Ablation of epicardial macroreentrant ventricular tachycardia associated with idiopathic nonischemic dilated cardiomyopathy by a percutaneous transthoracic approach.

Abstract:

:Characterization of the substrate and mechanism of epicardial ventricular tachycardia (VT) associated with idiopathic nonischemic dilated cardiomyopathy is limited. We report a case of successful mapping and ablation of an epicardial VT by a percutaneous transthoracic approach in a patient with idiopathic dilated cardiomyopathy, frequent VT, and previously unsuccessful endocardial ablation. Evidence of myocardial scar was limited to the epicardium. Electroanatomic and entrainment mapping defined a figure-of-eight macroreentrant circuit within the epicardial scar. VT terminated at the onset of low-power radiofrequency application to the central isthmus of the circuit. VT was no longer induced and did not recur during long-term follow-up.

authors

Swarup V,Morton JB,Arruda M,Wilber DJ

doi

10.1046/j.1540-8167.2002.01164.x

keywords:

subject

Has Abstract

pub_date

2002-11-01 00:00:00

pages

1164-8

issue

11

eissn

1045-3873

issn

1540-8167

journal_volume

13

pub_type

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