Differentiating Right- and Left-Sided Outflow Tract Ventricular Arrhythmias: Classical ECG Signatures and Prediction Algorithms

被引：74

作者：

Anderson, Robert D. ^{[1
]}

Kumar, Saurabh ^{[2
,3
]}

Parameswaran, Ramanathan ^{[1
]}

Wong, Geoffrey ^{[1
]}

Voskoboinik, Aleksandr ^{[1
,4
,5
]}

Sugumar, Hariharan ^{[1
,4
,5
]}

Watts, Troy ^{[1
]}

Sparks, Paul B. ^{[1
]}

Morton, Joseph B. ^{[1
]}

McLellan, Alex ^{[1
,4
,5
]}

Kistler, Peter M. ^{[1
,4
,5
]}

Kalman, Jonathan ^{[1
]}

Lee, Geoffrey ^{[1
]}

机构：

[1] Univ Melbourne, Royal Melbourne Hosp, Fac Med Dent & Hlth Sci, Dept Cardiol, Melbourne, Vic, Australia

[2] Westmead Hosp, Dept Cardiol, Sydney, NSW, Australia

[3] Univ Sydney, Westmead Appl Res Ctr, Sydney, NSW, Australia

[4] Alfred Hosp, Dept Cardiol, Melbourne, Vic, Australia

[5] Baker IDI Heart & Diabet Inst, Melbourne, Vic, Australia

来源：

CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY | 2019年 / 12卷 / 06期

关键词：

algorithms; cardiac arrhythmia; catheter ablation; electrocardiography; GREAT CARDIAC VEIN; CATHETER ABLATION; AORTIC SINUS; ELECTROCARDIOGRAPHIC CHARACTERISTICS; ELECTROPHYSIOLOGIC CHARACTERISTICS; 12-LEAD ELECTROCARDIOGRAM; SURFACE ELECTROCARDIOGRAM; TACHYCARDIA ORIGIN; SPATIAL-RESOLUTION; SITE;

D O I：

10.1161/CIRCEP.119.007392

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Idiopathic ventricular arrhythmias commonly originate from the right ventricular and left ventricular outflow tracts (OTs). Advances in real-time imaging have refined our understanding of the intimate anatomic structures implicated in the genesis of OT arrhythmias, making catheter ablation for arrhythmias beyond the right ventricular OT a feasible option for cure-indeed ablation is now a class I indication in recent guidelines. The surface 12-lead ECG is routinely used to localize the anatomic site of origin before catheter ablation. However, the intimate and complex anatomy of the OT limits predictive value ECG criteria alone for localization for these arrhythmias. Multiple ECG algorithms have been developed to assist preprocedural localization, and hence predict safety and efficacy for catheter ablation of OT ventricular arrhythmias. This review will summarize all of the published 12-lead ECG algorithms used to guide localization of OT ventricular arrhythmias.

引用

页数：15

共 63 条

[1] The anatomic substrates for outflow tract arrhythmias [J].