 89] [Impact Index Per Article: 29.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
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Nogami A, Kurita T, Abe H, Ando K, Ishikawa T, Imai K, Usui A, Okishige K, Kusano K, Kumagai K, Goya M, Kobayashi Y, Shimizu A, Shimizu W, Shoda M, Sumitomo N, Seo Y, Takahashi A, Tada H, Naito S, Nakazato Y, Nishimura T, Nitta T, Niwano S, Hagiwara N, Murakawa Y, Yamane T, Aiba T, Inoue K, Iwasaki Y, Inden Y, Uno K, Ogano M, Kimura M, Sakamoto SI, Sasaki S, Satomi K, Shiga T, Suzuki T, Sekiguchi Y, Soejima K, Takagi M, Chinushi M, Nishi N, Noda T, Hachiya H, Mitsuno M, Mitsuhashi T, Miyauchi Y, Miyazaki A, Morimoto T, Yamasaki H, Aizawa Y, Ohe T, Kimura T, Tanemoto K, Tsutsui H, Mitamura H. JCS/JHRS 2019 Guideline on Non-Pharmacotherapy of Cardiac Arrhythmias. Circ J 2021; 85:1104-1244. [PMID: 34078838 DOI: 10.1253/circj.cj-20-0637] [Citation(s) in RCA: 77] [Impact Index Per Article: 25.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Akihiko Nogami
- Department of Cardiology, Faculty of Medicine, University of Tsukuba
| | | | - Haruhiko Abe
- Department of Heart Rhythm Management, University of Occupational and Environmental Health, Japan
| | - Kenji Ando
- Department of Cardiology, Kokura Memorial Hospital
| | - Toshiyuki Ishikawa
- Department of Medical Science and Cardiorenal Medicine, Yokohama City University
| | - Katsuhiko Imai
- Department of Cardiovascular Surgery, Kure Medical Center and Chugoku Cancer Center
| | - Akihiko Usui
- Department of Cardiac Surgery, Nagoya University Graduate School of Medicine
| | - Kaoru Okishige
- Department of Cardiology, Yokohama City Minato Red Cross Hospital
| | - Kengo Kusano
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
| | | | - Masahiko Goya
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
| | | | | | - Wataru Shimizu
- Department of Cardiovascular Medicine, Graduate School of Medicine, Nippon Medical School
| | - Morio Shoda
- Department of Cardiology, Tokyo Women's Medical University
| | - Naokata Sumitomo
- Department of Pediatric Cardiology, Saitama Medical University International Medical Center
| | - Yoshihiro Seo
- Department of Cardiology, Faculty of Medicine, University of Tsukuba
| | | | - Hiroshi Tada
- Department of Cardiovascular Medicine, Faculty of Medical Sciences, University of Fukui
| | | | - Yuji Nakazato
- Department of Cardiovascular Medicine, Juntendo University Urayasu Hospital
| | - Takashi Nishimura
- Department of Cardiac Surgery, Tokyo Metropolitan Geriatric Hospital
| | - Takashi Nitta
- Department of Cardiovascular Surgery, Nippon Medical School
| | - Shinichi Niwano
- Department of Cardiovascular Medicine, Kitasato University School of Medicine
| | | | - Yuji Murakawa
- Fourth Department of Internal Medicine, Teikyo University Hospital Mizonokuchi
| | - Teiichi Yamane
- Department of Cardiology, Jikei University School of Medicine
| | - Takeshi Aiba
- Division of Arrhythmia, Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
| | - Koichi Inoue
- Division of Arrhythmia, Cardiovascular Center, Sakurabashi Watanabe Hospital
| | - Yuki Iwasaki
- Department of Cardiovascular Medicine, Graduate School of Medicine, Nippon Medical School
| | - Yasuya Inden
- Department of Cardiology, Nagoya University Graduate School of Medicine
| | - Kikuya Uno
- Arrhythmia Center, Chiba Nishi General Hospital
