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
收藏
页码:1516 / 1527
页数:12
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[21]   Catheter Ablation of Idiopathic Ventricular Tachycardia [J].
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