Using the Surface Electrocardiogram to Localize the Origin of Idiopathic Ventricular Tachycardia

被引：65

作者：

Park, Kyoung-Min ^{[1
,2
]}

Kim, You-Ho ^{[3
]}

Marchlinski, Francis E. ^{[2
]}

机构：

[1] Konkuk Univ, Dept Internal Med, Konkuk Univ Hosp, Sch Med, Seoul, South Korea

[2] Hosp Univ Penn, Dept Med, Sect Cardiac Electrophysiol, Philadelphia, PA 19104 USA

[3] Univ Ulsan, Coll Med, Asan Med Ctr, Dept Internal Med, Seoul, South Korea

来源：

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY | 2012年 / 35卷 / 12期

关键词：

electrocardiogram; VT; Ablation; electrophysiology; -; clinical; OUTFLOW TRACT TACHYCARDIA; RADIOFREQUENCY CATHETER ABLATION; POSTERIOR PAPILLARY-MUSCLE; AORTIC SINUS CUSP; PULMONARY-ARTERY; ELECTROPHYSIOLOGICAL CHARACTERISTICS; 12-LEAD ELECTROCARDIOGRAM; MYOCARDIAL-INFARCTION; PURKINJE POTENTIALS; EPICARDIAL ORIGIN;

D O I：

10.1111/j.1540-8159.2012.03488.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The surface electrocardiogram (ECG) is a useful tool to help identify the sites of origin of ventricular tachycardia (VT). Despite such limitations as chest wall deformity and metabolic and drug effects, the analysis of the QRS morphologic patterns and vectors can discern the site of activation of myocardium. There have been described numerous reports about ECG features of idiopathic left- and right-ventricular VT. In this review, we summarized typical ECG characteristics according to the VT sites of origin based on previous reports, with anatomical considerations of the left and right ventricles, including the outflow tracts and epicardium. (PACE 2012;35:15161527)

引用

页码：1516 / 1527

页数：12

共 52 条

[1] Ablation of ventricular arrhythmias arising near the anterior epicardial veins from the left sinus of Valsalva region: ECG features, anatomic distance, and outcome [J].

Abularach, Miguel E. Jauregui ;

Campos, Bieito ;

Park, Kyoung-Min ;

Tschabrunn, Cory M. ;

Frankel, David S. ;

Park, Robert E. ;

Gerstenfeld, Edward P. ;

Mountantonakis, Stavros ;

Garcia, Fermin C. ;

Dixit, Sanjay ;

Tzou, Wendy S. ;

Hutchinson, Mathew D. ;

Lin, David ;

Riley, Michael P. ;

Cooper, Joshua M. ;

Bala, Rupa ;

Callans, David J. ;

Marchlinski, Francis E. .

HEART RHYTHM, 2012, 9 (06) :865-873

[2] Clinical anatomy of the aortic root [J].

Anderson, RH .

HEART, 2000, 84 (06) :670-673

[3] Electrocardiographic recognition and ablation of outflow tract ventricular tachycardia [J].

Bala, Rupa ;

Marchlinski, Francis E. .

HEART RHYTHM, 2007, 4 (03) :366-370

[4] Electrocardiographic and electrophysiologic features of ventricular arrhythmias originating from the right/left coronary cusp commissure [J].

Bala, Rupa ;

Garcia, Fermin C. ;

Hutchinson, Mathew D. ;

Gerstenfeld, Edward P. ;

Dhruvakumar, Sandhya ;

Dixit, Sanjay ;

Cooper, Joshua M. ;

Lin, David ;

Harding, John ;

Riley, Michael P. ;

Zado, Erica ;

Callans, David J. ;

Marchlinski, Francis E. .

HEART RHYTHM, 2010, 7 (03) :312-322

[5] Site-specific twelve-lead ECG features to identify an epicardial origin for left ventricular tachycardia in the absence of myocardial infarction [J].

Bazan, Victor ;

Gerstenfeld, Edward P. ;

Garcia, Fermin C. ;

Bala, Rupa ;

Rivas, Nuria ;

Dixit, Saniav ;

Zado, Erica ;

Callans, David J. ;

Marchlinski, Francis E. .

HEART RHYTHM, 2007, 4 (11) :1403-1410

[6] Electrocardiographic recognition of the epicardial origin of ventricular tachycardias [J].

Berruezo, A ;

Mont, L ;

Nava, S ;

Chueca, E ;

Bartholomay, E ;

Brugada, J .

CIRCULATION, 2004, 109 (15) :1842-1847

[7] The V2 Transition Ratio A New Electrocardiographic Criterion for Distinguishing Left From Right Ventricular Outflow Tract Tachycardia Origin [J].

Betensky, Brian P. ;

Park, Robert E. ;

Marchlinski, Francis E. ;

Hutchinson, Matthew D. ;

Garcia, Fermin C. ;

Dixit, Sanjay ;

Callans, David J. ;

Cooper, Joshua M. ;

Bala, Rupa ;

Lin, David ;

Riley, Michael P. ;

Gerstenfeld, Edward P. .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 57 (22) :2255-2262

[8] Post-infarction ventricular arrhythmias originating in papillary muscles [J].

Bogun, Frank ;

Desjardins, Benoit ;

Crawford, Thomas ;

Good, Eric ;

Jongnarangsin, Krit ;

Oral, Hakan ;

Chugh, Aman ;

Pelosi, Frank ;

Morady, Fred .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2008, 51 (18) :1794-1802

[9] Repetitive monomorphic tachycardia from the left ventricular outflow tract: Electrocardiographic patterns consistent with a left ventricular site of origin [J].

Callans, DJ ;

Menz, V ;

Schwartzman, D ;

Gottlieb, CD ;

Marchlinski, FE .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (05) :1023-1027

[10] Papillary muscle hypothesis of idiopathic left ventricular tachycardia [J].

Chen, PS ;

Karagueuzian, HS ;

Kim, YH .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2001, 37 (05) :1475-1476

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