| | - Michio Ogano
- Department of Cardiovascular Medicine, Shizuoka Medical Center
| | - Masaomi Kimura
- Advanced Management of Cardiac Arrhythmias, Hirosaki University Graduate School of Medicine
| | | | - Shingo Sasaki
- Department of Cardiology and Nephrology, Hirosaki University Graduate School of Medicine
| | | | - Tsuyoshi Shiga
- Department of Cardiology, Tokyo Women's Medical University
| | - Tsugutoshi Suzuki
- Departments of Pediatric Electrophysiology, Osaka City General Hospital
| | - Yukio Sekiguchi
- Department of Cardiology, Faculty of Medicine, University of Tsukuba
| | - Kyoko Soejima
- Arrhythmia Center, Second Department of Internal Medicine, Kyorin University Hospital
| | - Masahiko Takagi
- Division of Cardiac Arrhythmia, Department of Internal Medicine II, Kansai Medical University
| | - Masaomi Chinushi
- School of Health Sciences, Faculty of Medicine, Niigata University
| | - Nobuhiro Nishi
- Department of Cardiovascular Therapeutics, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
| | - Takashi Noda
- Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center
| | - Hitoshi Hachiya
- Department of Cardiovascular Medicine, Tsuchiura Kyodo General Hospital
| | | | | | - Yasushi Miyauchi
- Department of Cardiovascular Medicine, Nippon Medical School Chiba-Hokusoh Hospital
| | - Aya Miyazaki
- Department of Pediatric Cardiology, Congenital Heart Disease Center, Tenri Hospital
| | - Tomoshige Morimoto
- Department of Thoracic and Cardiovascular Surgery, Osaka Medical College
| | - Hiro Yamasaki
- Department of Cardiology, Faculty of Medicine, University of Tsukuba
| | | | | | - Takeshi Kimura
- Department of Cardiology, Graduate School of Medicine and Faculty of Medicine, Kyoto University
| | - Kazuo Tanemoto
- Department of Cardiovascular Surgery, Kawasaki Medical School
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Yakubov A, Salayev O, Hamrayev R, Sultankhonov S. A case of successful ablation of ventricular tachycardia focus in the left ventricular summit through the left atrial appendage: a case report. EUROPEAN HEART JOURNAL-CASE REPORTS 2019; 2:yty110. [PMID: 31020186 PMCID: PMC6426030 DOI: 10.1093/ehjcr/yty110] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/26/2018] [Accepted: 09/17/2018] [Indexed: 11/14/2022]
Abstract
Background Although premature ventricular complexes and ventricular tachycardia (VT) from outflow tracts are easy to map and ablate, some foci create the greatest challenges for the electrophysiologist. One such example is the 'Bermuda triangle' of the heart. Case summary In this article, we describe the rarely used but acceptable approach to the 'Bermudian' focus. We present a case of a 38-year-old male patient with sustained monomorphic VT, who underwent radiofrequency ablation of arrhythmogenic myocardium. After unsuccessful ablation through the posterior right ventricular outflow tract (RVOT), left coronary cusp (LCC), and distal coronary sinus, tachycardia was eliminated from the left atrial appendage (LAA). Complaints such as palpitations and weakness disappeared after the procedure. Discussion Radiofrequency ablation of VT might be performed using LAA. This approach is used when the epicardial location of arrhythmia-causing tissue is suspected and ablation through the RVOT, LCC, and great cardiac vein fails.
