Intraprocedural electrocardiographic imaging of a hemodynamically unstable ischemic ventricular tachycardia originating from the interventricular septum
https://doi.org/10.35336/VA-2021-4-57-61
Abstract
The article presents a clinical case of catheter treatment of hemodynamically unstable ischemic ventricular tachycardia originating from interventricular septum using electrocardiographic imaging and high-density endocardial substrate mapping.
Keywords
ventricular tachycardia,
electrocardiographic imaging,
high density substrate mapping,
interventricular septum
Supporting agencies: This work supported by the Russian Science Foundation №19-15-00406: Study of electrophysiological mechanisms and development of methods for interventional treatment of life-threatening ventricular arrhythmias based on non-invasive cardiac mapping
About the Authors
I. A. Taimasova
A.V. Vishnevskiy National Medical Research Center of Surgery
Russian Federation
Russian Federation
Irina A. Taimasova.
Moscow, 27 Bolshaya Serpukhovskaya str.
M. V. Yashkov
A.V. Vishnevskiy National Medical Research Center of Surgery
Russian Federation
Russian Federation
Moscow, 27 Bolshaya Serpukhovskaya str.
E. A. Artyukhina
A.V. Vishnevskiy National Medical Research Center of Surgery
Russian Federation
Russian Federation
Moscow, 27 Bolshaya Serpukhovskaya str.
A. Sh. Revishvili
A.V. Vishnevskiy National Medical Research Center of Surgery
Russian Federation
Russian Federation
Moscow, 27 Bolshaya Serpukhovskaya str.
References
1. Sears SF, Conti JB. Quality of life and psychological functioning of ICD patients. Heart. 2002;87(5): 488-49З. https://doi.org/10.1136/heart.87.5.488.
2. Go AS, Mozaffarian D, Roger VL, et al. Heart disease and stroke statistics 2014 update: a report from the American Heart Association. Circulation. 2014;129(3): 28-292. https://doi.org/10.1161/01.cir.0000441139.02102.80.
3. Buxton AE, Lee KL, Fisher JD, et al. A randomized study of the prevention of sudden death in patients with coronary artery disease. New England Journal of Medicine. 1999;341(25)1882-1890. https://doi.org/10.1016/0033-0620(93)90015-6.
4. Poole JE, George WJ, Hellkamp AS, et al. Prognostic importance of defibrillator shocks in patients with heart failure. New England Journal of Medicine. 2008;359(10): 1009-1017. https://doi.org/10.1056/NEJMoa071098.
5. Palaniswamy C, Kolte P, Harikrishnan P, et al. Catheter ablation of postinfarction ventricular tachycardia: ten-year trends in utilization, in-hospital complications, and in-hospital mortality in the United States. Heart rhythm. 2014; 11(11): 2056-2063. https://doi.org/10.1016/j.hrthm.2014.07.012.
6. Aliot EM, Stevenson WG, Almendral-Garrote JM, et al. 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(6): 771-817. https://doi.org/10.1093/europace/eup098.
7. Revishvili AS, Wissner E, Lebedev DS, et al. Validation of the mapping accuracy of a novel non-invasive epicardial and endocardial electrophysiology system. Europace. 2015;17(8): 1282-1288. https://doi.org/10.1093/europace/euu339.
8. Chmelevsky MP, Potyagaylo DA, Zubarev SV, et al. Noninvasive epi-endocardial electrocardiographic imaging of ventricular septal pacing. Journal of Arrhythmology. 2019;26(4): 5-12. (In Russ). https://doi.org/10.35336/VA-2019-4-5-12.
9. Friedman PL, Fenoglio JJ, Wit AL. Time course for reversal of electrophysiological and ultrastructural abnormalities in subendocardial Purkinje fibers surviving extensive myocardial infarction in dogs. Circulation research. 1975;36(1): 127-144. https://doi.org/10.1161/01.res.36.1.127.
10. Fenoglio Jr J, Pham TD, Harken AH, et al. Recurrent sustained ventricular tachycardia: structure and ultrastructure of subendocardial regions in which tachycardia originates. Circulation. 1983;68(3): 518-533. https://doi.org/10.1161/01.cir.68.3.518.
11. Rutherford SL, Trew ML, Sands GB, et al. High-resolution 3-dimensional reconstruction of the infarct border zone: impact of structural remodeling on electrical activation. Circulation research. 2012;111(3): 301-311. https://doi.org/10.1161/CIRCRESAHA.111.260943.
12. Gardner P I, Ursell P C, Fenoglio Jr J J, et al. Electrophysiologic and anatomic basis for fractionated electrograms recorded from healed myocardial infarcts. Circulation. 1985;72(3): 596-611. https://doi.org/10.1161/01.cir.72.3.596.
13. Nakahara S, Tung R, Ramirez J, et al. Characterization of the arrhythmogenic substrate in ischemic and nonischemic cardiomyopathy: implications for catheter ablation of hemodynamically unstable ventricular tachycardia. Journal of the American College of Cardiology. 2010;55(21): 2355-2365. https://doi.org/10.1016/j.jacc.2010.01.041.
14. Marchlinski FE, Callans DJ, Gottlieb CD, et al. Linear ablation lesions for control of unmappable ventricular tachycardia in patients with ischemic and nonischemic cardiomyopathy. Circulation. 2000;101(11): 1288-1296. https://doi.org/10.1161/01.cir.101.11.1288.
15. Hsia HH, Lin D, Sauer WH, et al. Anatomic character ization of endocardial substrate for hemodynamically stable reentrant ventricular tachycardia: identification of endocardial conducting channels. Heart Rhythm. 2006;3(5): 503-512. https://doi.org/10.1016/j.hrthm.2006.01.015.
16. Tsyganov A, Wissner E , Metzner A, et al. Mapping of ventricular arrhythmias using a novel noninvasive epicardial and endocardial electrophysiology system. Journal of electrocardiology. 2018;51(1): 92-98. https://doi.org/10.1016/j.jelectrocard.2017.07.018.
17. Erkapic D, Neumann T. Ablation of premature ventricular complexes exclusively guided by three-dimensional noninvasive mapping. Cardiac Electrophysiology Clinics. 2015;1:109-115. https://doi.org/10.1016/j.ccep.2014.11.010.
18. Hocini M, Shah AJ , Neumann T, et al. Focal arrhythmia ablation determined by high-resolution noninvasive maps: multicenter feasibility study. Journal of cardiovascular electrophysiology. 2015;26(7): 754-760. https://doi.org/10.1111/jce.12700.
19. Artyukhina EA, Yashkov MV, Revishvili ASh. Non-invasive electrophysiological mapping of the heart: from developments to practice. Circulatory pathology and cardiac surgery. 2020;24(4): 33-41 (In Russ). https://doi.org/10.21688/1681-3472-2020-4-33-41.
20. Potyagaylo D, Chmelevsky M, Budanova M, et al. Combination of lead-field theory with cardiac vector direction: ECG imaging of septal ventricular activation. J Electrocardiol. 2019;57: 40-44. https://doi.org/10.1016/j.jelectrocard.2019.08.003.
Review
For citations:
Taimasova I.A., Yashkov M.V., Artyukhina E.A., Revishvili A.Sh. Intraprocedural electrocardiographic imaging of a hemodynamically unstable ischemic ventricular tachycardia originating from the interventricular septum. Journal of Arrhythmology. 2021;28(4):57-61. (In Russ.) https://doi.org/10.35336/VA-2021-4-57-61
Views:
456
Email this article 