A novel algorithm for determining endocardial VT exit site from 12-lead surface ECG characteristics in human, infarct-related ventricular tachycardia

Journal of Cardiovascular Electrophysiology

Volumn 18, Issue 2, 2007, Pages 161-168

  Segal, Oliver R ^a   Chow, Anthony W C ^a   Wong, Tom ^a   Trevisi, Nicola ^b   Lowe, Martin D ^c   Davies, D Wyn ^a   Bella, Paolo Della ^b   Packer, Douglas L ^c   Peters, Nicholas S ^a  

^a ST MARY S HOSPITAL   (United Kingdom)

^b UNIVERSITY OF MILAN   (Italy)

^c MAYO CLINIC   (United States)

Author keywords

Ablation; Electrocardiography; Endocardium; Tachycardia; Ventricles

Indexed keywords

ADULT; AGED; ALGORITHM; ARTICLE; CATHETER ABLATION; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORRELATION ANALYSIS; ELECTROCARDIOGRAM; ENDOCARDIUM; FEMALE; HEART BUNDLE BRANCH BLOCK; HEART CATHETER; HEART INFARCTION; HEART VENTRICLE TACHYCARDIA; HUMAN; MAJOR CLINICAL STUDY; MALE; PRIORITY JOURNAL; PROSPECTIVE STUDY; R WAVE; SINGLE BLIND PROCEDURE;

ADULT; AGED; ALGORITHMS; BODY SURFACE POTENTIAL MAPPING; DIAGNOSIS, COMPUTER-ASSISTED; ELECTROCARDIOGRAPHY; ENDOCARDIUM; FEMALE; HUMANS; MALE; MIDDLE AGED; MYOCARDIAL INFARCTION; TACHYCARDIA, VENTRICULAR;

EID: 33846372288     PISSN: 10453873     EISSN: 15408167     Source Type: Journal    
DOI: 10.1111/j.1540-8167.2007.00721.x     Document Type: Article

References (17)

1. Miller JM, Marchlinski FE, Buxton AE, Josephson ME: Relationship between the 12-lead electrocardiogram during ventricular tachycardia and endocardial site of origin in patients with coronary artery disease. Circulation 1988;77:759-766.
2. Kuchar DL, Ruskin JN, Garan H: Electrocardiographic localization of the site of origin of ventricular tachycardia in patients with prior myocardial infarction. J Am Coll Cardiol 1989;13:893-903.
3. Schilling RJ, Peters NS, Davies DW: Feasibility of a noncontact catheter for endocardial mapping of human ventricular tachycardia. Circulation 1999;99:2543-2552.
4. A comparison of antiarrhythmic-drug therapy with implantable defibrillators in patients resuscitated from near-fatal ventricular arrhythmias. The Antiarrhythmics versus Implantable Defibrillators (AVID) Investigators. N Engl J Med 1997;337:1576-1583.
5. Moss AJ, Hall WJ, Cannom DS, Daubert JP, Higgins SL, Klein H, Levine JH, Saksena S, Waldo AL, Wilber D, Brown MW, Heo M: Improved survival with an implanted defibrillator in patients with coronary disease at high risk for ventricular arrhythmia. Multicenter Automatic Defibrillator Implantation Trial Investigators. N Engl J Med 1996;335:1933-1940.
6. Moss AJ, Zareba W, Hall WJ, Klein H, Wilber DJ, Cannom DS, Daubert JP, Higgins SL, Brown MW, Andrews ML: Prophylactic implantation of a defibrillator in patients with myocardial infarction and reduced ejection fraction. N Engl J Med 2002;346:877-883.
7. Segal OR, Chow AW, Markides V, Schilling RJ, Peters NS, Davies DW: Long-term results after ablation of infarct-related ventricular tachycardia. Heart Rhythm 2005;2:474-482.
8. Credner SC, Klingenheben T, Mauss O, Sticherling C, Hohnloser SH: Electrical storm in patients with transvenous implantable cardioverter- defibrillators: Incidence, management and prognostic implications. J Am Coll Cardiol 1998;32:1909-1915.
9. Villacastin J, Almendral J, Arenal A, Albertos J, Ormaetxe J, Peinado R, Bueno H, Merino JL, Pastor A, Medina O, Tercedor L, Jimenez F, Delcan JL: Incidence and clinical significance of multiple consecutive, appropriate, high-energy discharges in patients with implanted cardioverter-defibrillators. Circulation 1996;93:753-762.
10. Marchlinski FE, Callans DJ, Gottlieb CD, Zado E: Linear ablation lesions for control of unmappable ventricular tachycardia in patients with ischemic and nonischemic cardiomyopathy. Circulation 2000;101:1288-1296.
11. van Dessel PF, van Hemel NM, de Bakker JM, Linnenbank TA, Potse M, Jessurun ER, SippensGroenewegen A, Wever EF: Relation between body surface mapping and endocardial spread of ventricular activation in postinfarction heart. J Cardiovasc Electrophysiol 2001;12:1232-1241.
12. Holt PM, Smallpeice C, Deverall PB, Yates AK, Curry PV: Ventricular arrhythmias. A guide to their localisation. Br Heart J 1985;53:417-430.
13. Waxman HL, Josephson ME: Ventricular activation during ventricular endocardial pacing: I. Electrocardiographic patterns related to the site of pacing. Am J Cardiol 1982;50:1-10.
14. Calkins H, Kalbfleisch 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;71:827-833.
15. Klein LS, Shih HT, Hackett FK, Zipes DP, Miles WM: Radiofrequency catheter ablation of ventricular tachycardia in patients without structural heart disease. Circulation 1992;85:1666-1674.
16. Morady F, Harvey M, Kalbfleisch SJ, el Atassi R, Calkins H, Langberg JJ: Radiofrequency catheter ablation of ventricular tachycardia in patients with coronary artery disease. Circulation 1993;87:363-372.
17. Stevenson WG, Sager PT, Natterson PD, Saxon LA, Middlekauff HR, Wiener I: Relation of pace mapping QRS configuration and conduction delay to ventricular tachycardia reentry circuits in human infarct scars. J Am Coll Cardiol 1995;26:481-488.