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Affiliation(s)
- Akmal Yakubov
- Department of Electrophysiology, Republican Scientific Centre of Cardiology, Yunus Abad, 19 District, 19th Building, 23 Apt., Tashkent, Uzbekistan
| | - Oybek Salayev
- Department of Electrophysiology, Republican Scientific Centre of Cardiology, Yunus Abad, 19 District, 19th Building, 23 Apt., Tashkent, Uzbekistan
| | - Ramesh Hamrayev
- Department of Electrophysiology, Republican Scientific Centre of Cardiology, Yunus Abad, 19 District, 19th Building, 23 Apt., Tashkent, Uzbekistan
| | - Sardorkhon Sultankhonov
- Department of Electrophysiology, Republican Scientific Centre of Cardiology, Yunus Abad, 19 District, 19th Building, 23 Apt., Tashkent, Uzbekistan
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Li T, Xu Q, Zhan XZ, Xue YM, Liao HT, Li YF, Letsas KP, Wu SL. Unique electrocardiographic pattern "w" wave in lead I of idiopathic ventricular arrhythmias arising from the distal great cardiac vein. BMC Cardiovasc Disord 2019; 19:90. [PMID: 30987582 PMCID: PMC6466655 DOI: 10.1186/s12872-019-1064-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2018] [Accepted: 03/24/2019] [Indexed: 11/10/2022] Open
Abstract
Background The ECG characteristics of the distal coronary venous system ventricular arrhythmias (VAs) share common features with VAs arising from the aortic cusps or the endocardial left ventricular outflow tract (LVOT) beneath the cusps. The purpose of this study was to identify specific electrocardiographic and electrophysiological characteristics of VAs originating from the distal great cardiac vein (GCV). Methods Based on the successful ablation site, patients with idiopathic VAs from the distal GCV, left coronary cusp (LCC) or the subvalvular left ventricular outflow tract (LVOT) area were included in the present study. Results The final population consisted of 39 patients (35 males, mean age 51 ± 23 years). All VAs displayed a right bundle branch block (RBBB) morphology with inferior axis. Among these patients, 15 were successfully ablated at the GCV, 15 at the LCC and 9 at the subvalvular region. A “w” pattern in lead I was present in 12 out of 15 (80%) VAs originating from the distal GCV compared to none of VAs arising from the other two sites (p < 0.01). VAs with a GCV origin exhibited more commonly increased intrinsicoid deflection time, higher maximum deflection index and wider QRS duration compared to LCC and subvalvular sites (p < 0.05). Acceptable pace mapping at the successful ablation site was achieved in 10 patients. After an average of 36 ± 24 months follow up, 14 (93.3%) patients were free from VAs recurrence. Conclusion A “w” pattern in lead I may distinguish distal GCV VAs from VAs arising from the LCC or the subvalvular region. Electronic supplementary material The online version of this article (10.1186/s12872-019-1064-9) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Teng Li
- Arrhythmia Department, Fuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, 518057, Guangdong, China.,Cardiovascular Department, Guangdong Cardiovascular Institute, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, 510010, Guangdong, China
| | - Qiong Xu
- Arrhythmia Department, Fuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, 518057, Guangdong, China
| | - Xian-Zhang Zhan
- Cardiovascular Department, Guangdong Cardiovascular Institute, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, 510010, Guangdong, China
| | - Yu-Mei Xue
- Cardiovascular Department, Guangdong Cardiovascular Institute, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, 510010, Guangdong, China
| | - Hong-Tao Liao
- Cardiovascular Department, Guangdong Cardiovascular Institute, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, 510010, Guangdong, China
| | - Yi-Fu Li
- Arrhythmia Department, Fuwai Hospital Chinese Academy of Medical Sciences, Shenzhen, 518057, Guangdong, China
| | - Konstantinos P Letsas
- Second Department of Cardiology, Laboratory of Cardiac Electrophysiology, Evangelismos General Hospital of Athens, Athens, Greece
| | - Shu-Lin Wu
- Cardiovascular Department, Guangdong Cardiovascular Institute, Guangdong General Hospital & Guangdong Academy of Medical Sciences, Guangzhou, 510010, Guangdong, China.
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Xie S, Kubala M, Liang JJ, Hayashi T, Park J, Padros IL, Garcia FC, Santangeli P, Supple GE, Frankel DS, Zado ES, Lin D, Schaller RD, Dixit S, Callans DJ, Nazarian S, Marchlinski FE. Lead I R‐wave amplitude to differentiate idiopathic ventricular arrhythmias with left bundle branch block right inferior axis originating from the left versus right ventricular outflow tract. J Cardiovasc Electrophysiol 2018; 29:1515-1522. [DOI: 10.1111/jce.13747] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Revised: 07/08/2018] [Accepted: 08/03/2018] [Indexed: 11/26/2022]
Affiliation(s)
- Shuanglun Xie
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Maciej Kubala
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Jackson J. Liang
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Tatsuya Hayashi
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Jaeseok Park
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Irene Lucena Padros
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Fermin C. Garcia
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Pasquale Santangeli
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Gregory E. Supple
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - David S. Frankel
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Erica S. Zado
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - David Lin
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Robert D. Schaller
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Sanjay Dixit
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - David J. Callans
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Saman Nazarian
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
| | - Francis E. Marchlinski
- Cardiac Electrophysiology Program, Cardiovascular DivisionHospital of the University of PennsylvaniaPhiladelphia Pennsylvania
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Kobayashi Y. Idiopathic Ventricular Premature Contraction and Ventricular Tachycardia: Distribution of the Origin, Diagnostic Algorithm, and Catheter Ablation. J NIPPON MED SCH 2018; 85:87-94. [PMID: 29731502 DOI: 10.1272/jnms.2018_85-14] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Idiopathic ventricular premature contractions (VPCs), defined as VPCs in the absence of obvious structural heart disease, are one of the common types of arrhythmia in clinical practice. They are sometimes complicated with non-sustained ventricular tachycardia (VT), and/or sustained VT with almost same QRS morphology in 12 leads ECG. Idiopathic VT (IVT) commonly occurs by focal mechanisms and the origins are distributed in a variety of sites in both ventricles. In this article, the clinical characteristics of IVT/IVPCs, the diagnostic algorithm, and how to ablate them will be reviewed.
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Affiliation(s)
- Yoshinori Kobayashi
- From the Department of Internal Medicine, Division of Cardiology, Tokai University Hachioji-hospital
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Donateo P, Bottoni N, Oddone D, Quartieri F, Iori M, Maggi R, Brignole M. Long-Term Results After Single and Multiple Procedures of Ablation of Ventricular Tachycardia. J Cardiovasc Electrophysiol 2016; 27:1319-1324. [PMID: 27489134 DOI: 10.1111/jce.13061] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2016] [Revised: 07/08/2016] [Accepted: 08/02/2016] [Indexed: 11/27/2022]
Abstract
INTRODUCTION The aim of this study was to assess long-term results after single and multiple procedures of catheter ablation of ventricular tachycardia (VT). While it is generally accepted that multiple procedures are sometimes necessary in order to achieve long-term clinical success, the literature on this issue displays wide variability. METHODS We assessed the outcome of 160 consecutive patients who underwent 214 ablation procedures in the period 2008 to May 2015: 93 had overt structural heart disease (SHD) (previous myocardial infarction in 74 cases) and 67 had no SHD. RESULTS After the first procedure, the 1-year actuarial recurrence rates were 25% in patients with SHD and 5% in those without. However, recurrences increased progressively after the first year, reaching 46% and 35%, respectively, at 5 years. Overall, VT recurred in 35/93 (38%) patients with SHD and 22/67 (33%) patients without. Redo (1 to 4) procedures were performed in 28 (20%) patients with SHD and 18 (27%) patients without. After the last procedure, the 1-year actuarial recurrence rates were 5% in patients with SHD and 7% in those without, and the corresponding rates at 5 years were 23% and 7%. During follow-up, 21 patients died (all in the SHD group): no death was related to VT recurrence. CONCLUSIONS During long-term follow-up, VT frequently recurs after the first procedure, both in patients with SHD and in those without; multiple procedures are needed in order to increase the success rate.
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Affiliation(s)
- Paolo Donateo
- Arrhythmology Centre, Department of Cardiology, Ospedali del Tigullio, Lavagna, Italy
| | - Nicola Bottoni
- Arrhythmology Centre, Department of Cardiology, Arcispedale S. Maria Nuova, Reggio Emilia, Italy
| | - Daniele Oddone
- Arrhythmology Centre, Department of Cardiology, Ospedali del Tigullio, Lavagna, Italy
| | - Fabio Quartieri
- Arrhythmology Centre, Department of Cardiology, Arcispedale S. Maria Nuova, Reggio Emilia, Italy
| | - Matteo Iori
- Arrhythmology Centre, Department of Cardiology, Arcispedale S. Maria Nuova, Reggio Emilia, Italy
| | - Roberto Maggi
- Arrhythmology Centre, Department of Cardiology, Ospedali del Tigullio, Lavagna, Italy
| | - Michele Brignole
- Arrhythmology Centre, Department of Cardiology, Ospedali del Tigullio, Lavagna, Italy
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CHEN YIHE, LIN JIAFENG. Catheter Ablation of Idiopathic Epicardial Ventricular Arrhythmias Originating from the Vicinity of the Coronary Sinus System. J Cardiovasc Electrophysiol 2015; 26:1160-7. [PMID: 26175213 DOI: 10.1111/jce.12756] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2015] [Revised: 06/18/2015] [Accepted: 07/08/2015] [Indexed: 11/28/2022]
Affiliation(s)
- YI-HE CHEN
- Department of Cardiology; Second Affiliated Hospital of Wenzhou Medical College; Wenzhou Zhejiang China
| | - JIA-FENG LIN
- Department of Cardiology; Second Affiliated Hospital of Wenzhou Medical College; Wenzhou Zhejiang China
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10
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Ventricular arrhythmias from the coronary venous system: Prevalence, mapping, and ablation. Heart Rhythm 2015; 12:1145-53. [DOI: 10.1016/j.hrthm.2015.03.009] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/22/2014] [Indexed: 11/18/2022]
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11
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Hachiya H, Hirao K, Nakamura H, Taniguchi H, Miyazaki S, Komatsu Y, Kusa S, Takagi T, Iwasawa J, Ichihara N, Kuroi A, Hayashi T, Tanaka Y, Iesaka Y. Electrocardiographic Characteristics Differentiating Epicardial Outflow Tract-Ventricular Arrhythmias Originating From the Anterior Interventricular Vein and Distal Great Cardiac Vein. Circ J 2015; 79:2335-44. [DOI: 10.1253/circj.cj-15-0476] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Hitoshi Hachiya
- Department of Cardiology, Cardiovascular Center, Tsuchiura Kyodo Hospital
| | - Kenzo Hirao
- Heart Rhythm Center, Tokyo Medical and Dental University
| | - Hiroaki Nakamura
- Department of Cardiology, Cardiovascular Center, Tsuchiura Kyodo Hospital
| | - Hiroshi Taniguchi
- Department of Cardiology, Cardiovascular Center, Tsuchiura Kyodo Hospital
| | - Shinsuke Miyazaki
- Department of Cardiology, Cardiovascular Center, Tsuchiura Kyodo Hospital
| | - Yuki Komatsu
- Department of Cardiology, Cardiovascular Center, Tsuchiura Kyodo Hospital
| | - Shigeki Kusa
- Department of Cardiology, Cardiovascular Center, Tsuchiura Kyodo Hospital
| | - Takamitsu Takagi
- Department of Cardiology, Cardiovascular Center, Tsuchiura Kyodo Hospital
| | - Jin Iwasawa
- Department of Cardiology, Cardiovascular Center, Tsuchiura Kyodo Hospital
| | - Noboru Ichihara
- Department of Cardiology, Cardiovascular Center, Tsuchiura Kyodo Hospital
| | - Akio Kuroi
- Department of Cardiology, Cardiovascular Center, Tsuchiura Kyodo Hospital
| | - Tatsuya Hayashi
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
| | - Yasuaki Tanaka
- Department of Cardiovascular Medicine, Tokyo Medical and Dental University
| | - Yoshito Iesaka
- Department of Cardiology, Cardiovascular Center, Tsuchiura Kyodo Hospital
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Hoffmayer KS, Gerstenfeld EP. Diagnosis and Management of Idiopathic Ventricular Tachycardia. Curr Probl Cardiol 2013; 38:131-58. [DOI: 10.1016/j.cpcardiol.2013.02.002] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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13
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Francis J. Left Ventricular Outflow Tract Tachycardias. Indian Pacing Electrophysiol J 2013; 13:1-3. [PMID: 23329869 PMCID: PMC3539396 DOI: 10.1016/s0972-6292(16)30583-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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YAMADA TAKUMI, McELDERRY HTHOMAS, DOPPALAPUDI HARISH, KAY GNEAL. Evidence for an Intramural Origin of Idiopathic Premature Ventricular Contractions Successfully Ablated within the Great Cardiac Vein. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2010; 34:e112-4. [DOI: 10.1111/j.1540-8159.2010.02828.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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15
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Cooling with near-freezing saline improves efficacy of cool-tip radiofrequency catheter ablation. Heart Rhythm 2010; 7:983-6. [DOI: 10.1016/j.hrthm.2010.03.022] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2010] [Accepted: 03/18/2010] [Indexed: 11/18/2022]
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16
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HOUMSSE MAHMOUD, DAOUD EMILEG. Techniques to Ablate Premature Ventricular Ectopy Arising from the Coronary Sinus System. PACING AND CLINICAL ELECTROPHYSIOLOGY: PACE 2010; 34:e74-7. [DOI: 10.1111/j.1540-8159.2010.02785.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Michowitz Y, Belhassen B. Electrocardiographic Recognition of Epicardial Arrhythmias. Card Electrophysiol Clin 2010; 2:25-33. [PMID: 28770733 DOI: 10.1016/j.ccep.2009.11.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The great majority of arrhythmias can be ablated with current techniques using an endocardial approach. However, an epicardial approach may be required in some cases. ECG-based criteria have been developed to aid recognition of arrhythmias with an epicardial origin, which allows for a planned epicardial ablation procedure. This article summarizes the current ECG-based criteria to recognize these epicardial arrhythmias.
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Affiliation(s)
- Yoav Michowitz
- The Department of Cardiology, Tel Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel Aviv University, 6 Weizman Street, Tel Aviv 64239, Israel; UCLA Cardiac Arrhythmia Center, Ronald Reagan UCLA Medical Center, David Geffen School of Medicine at UCLA, A2-237 CHS, 10833 Le Conte Avenue, Los Angeles, CA 90095, USA
| | - Bernard Belhassen
- The Department of Cardiology, Tel Aviv Sourasky Medical Center and the Sackler Faculty of Medicine, Tel Aviv University, 6 Weizman Street, Tel Aviv 64239, Israel
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MASSOURE PIERRELAURENT, JAIS PIERRE, SACHER FREDERIC, HAISSAGUERRE MICHEL. Tachycardia-Induced Right Ventricular Cardiomyopathy: Epicardial Radiofrequency Ablation of an Unusual and Unexpected Ventricular Tachycardia. J Cardiovasc Electrophysiol 2009; 20:813-7. [DOI: 10.1111/j.1540-8167.2008.01402.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Aliot EM, Stevenson WG, Almendral-Garrote JM, Bogun F, Calkins CH, Delacretaz E, Bella PD, Hindricks G, Jais P, Josephson ME, Kautzner J, Kay GN, Kuck KH, Lerman BB, Marchlinski F, Reddy V, Schalij MJ, Schilling R, Soejima K, Wilber D. 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). Europace 2009; 11:771-817. [DOI: 10.1093/europace/eup098] [Citation(s) in RCA: 283] [Impact Index Per Article: 18.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Doppalapudi H, Yamada T, Ramaswamy K, Ahn J, Kay GN. Idiopathic focal epicardial ventricular tachycardia originating from the crux of the heart. Heart Rhythm 2009; 6:44-50. [PMID: 19121799 DOI: 10.1016/j.hrthm.2008.09.029] [Citation(s) in RCA: 78] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/25/2008] [Accepted: 09/24/2008] [Indexed: 12/01/2022]
Affiliation(s)
- Harish Doppalapudi
- Department of Medicine, Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA.
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Liu XK, Barrett R, Packer DL, Asirvatham SJ. Successful management of recurrent ventricular tachycardia by electrical isolation of anterolateral papillary muscle. Heart Rhythm 2008; 5:479-82. [DOI: 10.1016/j.hrthm.2007.11.013] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2007] [Accepted: 11/12/2007] [Indexed: 10/22/2022]
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Kaseno K, Tada H, Tanaka S, Goto K, Yokokawa M, Hiramatsu S, Naito S, Oshima S, Taniguchi K. Successful Catheter Ablation of Left Ventricular Epicardial Tachycardia Originating From the Great Cardiac Vein A Case Report and Review of the Literature. Circ J 2007; 71:1983-8. [DOI: 10.1253/circj.71.1983] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Kenichi Kaseno
- Division of Cardiology, Gunma Prefectural Cardiovascular Center
| | - Hiroshi Tada
- Division of Cardiology, Gunma Prefectural Cardiovascular Center
| | - Shinichi Tanaka
- Division of Cardiology, Gunma Prefectural Cardiovascular Center
| | - Koji Goto
- Division of Cardiology, Gunma Prefectural Cardiovascular Center
| | - Miki Yokokawa
- Division of Cardiology, Gunma Prefectural Cardiovascular Center
| | | | - Shigeto Naito
- Division of Cardiology, Gunma Prefectural Cardiovascular Center
| | - Shigeru Oshima
- Division of Cardiology, Gunma Prefectural Cardiovascular Center
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